- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... Determining co-pays and deductibles; confirming and obtaining appropriate insurance authorization + Informing patients of their financial responsibility + Answering… more
- Providence (Santa Rosa, CA)
- …a place for current or future interested applicants to apply for Patient Authorization and Referral Representative at Providence Medical Foundation in Santa ... Rosa, CA. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day, evening, night, or variable shifts. The Referral Coordinator prepares clinical data for physician/IPP/CBO… more
- Arnot Health (Elmira, NY)
- …to conference with other departments to bring about conflict resolution to pre- authorization problems. 14. Demonstrates the ability to be cross-trained to other ... responsibilities of the department as required by the Supervisor/Director. COMPUTER: 15. Demonstrates basic computer skills. 16. Demonstrates the knowledge and ability to work within the Arnot Health's computer system. 17. Maintains computer security. WORKING… more
- Providence (Walla Walla, WA)
- **Description** The Pre- Authorization Specialist completes accurately and timely all referrals and pre-authorizations for outpatient services provided by Providence ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 3021 AUTHORIZATION **Address:** WA Walla Walla 380 CHASE AVE **Work Location:** St Mary… more
- Swedish Health Services (Seattle, WA)
- …Capture defined referral information from Swedish Physician Division providers to specialists and facilities. Verify eligibility and benefits for risk patients. ... Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
- Pacific Medical Centers (Renton, WA)
- …Provides the administrative functions needed to support a smooth, efficient referral process; assists the utilization review and case management nurse with management ... of referrals and monitoring or institutional patients. Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers in our culture of patient-focused, whole-person care built on understanding,… more
- Providence (Spokane Valley, WA)
- …This position is responsible for front-end reimbursement duties, providing phone and clerical support to the clinical component of home infusion. Other ... responsibilities include entering patient referral data into the database, entering physician information into the database, entering outcomes information into the database, and tracking CIIs and patient satisfaction surveys. Providence caregivers are not… more
- Catholic Health Services (Melville, NY)
- …explain benefit information, confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, ... Job Details The part-time Scheduling Representative is responsible for managing incoming and outgoing...with the patient/responsible party the need for pre-certification and/or authorization for tests. + Documentation into Epic + Notify… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative , with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and...active member of the care team. + Acquire insurance authorization for the visit and, if applicable, any testing;… more
- Prime Healthcare (Chicago, IL)
- …Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining and verifying ... coordination of benefits from all sources. This position completes insurance authorization and answers infusion financial questions. This position also ensures… more
- Henry Ford Health System (Troy, MI)
- …with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... working relationships with departments to resolve patient inquiries. Central Authorization : Supervisor is responsible for functions related to timely procurement… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... Central Authorization : Supervisor is responsible for functions related to...verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate… more
- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative **Prior Authorization Management** + Maintains expertise of the current ... and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE: The Pharmacy Access Representative III (PAR) is responsible for the overall management of… more
- Fallon Health (Worcester, MA)
- …at 10 Chestnut Street, Worcester, MA. * Identifying the need for Personal Representative Authorization form, Medical Record Release Authorization form, or ... acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, gathering all pertinent and relevant… more
- Fallon Health (Worcester, MA)
- …routing to the appropriate staff member. + Identifying the need for Personal Representative Authorization form, Medical Record Release Authorization form, or ... acknowledgement of the grievance/appeal, educating the member and/or member representative about the grievance/appeal, gathering all pertinent and relevant… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $68.00 - $70.00 Salary/year Description WHO WE ARE ... it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of rejected pharmacy… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote Position ... Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- TekSynap (Norfolk, VA)
- …& Qualifications** TekSynap is seeking a **Senior** **Assessment & Authorization (A&A)** **Support** **Lead** toleadAssessment & Authorization (A&A) ... II) + Cybersecurityassessment.. **Overview** We are seeking aSeniorAssessment & Authorization (A&A)SupportLeadto join ourteamattheMilitary Sealift Command (MSC) Headquarters in… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job Category ... it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy… more
- Children's Clinics (Tucson, AZ)
- …and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite appointments, outpatient ... patient information including diagnosis ICD10 codes, CPT codes and submits authorization request and all required documentation to the appropriate insurance… more
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