- Prisma Health (Seneca, SC)
- …patient's problems/needs and sets priorities; identifies problems requiring further referral and/or follow-up; interprets and records latest diagnostic results; ... licensed RN. *20% Implementing/Managing Care: Care provided conforms to accepted practice standards; provides treatments/procedures and other care as prescribed and… more
- Central Missouri Home Health (Jefferson City, MO)
- …therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of ... Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians. Uses… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior -authorizations and referral process for patients being referred for specialty care,...scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… more
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion ... across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Referral Coordinator-PN is responsible for coordinating all aspects of specialty… more
- University of Rochester (Rochester, NY)
- Responsibilities **Summary:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and Specialists. Trains new ... Assists in problem identification, quantification and resolution. + Provides training to Prior Authorization and Referral Coordinator Associates and… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: The Referral & Prior Authorization Representative IV is a team leader responsible for supporting the surgeons, physicians, and advanced ... practice providers in their assigned division(s) in the departments...plans + Responsible for oversight of daily work for Referral & Prior Authorization Rep… more
- LifePoint Health (Hickory, NC)
- …as needed via EHR or from clinical team to accurately complete pre- authorization / referral process. * Answers, responds and documents phone calls, requests ... Degree Preferred **Job:** **Other* **Organization:** **Frye Regional Physicians* **Title:** * Referral Coordinator- Physician Practice * **Location:** *NC-Hickory* **Requisition… more
- Northern Light Health (Presque Isle, ME)
- …complete. 8. Maintains current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior Authorization Policy. 9. ... Northern Light AR Gould Department: Physician Practice Central Ops Position is located:North Street Healthcare...services needed are received timely. They assist with insurance prior authorizations. The role of the referral … more
- Lancaster General Health (Lancaster, PA)
- …and Referrals. Must be knowledgeable in all areas of insurance verification and authorization / referral processes. + Maintain accurate and current referral ... to patient what their insurance company requires to meet referral / authorization compliance. + Must have the ability...to patients who have not been seen within the prior 18 months at their LGHP PCP office and… more
- Trinity Health (Grand Rapids, MI)
- …testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + Confirms ... a medical office required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… more
- Penn Medicine (King Of Prussia, PA)
- …information to internal and external customers for admissions processing; Obtain initial prior authorization for services; obtain ongoing prior ... infusion documents, incorporating new and changing insurance processes into daily practice , and consistently implementing the prescribed Authorization Tracking… more
- Northern Light Health (Portland, ME)
- …Office Patient Service representatives to verify benefits and to obtain required prior authorization (s). + Identify potential barriers to care and collaborates ... for receiving and processing incoming referrals from patients, families, and referral sources for all newly diagnosed oncology, benign hematology and infusion… more
- MD Anderson Cancer Center (Spring, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... for Physician Assistants who graduated from a PA program prior to 2013. Required: Master's Degree in Nursing or...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- MD Anderson Cancer Center (Houston, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... for Physician Assistants who graduated from a PA program prior to 2013. Required: Master's Degree in Nursing or...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- MD Anderson Cancer Center (Houston, TX)
- …Assistant. **EXPERIENCE** Preferred: At least 1 year of experience in Advanced Practice Provider role. Prior experience in Oncology. **LICENSURE / ... State Board of Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Registered Nurse or Physician Assistant. Related authorization must be… more
- MD Anderson Cancer Center (Houston, TX)
- …Assistant. **EXPERIENCE** Preferred: At least 1 year of experience in Advanced Practice Provider role. Prior Oncology experience. **LICENSURE / CERTIFICATION** ... State Board of Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Registered Nurse or Physician Assistant. Related authorization must be… more
- MD Anderson Cancer Center (Houston, TX)
- …State Board of Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Registered Nurse or Physician Assistant. Related authorization must be ... **Advanced Practice Provider - Advanced Practice Registered...- Ophthalmology Float Position** **The ideal candidate will have prior ophthalmology, surgery, or plastics patient care experience. If… more
- MD Anderson Cancer Center (Houston, TX)
- …Assistant. **EXPERIENCE** Preferred: At least 1 year of experience in Advanced Practice Provider role. Prior experience in Oncology. **LICENSURE / ... State Board of Physician Assistant Examiners (TSBPAE) to function as an Advanced Practice Registered Nurse or Physician Assistant. Related authorization must be… more
- Atrius Health (Cambridge, MA)
- …care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health's 645 physicians and primary care ... the country. *SUMMARY* Under general direction performs expanded and advanced level Practice Support Assistant duties. Participates as an integral member of a… more
- Beth Israel Lahey Health (Boston, MA)
- …This role performs the monthly audits, physician billing and corrections, prior authorization . **Job Description:** **Essential Responsibilities:** 1. Supervises ... a job, you're making a difference in people's lives.** Job Summary: The Assistant Practice Manager oversees and facilitates the daily operations of a primary care … more
