- UPMC (Pittsburgh, PA)
- …values of UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record documentation ... UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources… more
- Robert Half Office Team (Oakland, CA)
- …experience in Referral Coordination and Generation * Familiarity with Referral Authorization processes * Experience in Patient Intake and management ... Description We are searching for a meticulous Insurance Referral Coordinator to join our healthcare team in Oakland, California. In this role, you will be… more
- PeaceHealth (Cottage Grove, OR)
- …**DETAILS OF THE POSITION:** + Oversees the data entry and completion of referral forms/ notifications . Obtains insurance pre- authorization for patients and ... **Description** PeaceHealth is seeking a ** Referral Coordinator for a Per Diem/Relief, 0.00 FTE,...Demonstrated experience in insurance requirements for referrals and /or prior authorizations to various therapies (PT, RT, OT, ST),… more
- Fallon Health (Worcester, MA)
- …of purpose** : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted facilities/agencies/providers to ... collect pertinent prior authorization request data and disseminates information...**Primary Job Responsibilities:** ** Authorization Functions** + Accepts authorization service requests and notifications for FCHP… more
- Bassett Healthcare (South Kortright, NY)
- …is a go to person for coworkers. Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment instructions ... form processing to meet Medicare regulations. Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment… more
- The County of Los Angeles (Los Angeles, CA)
- …until the needs of the service are met and is subject to closure without prior notice. EXAM NUMBER: PH9035A-EA The LA County Board of Supervisors recently declared a ... may include individual, group, family or marital counseling, case management, and/or referral to another treatment source such as a psychiatrist, a psychologist, a… more
- Bassett Healthcare (Cooperstown, NY)
- …is a go to person for coworkers. Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment instructions ... made in the appropriate Bassett system within 24 hours of system notifications in accordance with standard operating procedure. Answers questions from patients… more
- Horizon Services, Inc. (Hayward, CA)
- …actions as needed to track individual client service authorizations and provide regular notifications to program staff to support timely authorization renewal to ... for assigned programs to ensure timely correction and resolution of deficiencies prior to audit. + Coordinates DHCS licensing inspections and facilitates external… more
- Mount Sinai Health System (New York, NY)
- …clinical team and following departmental guidelines and standards. 10. Facilitates prior authorization and appointment scheduling for diagnostic testing ... demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with… more
- Houston Methodist (Cypress, TX)
- …for patients receiving services, confirming authorizations, and completing admission notifications as applicable to department. Other duties may include calculating ... of all accounts. Communicates with scheduling to inform patient of authorization as needed. **SERVICE ESSENTIAL FUNCTIONS** + Ensures accounts are financially… more
- Indian Health Service (Whiteriver, AZ)
- …policies, technical, administrative and clerical functions related to the patient referral program; proper processing requirements including forms, authorization ... on-site. Responsibilities Determine eligibility of patients for PRC and prepare authorization or denial documents based on applicable PRC regulations, policies and… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- …(to include VistA, CPRS, REFDOCS, Consult Tracking Manager (CTM), Health Share Referral Manager (HSRM), as well as the various software, programs, and policies ... consult management, have advanced knowledge of outpatient scheduling, inpatient notifications , creating of both outpatient and inpatient authorizations, contracting… more
- Banner Health (Tucson, AZ)
- …of all financial aspects of care continuum, including insurance and authorization verification, registration, financial counseling and claims research. This position ... sources. 2. Verifies insurance coverage and obtains authorizations and notifications throughout the patient's treatment. Obtains all necessary signatures and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …member's, providers' and communities' healthcare needs. Utilizing the disease management referral and assessment process, the disease management nurse will identify ... and ICD 10 codes required + 1 year of medical review and/or authorization experience preferred **Skills and Abilities** + Prefer knowledge of insurance, reinsurance,… more
- Allied Universal (King Of Prussia, PA)
- …to information that could cause grave harm to national security if disclosed without authorization ** **.** **The clearance is active as long as the individual is in ... Fri** **1500-2300, Sat - Wed** **2300-0700, Thu - Mon** ** Referral Bonus Available For All Cleared Positions** **- We...+ Ensure timely and effective response to incidents, alarms, notifications , calls, and other activities related to the Security… more
- Corewell Health (Royal Oak, MI)
- …documents on EPIC. Communicate with patients and physician/office regarding authorization / referral requirements. Obtain financial responsibility forms or ... individual demographic, clinical and insurance data; collecting co-pay/deductible, residual and prior balances, perform initial financial screening on all self-pay &… more
- Corewell Health (Royal Oak, MI)
- …documents on EPIC. Communicate with patients and physician/office regarding authorization / referral requirements. Obtain financial responsibility forms or ... individual demographic, clinical and insurance data; collecting co-pay/deductible, residual and prior balances, perform initial financial screening on all self-pay &… more
- Robert Half Technology (Bellaire, TX)
- …276/277 (claims status inquiry and response), 270/271 (Eligibility Inquiries), 278 ( referral / prior authorization )EDI transactions and any other EDI ... the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying… more
- State of Colorado (Grand Junction, CO)
- …and Procedures. + Ensure equal opportunity is afforded to candidates during post- referral selection process. + Participate in selection panels and process. Employee ... of this announcement may result in your application being rejected. Notifications : All correspondence regarding your status in the selection/examination process will… more
- State of Colorado (CO)
- …Colorado. You may be eligible for the Colorado Interim Authorization click HERE (https://www.cde.state.co.us/cdeprof/coloradoreciprocity) . IMPORTANT NOTE FOR OUT OF ... applicants in order to establish an eligible list for referral to the hiring manager for final consideration. Be...WILL take place via email. You may receive email notifications from a Colorado Department of Corrections employee or… more