- Corewell Health (Kentwood, MI)
- …experience in related field Preferred + Basic understanding of medical terminology + Prior Authorization experience + Epic experience + Payor portal experience ... by way of obtaining accurate and timely authorizations. Crucial to obtaining an authorization is the ability to read and understand basic insurance information as… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral ... and prior authorization guidelines. Communicates regularly with patients,...any outside records needed for patient appointment. **QUALIFICATIONS:** + Associate ' s degree in Medical, Secretarial or related field… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the prior authorization specialist, with oversight of data and compliance to enterprise standards prior authorization ... to the denial and will be patient specific. + Prior authorization functionality required for testing and...system tracking mechanisms to ensure all renewals/approvals are obtained prior to patient arrival. **QUALIFICATIONS:** + Associate ?s… more
- Fairview Health Services (Minneapolis, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... service departments if medical necessity fails. Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when… more
- University of Rochester (Rochester, NY)
- …an authorization for medical information/PHI to evaluate for HIPAA compliance prior to processing. Determines if the authorization contains all of the ... completion and accuracy as well as compliance with State and Federal guidelines prior to release. Collaborates with internal and external parties in person, verbally… more
- Carle (Urbana, IL)
- Business Service Rep + Department: Registration Center - CFH_10_20 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type: Full - ... appropriate reimbursement for both the patient and the hospital. Performs prior authorizations for patients admission/surgeries to ensure reimbursement for services… more
- TEKsystems (Rochester, NY)
- Description: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior ... leadership and expertise in the intake area of the prior authorization process for medications processed either...highly preferred not required. + High School Diploma required, Associate degree and higher education is preferred . Experience… more
- University of Rochester (Rochester, NY)
- …but is not limited to demographic, co-pay/deductibles, benefit information, referrals/ authorization , PCP information and Self Pay recovery. Responsible for ... contacting patient/ representative regarding registration, insurance coverage or lack of to...**_Weight_** **_=45%_** Responsible for pre-verification of insurance five days prior to sched appointments, real time verification (urgent care,… more
- Intermountain Health (Ogden, UT)
- …orders are proposed, signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior ... go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for...includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any… more
- Dignity Health (Bakersfield, CA)
- …+ Familiarity with third party administrator operations such as eligibility, prior authorization , claims administration and provider network administration. ... that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), now part… more
- Surgery Care Affiliates (Fort Worth, TX)
- …to other departments when necessary. - Does pre-registration and makes sure that authorization is obtained from the physician's office prior to surgery ... stand for long periods of time, hand and finger agility. Business Office Representative : Provide support to the facility by performing specific or various business… more
- Crouse Hospital (Syracuse, NY)
- The Patient Access Representative ensures that all required patient demographic and insurance data is collected for the assigned department. Roles and ... of all insurance payors and ensures all pre-certification and authorization requirements are completed with the highest level of...family members on the meaning of all forms required prior to obtaining hospital treatment to ensure full completion… more
- Northwell Health (Staten Island, NY)
- …visits and inpatient admissions. + * Conduct phone interviews with patients prior to treatment. + Obtain patient's insurance information. + Inform/assist patients in ... obtaining necessary referrals/authorizations prior to date of service. + Review general billing...* Pre-certify/authorize services by telephone, fax or web. Enter authorization number and collection notes into Series system. +… more
- Medtronic (Rochester, NY)
- …of 5 years of Medtronic Neuroscience (Pain, Brain or Spine) Clinical Specialist or Sales Rep I experience with 2 years of prior clinical or medical sales ... **A Day in the Life** At Medtronic, the Sales Representative II, Spine is responsible for making field sales...Neuroscience (Pain, Brain or Spine) Clinical Specialist or Sales Rep I experience with 2 years of prior… more
- Northwell Health (Melville, NY)
- **Req Number** 130252 This position will be a January start date The Associate Financial Services Representative will be an exceptionally customer focused ... and Wednesday in office-Monday, Thursday and Friday remote) The Associate Financial Services Representative will be an...Assists in the verification of insurance benefits for services prior to admission + Obtains timely pre- authorization … more
- The Cigna Group (Whitestown, IN)
- …4750 East 450 South, Whitestown, IN **POSITION SUMMARY** The Customer Service Associate Representative position is primarily responsible for handling customer ... while protecting individual health information. Process credits within limits of authorization and forward credits for processing as necessary. **QUALIFICATIONS** +… more
- Salado Isolation Mining Contractors (Carlsbad, NM)
- …investigation by the Federal government may be required to obtain an access authorization prior to employment, and subsequent reinvestigations may be required. ... Administrative Subcontract Technical Representative Department:MU-MA Site Srvcs Location:Carlsbad, NM Be part...etc.). + Transitions files to the Manager or Procurement Rep . upon completion of a project or contract for… more
- Carle (Urbana, IL)
- …Requirements: None + Other Posting Information: Only applicants with current or prior Patient Services Representative experience will be considered for the ... work independently and have reliable transportation. Only applicants with current or prior Patient Services Representative experience will be considered for the… more
- Trinity Health (Brighton, MI)
- …registration record. Communicates with patients their financial responsibility, benefit and authorization status prior to clinical services. Facilitate cash ... PURPOSE** Under limited supervision; determines need for and obtains authorization for treatment/procedures and assignment of benefits required. Provides...collection as appropriate prior to and at the time of service, including… more
- Carle (Urbana, IL)
- Patient Services Representative 1 - CWPG MFM + Department: Maternal Fetal Med - CWP + Entity: Bloomington-Normal Service Area + Job Category: Clerical/Admin + ... Save Save Apply Now Position Summary: The Patient Services Representative 1 coordinates and participates in a variety of...it all here at Carle Health. Qualifications: EDUCATIONAL REQUIREMENTS Associate 's Degree in Related field or Three (3) years… more