- Penn State Health (Lancaster, PA)
- …veteran status, and family medical or genetic information._ **Union:** Non Bargained **Position** Referral Pre - Authorization Specialist - Lime Spring ... and obtaining referrals from internal and external customers for authorization to optimize reimbursement and prevent denials. **MINIMUM QUALIFICATION(S):** +… more
- UNC Health Care (Goldsboro, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and ... pre -certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals and financial… more
- University of Virginia (Charlottesville, VA)
- …service to both referring physicians as well as referred patients. Obtains pre - authorization for all diagnostic tests and performs additional administrative ... handled effectively and efficiently. + Analyzes information required to complete pre - authorizations with insurance carriers and service area contacts. +… more
- University of Michigan (Ann Arbor, MI)
- Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring ... outpatient insurance authorizations. The Authorization Specialist will be accountable to one...savings **Responsibilities + Complete all aspects of the insurance pre - authorization process within required timeframes. + Apply… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... $24.53 Apply Now External Applicant link Internal Applicant link Job Details: The Authorization Specialist plays an intricate role in procuring payment for… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial Mitigation ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre -certifications/prior-authorizations per payer guidelines prior to services being rendered… more
- Health First (Melbourne, FL)
- …SUMMARY:* Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre -certification, authorization , and referral requirements are ... **Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** * Authorization Specialist - Ortho Surgery Spine* **Location:** *Florida… more
- Sanford Health (Fargo, ND)
- …Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... insurance meets prior authorization criteria. Collects necessary documentation and communicates with third...An accepted offer will require a drug screen and pre -employment background screening as a condition of employment. **Req… more
- TEKsystems (Chicago, IL)
- …forms to billing office. + Responsible for obtaining, from Clinical Reviewer, insurance pre - authorization or referral approval codes prior to each treatment. ... evidence-based cancer care. Job Description: + Will be doing prior authorization for treatment, scans, procedures for cancer treatment for mostly Medicaid… more
- UPMC (Lemoyne, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... of Life Changers!UPMC is hiring a Full-Time, Central Insurance Referral Specialist II to support the office...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- Catholic Health Initiatives (Chattanooga, TN)
- …to join our nationally recognized hospital, connect with us today! **Responsibilities** The Referral Specialist works with patients requiring a referral for ... to a specialist office, to ensure patient's referral needs are fulfilled for tests and specialty service...of information between medical clinic and patients insurance for referral authorization to secure a valid … more
- UPMC (Lancaster, PA)
- **Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area!** The ideal candidate ... learning more about this exciting opportunity, apply today! **Purpose:** The Central Insurance Referral Specialist II will be responsible for coordination of the… more
- University of Michigan (Ann Arbor, MI)
- Pre -Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page ... verify insurance eligibility, collect insurance benefit information and determine insurance referral and authorization requirements based on level of care… more
- Sanford Health (Sioux Falls, SD)
- …timeframes. Assist with coordination of activities related to insurance pre -certification/ authorization . Provide counseling to members or their representative ... provider specialty groups in coordinating care. Responsible for managing the authorization process for participating plan members ensuring that all services are… more
- Elevance Health (Plano, TX)
- …through our specialty pharmacies, our infusion centers, and the home setting. Title: ** Referral Specialist II - Patient Access** Location: **3033 W President ... the business hours of 7:00am to 7:00pm (CST).** The ** Referral Specialist II** is responsible for providing...coverage. + Verify insurance coverage, determines OOP, and obtains authorization or pre -determination for medical and pharmacy… more
- LA Care Health Plan (Los Angeles, CA)
- …Technical Support to UM Specialist : Processing of time sensitive authorization and pre -certification requests to meet department timeframes and regulatory ... The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the … more
- Intermountain Health (Wheat Ridge, CO)
- …patient can receive appropriate treatment from the appropriate departments. **As an Assessment Referral Specialist you need to know how to:** + Perform ... **Job Description:** This position is responsible for talking to referral sources, collecting information and entering it into the computer, completing initial … more
- Catholic Health Initiatives (Omaha, NE)
- …services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for ... **Responsibilities** + Gather, verify, and process referrals, authorizations, and pre -certifications by working closely with physician(s), patients, and payers. +… more
- CommonSpirit Health Mountain Region (Colorado Springs, CO)
- …by researching and maintaining database utilized by staff. Obtains Insurance authorization for patient referrals from primary care to specialty care. Collect ... can be treated, and the next available appointment as appropriate per referral type. Performs inbound and outbound calls related to referrals and find-a-provider… more
- United Musculoskeletal Partners (Arlington, TX)
- …and documentation necessary for office visits. * Enters benefits and precertification/ authorization into EMR system ( Referral Management). * Coordinates with ... insurance coverage to ascertain deductible and coinsurance amounts, obtaining precertification/ authorization for durable medical equipment and other services as… more
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