- St. Luke's University Health Network (Bethlehem, 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
- Trinity Health (Rensselaer, NY)
- …documentation. + Works in collaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. + Maintains ... care team members including: physicians, mid-level providers, LPN's, MA's, Practice + Maintains patient confidentiality and abides by all...up-to-date knowledge of referral /payer prior authorization requirements, eligibility… more
- Houston Methodist (Houston, TX)
- …FUNCTIONS** + Utilizes multiple online resources to initiate and verify proper insurance authorization is obtained timely and accurately prior to the patient's ... At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and...enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an… 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
- Fairview Health Services (St. Paul, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... departments if medical necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when… more
- LifePoint Health (Hickory, NC)
- …Preferred **Job:** **Other* **Organization:** **Frye Regional Physicians* **Title:** * Referral Coordinator- Practice Referral * **Location:** *NC-Hickory* ... as needed via EHR or from clinical team to accurately complete pre- authorization / referral process. * Answers, responds and documents phone calls, requests… more
- Houston Methodist (Sugar Land, TX)
- …and insurance information so that the patient's insurance may be verified, authorization obtained, and patient's portion determined prior to the patient's ... pre-register patients timely in the electronic health record (EHR) so pre-certification, authorization , and verification of insurance benefits can be obtained in a… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that ... insurance company. This GHS associate will coordinate with the practice locations to collect payments from the patient ...practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #… 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
- Banner Health (Sun City West, AZ)
- …. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... you, we want to hear from you. As a Referral Specialist you will verify and update patient registration...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to… 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 Haven, 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
- University Medicine (Providence, RI)
- …and Specialty Care + Ensure Referral Request form is completed + Acquire prior authorization for referrals as needed + Ensure Referral is received ... standardize patient centric workflow. Develops payer relationships to facilitate prior authorizations, standardize referral content and attachments. Position… more
- MD Anderson Cancer Center (Houston, TX)
- …Assistant (ARC-PA), except for Physician Assistants who graduated from a PA program prior to 2013. **Advance Practice Registered Nurse:** Master's Degree in ... Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board...1/1/2003. Graduate education and related Texas Board of Nursing 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)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... **EXPERIENCE** Preferred: Experience as Advanced Practice Registered Nurse. Prior Medical Oncology experience....or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- University of Virginia (Charlottesville, VA)
- …Division of Radiation Oncology to include; compliance and charge capture, referral /medical necessity, denial management/data collection and follow up, and project ... of carrier contracts/changes and departmental policies and procedures. + Complete referral forms appropriately + Enter necessary referral information into… more
- Moses/Weitzman Health System (CA)
- …care with a specialist. CeCN is expanding nationally and seeking an eConsult referral coordinator to grow and strengthen its eConsult team. The eConsult Referral ... the provider in a timely manner. In addition, the referral works collaboratively with the CeCN operations team to...are received and conveyed back to the primary care practice in a timely manner. + Observes confidentiality and… more