- St. Luke's University Health Network (Allentown, PA)
- …AND RESPONSIBILITIES: + Re sponsible for the finan c ial c le arance of a ll sche duled pa ti e nts byp ro vid ing accu ra te a nd timely ve ri f ic a tion of a ll ... fin ancial info r mation a nd p rec e rtifi ca tion/r e fer ralfora...Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed for… more
- ChenMed (Philadelphia, PA)
- …+ Reviews/approves center-level referrals and provides back-up for regional referral and delegated utilization authorizations. Appropriately seek consultation from ... the transitional care team; hospital, SNF, post-acute, UM, and home -based services for the division. + Assists RCCO with...the division. + Assists RCCO with interviewing PCP and specialist candidates (Note: RCCO makes hiring decisions). + Provides… more