- St. Luke's University Health Network (Allentown, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... we serve, regardless of a patient's ability to pay for health care. The Referral Coordinator is a liaison between the providers and the patients. They are… more
- St. Luke's University Health Network (Allentown, PA)
- …needs change, the services may be performed at any level within the Network 's continuum of services and/or sites. JOB DUTIES AND RESPONSIBILITIES: + Demonstrates ... care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …to ensure the procedure is a covered service under the patients plan prior to receiving services. + Verifies pre- authorization requirements and follows up ... all Medicare, Medicaid and managed care patients to identify network status and coordination of benefits. Obtains all applicable...prior to the date of service. + Verifies pre- authorization requirements and follows up with both the referring… more
- Cardinal Health (Trenton, NJ)
- … intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up ... experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare, Medicaid… more
- Organon & Co. (Plymouth Meeting, PA)
- …and notifications (eg, REACH compliance), including support for market authorization submissions for relevant occupational and environmental risk assessment and ... related health risk assessments. + Collaborating with industrial hygiene network , operations, and R&D teams as part of a...by our company as a result of an agency referral where no pre-existing agreement is in place. Where… more
- The Center for Great Expectations (Somerset, NJ)
- …individual and team goals and objectives established by supervisor based on prior performance evaluation. 6.) Comply with HIPAA guidelines regarding client rights ... family counseling to address trauma and co-occurring mental health disorders; provide referral to higher level of care when necessary. + Maintain Performcare… more