- 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
- Atlantic Health System (Freehold, NJ)
- …available on site for hospital based procedures. 2. Confirms patient's insurance and obtains prior authorization or communicates prior authorization to ... Schedules surgeries and other ancillary tests as directed by Physician or Practice Manager by appropriately placing on calendar and scheduling in EPIC Optime… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …requests for medical records and other clinical information as required prior to evaluation. **Responsibilities** + Performs triage of all incoming patients ... difficulties with LIP and assists with their admission or referral when appropriate. + Assess and intervene in emergency...or rescue squad. + Operates within professional scope of practice . + Maintains responsibility for directing the staff on… more
- Sargent & Lundy (Hamilton, NJ)
- …by way of Sargent & Lundy's systems of process and associated "Communities of Practice ." + Provide guidance as a mentor in the development of less experienced ... package. Qualifications We do not sponsor employees for work authorization in the US for this position. Essential skills...skills. Valued but not required skills and experience: + Prior experience is desirable to include in-line, bus and… more
- Sharecare, Inc. (Trenton, NJ)
- …finding alternative care options or assist member in working with payer to complete prior authorization or appeals process, when necessary. + Abide by Clinical ... decreased admissions, and medication management. + Follow program communication and referral mechanisms to assure there is seamless communication between PCPs,… more
- St. Luke's University Health Network (Allentown, PA)
- …care. + Arranges for community services (including short and long-term placement) prior to discharge to meet patient's needs with recognition and documentation of ... variances, aspects of patient care management. + Facilitates insurance authorization , pre-certification, and concurrent reviews for assigned patients. + Maintains… more