- Merck & Co. (Rahway, NJ)
- …allow swift, organized compliance across regulatory agencies. We are an international network on the leading-edge of healthcare breakthroughs that help provide new, ... of local registration study protocols when needed to obtain marketing authorization in secondary markets.Represents our company with external organizations through… more
- Merck & Co. (Rahway, NJ)
- …allow swift, organized compliance across regulatory agencies. We are an international network on the leading-edge of healthcare breakthroughs that help provide new, ... of local registration study protocols when needed to obtain marketing authorization in secondary marketsRepresents our company with external organizations through… more
- Compass Health Network (Wentzville, MO)
- …requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the ... required by Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* Obtaining results from… more
- Compass Health Network (St. Charles, MO)
- …samples, maintain accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify ... Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" behavior to best serve our clientele. This… more
- Compass Health Network (St. Charles, MO)
- …maintain accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders ... Clinic and acting as a case manager appeals to you! Our Compass Health Network Nursing Staff use the Compass "Champion" behavior to best serve our clientele. This… more
- Accounting Now (Tampa, FL)
- …unit processes/workflows including, but not limited to authorizations and referral requirements, and in/out-of- network insurancesMaintains payer portal access ... to submit appeals or corrected claims in a timely mannerThis position applies prior knowledge of denials to assess and ensure services/items billed are reasonable… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works...Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
- St. Luke's University Health Network (Allentown, PA)
- …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, 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 ... million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary,… 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 ... up-to-date knowledge of referral /payer prior authorization requirements, eligibility...payers to complete pre-certification process. + Confirms payer is in- network with specialist. If not, contacts patient to discuss… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- Select Medical (Lakeway, TX)
- …A joint venture with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite only** **This position must work** **onsite** ... and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Centene Corporation (Austin, TX)
- …polices to identify preferred in- network providers and requirements for referral authorization ; provides supporting documentation to health plan + Provides ... Works with the utilization management team and supports the prior authorization request process to ensure that...such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Maintains… more
- UPMC (Pittsburgh, PA)
- …of the nation's foremost academic-based psychiatric facilities.** **Responsibilities:** + Prior authorization responsibilities. Reviews and interprets medical ... UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources… more
- UPMC (Pittsburgh, PA)
- …care for those suffering with neurological Conditions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record ... UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources… more
- HonorHealth (Phoenix, AZ)
- …as necessary to become proficient. Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... a respectful demeanor. Facilitates problem solving with clinical departments, providers, referral sources, insurance companies and authorization staff. Assists… more
- Guthrie (Johnson City, NY)
- …and within required timeframes and assuring referrals are maintained within appropriate network and/or payer requirement.| Remains current on referral policies ... that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization Pay range for position is $16.00-22.37/hr 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
- 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
