- 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
- 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
- Hudson Headwaters Health Network (Queensbury, NY)
- …and provides updates in the patient's medical record, the status of the referral and/or authorization + Responsible for verifying insurance policy benefit ... must live within driving distance of Queensbury, NY. Position Summary The Authorization Specialist ensures that authorization for various services performed in… 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 Rapids, MI)
- …testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + Confirms ... school graduate/ GED required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… more
- University of Washington (Seattle, WA)
- …telephone encounters, faxes, staff messages and eCare messages related to referrals and prior authorization requests and questions. + Partnering with all members ... Req #: 235597 Department: REFERRAL COORDINATION Job Location Detail: PRIMARY CARE -...to the UW Medicine Health System and to process prior authorizations + Pre-verify and submit required paperwork and… more
- Anthony Jordan Health Corp (Rochester, NY)
- …referrals as requested by providers. . Check patients' insurance to determine if prior authorization is needed. . Processes on site transportation request made ... REFERRAL CLERK/INTERPRETER ROCHESTER, NY (http://maps.google.com/maps?q=82+Holland+St+ROCHESTER+NY+USA+14605) * Medical Records...NY, Jordan Health has since expanded to become a network of primary care offices and health centers serving… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a **Denials Analyst** **(2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital located in ... a Library of Payer reference material regarding requirements for pre- authorization , medical necessity, and documentation requirements. Works with the Revenue… more
- Air National Guard Units (Beale AFB, CA)
- …EXCEPTED SERVICE POSITION. This National Guard position is for a IT SPECIALIST ( NETWORK ) TITLE 32 PERMANENT, Position Description Number D2181P01 and is part of the ... vacancy is to gather applications that may or may not result in a referral or selection. Responsibilities This is an Air National Guard (ANG) Dual Status Technician… more
- Health Advocates Network (Hackensack, NJ)
- …Experience with scheduling appointments required + Experience with insurance verification and prior authorization required + EPIC experience required + American ... Health Advocates Network is hiring a **Medical Assistant** **(1 Year...be required. **Benefits We Offer:** + Competitive pay rates, Referral opportunities, Comprehensive health, prescription, dental, vision, life, and… more
- Hartford HealthCare (Hartford, CT)
- …here. We invite you to become part of Connecticut's most comprehensive healthcare network . Hartford HealthCare Medical Group is one of the largest medical practices ... urgent care and more than 30 different specialties. *_Job Description_* Authorization Coordinators are responsible for obtaining authorizations on all testing… 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 (Paramus, NJ)
- …by the ABN advance beneficiary notice in alignment with Medicare guidelines. + Document prior authorization requirements in each referral by each CPT or ... in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as well...to Hackensack Meridian Oncology/Radiation standards and protocols within the network . + Submits all referral information to… more
- Acacia Network (Brooklyn, NY)
- …and coordinates all referrals to include notification of insurance providers for prior authorization and services covered. Coordinate with the Benefits ... Pays:$21.97 KEY ESSENTIAL FUNCTIONS: + Primary liaison with internal and external referral sources for residential and outpatient services. + Maintains a stream of… more
- Acacia Network (New York, NY)
- …and coordinates all referrals to include notification of insurance providers for prior authorization and services covered. Coordinate with the Benefits ... KEY ESSENTIAL FUNCTIONS: + Primary liaison with internal and external referral sources for residential services. + Maintains a stream of referrals… more
- Atlantic Health System (Chester, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for medications and medical procedures. 2. Communicate… more
- University of Colorado (Aurora, CO)
- …ASAM Medicaid form/criteria to determine risk and level of care and submit prior authorizations (or within 24 hours of admission) to Utilization Manager to assure ... authorization . Assure proper documentation for Special Connections authorization...information, including family members, potential clients, and other professional referral sources and presents the program thoroughly and completely… more
- University of Rochester (Rochester, NY)
- …case updates with FLDRN team (Medical Director, AOC, Charge, OPC, FS, HD, etc). ** Referral Management** ( prior to authorization for donation) + Communicates ... all appropriate notes in FLDRN's EMR (iTransplant) as required, including referral information, huddles, referral follow-up, consent/ authorization for… more
- Colorado State University (Fort Collins, CO)
- …such as scheduling, information collecting, and medical records requests + Completes prior authorization insurance phone calls and medication refill requests + ... Medical Services The Medical Clinic at the CSU Health Network provides acute and chronic care to CSU students...mental health and primary care medical services on campus, referral for community specialty care, and comprehensive health education… more
- Hackensack Meridian Health (Brick, 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