- Northeast Georgia Health System, Inc (Gainesville, GA)
- …that appropriate authorization for an assessment is obtained based on referral source.Performs an on-site evaluation as needed to investigate clinical course of ... our system when necessary. Assists in the advancement of the professional practice environment by communicating the NGHS nursing strategic direction and focusing on… more
- LHC Group (Reno, NV)
- …therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of ... Manages and documents phone calls from physicians, clinicians, patients, referral sources, and communicates patient updates/new orders to clinicians. Uses… more
- St. Luke's University Health Network (Allentown, 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
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion ... across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Referral Coordinator-PN is responsible for coordinating all aspects of specialty… 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 ... care team members including: physicians, mid-level providers, LPN's, MA's, Practice + Maintains patient confidentiality and abides by all...up-to-date knowledge of referral /payer prior authorization requirements, eligibility… more
- University of Rochester (Rochester, NY)
- Responsibilities **Summary:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and Specialists. Trains new ... Assists in problem identification, quantification and resolution. + Provides training to Prior Authorization and Referral Coordinator Associates and… more
- LifePoint Health (Hickory, NC)
- …Preferred **Job:** **Other* **Organization:** **Frye Regional Physicians* **Title:** * Referral Coordinator- Practice Referral * **Location:** *NC-Hickory* ... as needed via EHR or from clinical team to accurately complete pre- authorization / referral process. * Answers, responds and documents phone calls, requests… 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
- System One (Tulsa, OK)
- System One is searching for an Authorization Representative with experience in radiology authorizations for a mid-sized specialty clinic in Tulsa, OK. In this role, ... preauthorization as required by insurance and enters in the practice management system as needed for flow to billing...to billing in addition to scanning hard copy of referral into chart. + Ensures appropriate signatures are obtained… more
- Banner Health (Scottsdale, AZ)
- …insurance coverage, and providing all pertinent clinical information to the payor authorization and facility/specialist prior to the services being rendered. You ... support and guidance when health symptoms arise. As a Referral Specialist, you will be part of a new...provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior … 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
- 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
- Banner Health (Tucson, AZ)
- …. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... when needed. 3. Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to the services being rendered… 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 ... a medical office required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience… more
- Northern Light Health (Portland, ME)
- …Office Patient Service representatives to verify benefits and to obtain required prior authorization (s). + Identify potential barriers to care and collaborates ... for receiving and processing incoming referrals from patients, families, and referral sources for all newly diagnosed oncology, benign hematology and infusion… more
- University Medicine (Providence, RI)
- …and Specialty Care + Ensure Referral Request form is completed + Acquire prior authorization for referrals as needed + Ensure Referral is received ... standardize patient centric workflow. Develops payer relationships to facilitate prior authorizations, standardize referral content and attachments. Position… more
- MD Anderson Cancer Center (Houston, TX)
- …Assistant (ARC-PA), except for Physician Assistants who graduated from a PA program prior to 2013. **Advance Practice Registered Nurse:** Master's Degree in ... Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board...1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice … more
- MD Anderson Cancer Center (Houston, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... for Physician Assistants who graduated from a PA program prior to 2013. Required: Master's Degree in Nursing or...or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- MD Anderson Cancer Center (Houston, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... **EXPERIENCE** Preferred: Experience as Advanced Practice Registered Nurse. Prior Medical Oncology experience....or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice … more
- MD Anderson Cancer Center (Houston, TX)
- … prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. ... or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice ...for Physician Assistants who graduated from a PA program prior to 2013. All of the following: PA certification… more
