- University of Rochester (Rochester, NY)
- Responsibilities **Position Summary:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise ... standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment… more
- University of Rochester (Rochester, NY)
- …With minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests. Provides multiple ... details and facts to insurance carriers and Worker's Compensation to obtain prior authorizations for both standard and complex requests such as take-home medications… more
- University of Rochester (Rochester, NY)
- …party payer systems. + Obtains benefits and pre-certification requirements. + Obtains prior authorization for surgery on behalf of designated departments and sends ... to secure approval. + Identifies and confirms self-pay patients for appropriate referral to Financial Case Management for possible Medicaid application and /or… more
- University of Rochester (Rochester, NY)
- …general clerical, general information, way-finding, technical support, provider/service referral , patient registration, and scheduling services to the patients ... the urgency of the situation and determines the appropriate action or referral source. Accurately and efficiently uses appropriate business systems and/or software… more