- Christus Health (Universal City, TX)
- …or emergency situations and follow procedures related to scheduling and obtaining proper referral / authorization for treatment. As the Lead LVN- Greet all ... limited to chronic care management and transitional care management services. As the Lead LVN- Expedites the flow of authorization requests through the Managed… more
- Ethos Veterinary Health (Bothell, WA)
- …veterinary hospital dedicated to providing high-quality care to avian and exotic species. Our team is passionate about the unique needs of exotic pets, and we are ... Manager plays a key role in leading and supporting our front desk team . This position provides guidance, supervision, and day-to-day oversight to ensure smooth… more
- South County Hospital (Wakefield, RI)
- …of the Manager of Insurance Authorization and Follow-up, the Team Leader of Authorization and Referral Management is responsible for the day-to-day ... leadership of insurance authorization staff and referral coordination staff. ....team to ensure speedy follow-up on denials or retro- authorization requests. + Responsible for ensuring team … more
- Trinity Health (Berwyn, IL)
- …at our Westchester location. We are currently looking for an experienced Authorization Referral Coordinator. Reporting to the Manager of Utilization Management ... our Westchester location. We are currently looking for an experienced Authorization Referral Coordinator. This role involves reviewing preauthorization requests,… more
- TEKsystems (Phoenix, AZ)
- …environment + Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required. + High ... detail. Capable of independent thinking, as well as perform in a team environment. Qualifications + Experience Needed: Patient Registration, Scheduler, Prior … more
- Penn Medicine (Lancaster, PA)
- … issues from intake to final resolution. + Analyzes and researches all escalated authorization referral issues in a professional manner. + Maintains a thorough ... without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for...accurately. + Demonstrates the ability to work as a team member. + One 1 year of experience in… more
- Trinity Health (Livonia, MI)
- …**Monday-Friday 8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of ... all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities...policy. This position works closely with the THAH insurance team and THAH Collection analysts in the tracking of… more
- Ardon (Portland, OR)
- …of your pharmacy experience in an elevated role. We are recruiting a Lead of Referral & Billing Services to join our team of health care professionals. As a ... for pharmacists, providers, and staff for escalated needs. The Lead of Referral & Billing Services will direct team resources to ensure timely completion… more
- UNC Health Care (Goldsboro, NC)
- …authorizations. 6. Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead /Manager. 7. Notify Utilization Review & Case Management ... **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …industry pay as well as the opportunity for career advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for ... Prior Authorization Specialist Job Details Job Location Polaris Specialty...WHO WE ARE Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care… more
- CenterWell (Phoenix, AZ)
- … and Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is ... Ownership: Own the strategy, roadmap, and delivery of external specialist referral management solutions, including specialist network optimization, authorization … more
- Banner Health (Phoenix, AZ)
- …is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. At Banner - University Medicine ... Colon & Rectal Surgery Clinic our team of colorectal surgeons are experts in the surgical...cancer screening exams to advanced complex surgery. As a ** Referral Specialis** t at this clinic, you will be… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …ROFR issues in accordance with NCR Business Rules. Reports concerns related to the ROFR referral process to team lead as needed. + Completes and returns ... Team Ivyhill is currently seeking to hire Referral Management (Non-Nurse) Reviewers to support its contract with the Integrated Referral Management and… more
- Trinity Health (Spring Lake, MI)
- …a timely manner. + Assembles information concerning patient's clinical background and referral needs. + Obtains necessary authorization for referrals and ... proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system....necessary per payer guidelines in communication with the care team . + Maintains and updates reference materials as they… more
- Intermountain Health (Grand Junction, CO)
- …HIM, VA authorizations and phones as needed and under the supervision of the team Leader . + Promotes mission, vision, and values of Intermountain Health, and ... **Job Description:** The Referral Coordinator Scheduler is responsible to execute patient...to execute patient referrals as indicated by physicians, seek authorization as required by individual insurances and notify patients.… more
- Elevance Health (Winston Salem, NC)
- ** Referral Specialist I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... between 7 AM and 8 PM Central time. The ** Referral Specialist I** is responsible for providing support to...I** is responsible for providing support to a clinical team in order to facilitate the administrative components of… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. ** Referral Specialist I** **Schedule:** Monday-Friday; Central Time Zone **Location: 3033 W ... an accommodation is granted as required by law.** The ** Referral Specialist I** is responsible for providing support to...I** is responsible for providing support to a clinical team in order to facilitate the administrative components of… more
- Trinity Health (Syracuse, NY)
- …who we say we are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** : + Obtain insurance authorization from patient's insurance company. This may be done by phone, fax, or ... pertinent documentation has been provided for the type of referral requested. + Assemble information concerning patient's clinical background...and assist providers as part of the practice care team . Take part in daily team huddles… more
- Trinity Health (Syracuse, NY)
- …to who we say we are. **ESSENTIAL DUTIES AND RESPONSIBILITIES** :Obtain insurance authorization from patient's insurance company. This may be done by phone, fax, or ... pertinent documentation has been provided for the type of referral requested.Assemble information concerning patient's clinical background and ...and assist providers as part of the practice care team . Take part in daily team huddles… more
- Elevance Health (Plano, TX)
- …specialty pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist II - Paragon Healthcare **Location:** TX-PLANO, 3033 W PRESIDENT ... an accommodation is granted as required by law.** The ** Referral Specialist II** is responsible for providing support to...II** is responsible for providing support to a clinical team in order to facilitate the administrative components of… more
