- 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 ... accurate information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with… more
- St. Luke's University Health Network (Bethlehem, 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
- ProMedica Health System (Toledo, OH)
- POSITION SUMMARY The Care Navigation Resource Coordinator - Prior Authorization Specialist performs insurance submissions for prior authorizations for ... skilled nursing facilities and follow-up of prior authorization within the patient's electronic health...and determination within the patient's EHR and within the referral management platform. 16. Complete consistent review of individual… 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
- Catholic Health Services (Melville, NY)
- …Catholic Health was named Long Island's Top Workplace! Job Details The Central Referral Authorization Coordinator duties: Working with the EMR, this position ... maintains strict confidentiality. Responsibilities: Verifies insurance coverage and obtains prior authorization as needed. Demonstrates excellent customer… more
- UPMC (Lancaster, PA)
- …+ Performs other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. + Communicates with insurance ... able to work between 8:30am - 5:00pm and has prior expereince with insurance referrals, verification and authorizations. If...to referrals and authorizations. + Maintains up to date referral and authorization guidelines and requirements from… more
- Ascension Health (Jacksonville, FL)
- …navigate through their health care needs by assisting with **referrals, obtaining referral approvals/ prior authorization from medical insurance payors,** ... for physicians and insurance companies + Must have experience with obtaining referral approvals/ prior authorization from medical insurance payors. +… more
- Banner Health (Glendale, AZ)
- …practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior to… more
- Trinity Health (Clifton Park, 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
- 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
- RTX Corporation (Aurora, CO)
- …problems that create a safer, more secure world. Job Summary: The Senior Network Engineer will perform network engineering and design, creating engineering ... design artifacts, hands on administration, implementation, and troubleshooting of enterprise network systems in support of the next generation of satellite data… more
- Serta Simmons Bedding (Sacramento, CA)
- Sr. Engineering Manager: Manufacturing Applications and Network (USA) Req ID: 4730 Job Category: Business Excellence Location: Sacramento, CA, US, 95814 **Be Part of ... **What You'll Do** We're seeking a Sr. Manager, Manufacturing Applications and Network , who will be responsible for designing, developing, and implementing programs… 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 (Milford, 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
- Hackensack Meridian Health (Hackensack, 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
- Harvard University (Cambridge, MA)
- …skills. + Experience with insurance products and obtaining prior authorization . Additional Information: PROFESSIONAL/TEAM WORKPLACE ACCOUNTABILITY: ... Initiates process for over 90 days and out of network referral requests in coordination with Member...schedule diagnostic tests and specialty consultations at outside organizations ( prior authorization as needed) and in-house specialty… more
- Bassett Healthcare (Cooperstown, NY)
- …Attends Patient Access Review Sessions (PARS) Obtains prior approval or prior authorization as needed. Communicates referral appointment and appointment ... point of contact for patients within the Bassett Healthcare Network . This is a key role in the patient...urgent referrals same day. Processes electronic or written routine referral requests within 24-72 hours In regards to referrals,… more