- 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)
- …direction from the flex pool leader and assigned division leader(s), manages referral work queues ensuring appropriate triaging and scheduling of patient visits, ... procedures and testing, in alignment with department and enterprise standards. Obtains prior authorizations as needed and assists the team with other assistance as… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the prior authorization specialist, with oversight of data and compliance to enterprise standards prior authorization guidelines. ... treatment, care and follow up. Adheres to approved protocols for working prior authorizations. Makes decisions that are guided by protocols and practices requiring… more
- University of Rochester (Rochester, NY)
- …Using excellent customer service skills and exercising thorough knowledge of hospital policy and procedures as they relate to inpatient, outpatient, or ancillary ... intake, financial, credit and charity policies throughout the continuum of care: arranges for admission of patients to inpatient and outpatient beds and services, schedules and assigns accommodations or service locations; determines financial eligibility,… more
- Intermountain Health (Ogden, UT)
- …+ Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates ... process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative… more
- TEKsystems (Rochester, NY)
- Description: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the initial level processing and review of prior ... related health plan functions such as member services, claims, and the referral /authorization process. This position provides leadership and expertise in the intake… more
- UNC Health Care (Goldsboro, NC)
- …obtain the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals ... 3. Initiates the authorization/precertification process for referrals in Epic. 4. Update the referral status and auth /cert status in EPIC. 5. Acknowledge and… more
- UNC Health Care (Goldsboro, NC)
- …scheduling. Documents communication in the Electronic Health Record (EHR) and updates referral statuses. Acts as a representative to complete referrals/schedule ... process for referrals/paper orders by transcribing the orders in Epic. 5. Update the referral status and auth /cert status in EPIC. 6. Acknowledge and respond to… more