• Referral & Prior Auth

    University of Rochester (Rochester, NY)
    …internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... in problem identification, quantification and resolution. - Provides training to Prior Authorization and Referral Coordinator Associates and Specialists on… more
    University of Rochester (03/17/25)
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  • Supervisor Utilization Management Prior

    Dignity Health (Rancho Cordova, CA)
    …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... the Pre-Authorization team to include timely response and appropriate evaluation of referral reviews correct selection of criteria accurate prep to the UM Physician… more
    Dignity Health (04/17/25)
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  • Pre-Arrival Authorization Specialist I

    UNC Health Care (Goldsboro, NC)
    …3. Initiates the authorization/precertification process for referrals in Epic. 4. Update the referral status and auth /cert status in EPIC. 5. Acknowledge and ... serve patients/customers and physician offices by obtaining authorizations from insurance payers prior to services been scheduled or rendered at UNC Health Wayne for… more
    UNC Health Care (04/01/25)
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  • Pre-Arrival Scheduling Specialist I

    UNC Health Care (Goldsboro, NC)
    …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 ... Documents communication in the Electronic Health Record (EHR) and updates referral statuses. Acts as a representative to complete referrals/schedule appointments… more
    UNC Health Care (03/14/25)
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