- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** 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… more
- University of Rochester (ME)
- …PURPOSE: Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... direction from the flex pool leader and assigned division leader(s), manages referral work queues ensuring appropriate triaging and scheduling of patient visits,… more
- University of Rochester (Strong, AR)
- …work, financial case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from ... + Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and… more
- Intermountain Health (St. George, 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
- 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