- University of Rochester (Rochester, NY)
- Responsibilities **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… more
- 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)
- GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to ... provider/patient as any concerns are identified. + Performs all duties of Referral Prior Authorization Representatives as required/necessary, in addition to… more
- University of Rochester (Rochester, NY)
- …party payer systems. + Obtains benefits and pre-certification requirements. + Obtains prior authorization for surgery on behalf of designated departments and sends ... to secure approval. + Identifies and confirms self-pay patients for appropriate referral to Financial Case Management for possible Medicaid application and /or… more
- Intermountain Health (Murray, 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