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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, or Utilization Review Coordinator). Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies.
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Analyze benefit requirements and initiate the request for authorization / prior approval for the transplant evaluation, admission, clinic visits, donor compatibility, work-up and testing, organ procurement, ventricular assist devices and follow-up appointments.
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The Prior Authorization Coordinator will collaborate with the Harbor Care and outside pharmacy's, Harbor Care providers, clinic staff, clients, commercial payers and other outside entities to coordinate care.
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The Authorization Coordinator is responsible for obtaining appropriate insurance pre-certification/preauthorization prior to the provision of scheduled infusion center services or treatments.
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We are seeking a highly organized and detail-oriented Eligibility and Referral Coordinator to join our dynamic dermatology office team. Coordinate with the billing and insurance teams to address any pre-authorization requirements.
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Build relationships in various hospital departments (Research coordinator, valve coordinator, surgery, interventional cardiology, purchasing, etc.) Train the trainer activities as an extension supporting field training needs to include proctoring, case observation host, solo case authorization, boot camp support and assisting with field mentoring of new hires from time of hire to solo case support.
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Demonstrates competency in utilization of computer/database systems including EMR and EPM. Demonstrates knowledge of federal and state HIPAA laws and obtains the appropriate written authorization prior to the use of disclosure of Protected Health Information (PHI.
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Coordinates with hospital personnel and clergy to obtain informed authorization for organ and tissue donation from the potential donor's family. This authorization process is undertaken in communication with AOC and LAORA Designated Requestor (if available) in accordance with Florida Law and established LAORA policies.
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Referral & Authorization Coordinator to assist our physicians in delivering complex health services in the clinic setting. Referral & Authorization Coordinator Responsibilities.
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The Referral and Authorization Coordinator is responsible for completing the pre-registration, registration, eligibility verification, verification of benefits and pre-certification/documentation processes which involves communicating with patients, primary care physician offices and insurance companies to ensure that all appropriate demographic and reimbursement information is accurate to prior to the patient's scheduled appointment.
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The Collision Repair Production Coordinator is responsible for writing body shop damage estimates, negotiating with insurance adjusters, completing billing and other shop related activities in the absence of the Body Shop Manager.
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Obtains pre-certification, referral or authorization number and updates patient's file. The Admitting Representative coordinates or manages inpatient and outpatient admissions. Obtains pre-certification, referral or authorization number and updates patient's file.
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ASSISTANT COACH - 8TH GRADE VOLLEYBALL John Adams Middle School 2023-2024 Season Coaching License or Authorization required Concussion certificate required Mandatory Reporter Training certificate required Apply online: www.
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The Palliative Care Coordinator (PCC) is an experienced professional who initiates and coordinates the palliative care plan and coordinates the services provided to palliative care patients. The PCC regularly coordinates referrals to the palliative care program, assures proper authorization for care, assures visits are scheduled as authorized and that documentation by care team is conveyed to PCPs and authorizing managed care groups.
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Central Referral Authorization Coordinator duties: Working with the EMR, this position obtains prior authorizations for surgeries, procedures and outpatient tests for Catholic Health practices.
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