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Job Description :Referral Specialist Location: Remote must live within 50 miles from a Pulse Point A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
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Complies with standards for medical; and/or educational; records management (e.g. insurance authorization; consents; physician#s referral; documentation of treatment notes) and maintains patient/client confidentiality in accordance with HIPAA guidelines.
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Works in collaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. Maintains up-to-date knowledge of referral/payer prior authorization requirements, eligibility guidelines and documentation requirements.
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Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and prior authorization guidelines.
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Knowledge and comfort managing prior authorization and referral process. Experience in General Surgery and/or Vascular surgery preferred. Knowledge and comfort managing prior authorization and referral process.
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Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, et.) Job Description :Referral Specialist ILocation: Within 50 miles of an Elevance Health Pulse PointHours: Sunday - Thursday or Tuesday - Saturday, an 8 hour shift between the hours of 7 am - 10 pm.
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Sending the authorization, order/referral, demographics to the appropriate facility/doctors office via email or fax. Submitting authorization requests for Diagnostic studies, Physical Therapy, Injections, Outside physician referrals and DME.
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This position will coordinate the scheduling, referral management, registration, prior authorization and insurance verification processes for patients. The Patient Registration/Admitting Clerk will report to the Director of Admissions.
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Assist with completion of forms, insurance referrals (to be sent to Referral Specialist if patent has insurance and requires pre-authorization), notes for work or school and other paperwork.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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High School Diploma, three years related health care pre-registration, referral and insurance experience. Authorization requests for complex managed care patients including HMO, PPO and Government health plans.
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Verifies insurance benefits and checks for the necessity of pre-certification, authorization and referral. St. Mary Medical Center, a member of Trinity Health Mid-Atlantic, is looking for a Patient Access Rep to join our Patient Access team.
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Prepares all work for the next business day in Vision: To include: Linking of referring doctor, referral number, copay and authorization number for Visco Injections, Epi's, etc. Updates the Mysis system on patients’ arrival and records referral information.
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Broad understanding of insurance company requirements related to services that require referral, pre-certification or prior authorization required. The Pre-Certification Representative is responsible for obtaining approval from insurance companies for services that require referral, pre-certification or prior authorization.
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Additionally, this position may perform front and back office duties, such as registration, scheduling and financial processes in various outpatient clinics, managing the insurance authorization and referral process for a specified clinic, and collect funds.
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The Patient Access Specialist activities include appointment scheduling, referral completion, authorization for visit, pre-registration, and registration. Preferred/Optional: Successful completion of a vocational technical health unit coordinator, medical office specialist, medical secretary program or related field.
ExpandApply NowActive JobUpdated 6 days ago
referral authorization jobs
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