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Schedules referral appointments with specialists, hospital testing and lab work. Completes prior authorization of testing according to insurance requirements. Description : Elliot Pediatrics at Bedford a department of Elliot Hospital, is committed to the healthy growth and development of our patients.
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Additionally, the UM Coordinator assists members in navigating the complex health system, facilitating care redirection, appointment scheduling, resource coordination, and resolution of any barriers related to authorization or access to care.
ExpandApply NowActive JobUpdated 7 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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Supervises business functions (i.e. appointment scheduling, patient pre-registration/ registration, insurance verification, referral management/pre-authorization, co-pay collection, charge entry and capture activities) to ensure processes are operationally efficient and effective; coordinates daily operations and overall accountability of staff; supports clinical staff, administratively.
$58,500 - $75,012 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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DEPARTMENT SUMMARY: The Behavioral Health Departments provide services to the community and region including the following: Acute mental health crisis and triage, intake assessment and referral, inpatient psychiatric hospitalization, outpatient behavioral health services and integrated behavioral health services.
Part-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services.
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Efficient Systems in Place: Our intake and authorization teams streamline processes, making your work seamless and stress-free. Plan and provide appropriate treatment for neuro-muscular, neurological, and orthopedic disorders based on medical referral and therapy assessment.
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Desires in-depth knowledge of the prior authorization and/or concurrent review non-clinical business rules and guidelines, preferably within the inpatient, DME and/or Home Health areas related to children.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Key Responsibilities include: Referral Coordination Identifies insurance companies requiring prior authorization for services and obtains authorization. Three years related healthcare pre-registration/referral experience required.
$22.79 - $31.91 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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COORDINATE - Monitor receipt of prior authorization for pending surgeries, self-pay down payments, and referral of patients to financial counseling for funding options; obtain copy of insurance card when required.
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Responsibilities include: fielding phone calls and in person patient scheduling requests, monitoring and processing all online requests from patients/families, follow up appointments, second opinions, and tracking internal and external referral sources.
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Includes consent forms, pre-authorization forms, 2nd opinion forms & referral forms. Generates forms to insurance companies: consent , pre-authorization, second opinion and referral.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Case management services include: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life.
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Follows appointment preparation process for all scheduled appointments including eligibility verification, referral/authorization/managed care processes. Follows cashier process for collections, retail sales, and batching.
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Facilitates insurance authorization, pre-certification, and concurrent reviews for assigned patients. In time of need, evaluates patients in the Emergency Room and/or in-house transfers for admission and/or referral to appropriate level of care.
ExpandApply NowActive JobUpdated 3 days ago
referral authorization jobs
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