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Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization. Contacts external PCP offices to initiate and secure insurance PCP referral approvals for specialists.
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Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
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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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Notifies clinic/procedure area, nurse navigator and/or patients to inform them of the authorization denials. Must have two (2) years of medical office or business office experience to include one year of referral and/or registration management experience.
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Must have two years of medical office or business office experience to include one year of referral and/or registration management experience. Communicates with internal and external physicians’ offices to manage referral, and other medical information such as but not inclusive: clinical notes, slides, scans/films and pathology reports/blocks.
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Notifies clinic/procedure area, nurse navigator and/or patients to inform them of the authorization. Must have two years of medical office or business office experience to include one year of referral.
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Responsible for communicating efficiently with the referral source where we are in the intake process while prior authorization being obtained. Alert appropriate management team members regarding late or missing documents required for data entry/prior authorization approval.
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Process patient referral, obtain physician signature, and obtain insurance authorization within timeline guidelines. Referral Bonus Opportunity. Shift Availability: Day Shift (Schedule: Monday -Friday, 8:00AM -5:00PM.
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Coordinates non-clinical referral process for outpatient visits. Ensures referral is assigned to the patient's appointment/account. In collaboration with the nurse navigator and PFS, serves as a liaison for referring providers, patients/families, physicians, nurses and other core members of the interdisciplinary teams and department; ensures appropriate access for new and transitioning patients into the practice.
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Serve as a translator, as neededAssists colleagues with tasks, as needed, to ensure efficient work flow within the company. North Texas Therapy & Home Care is an EEO employer - M/F/Vets/Disabled. Making and filing patient records within requiredAssist with eligibility checks on the 1st and 15th of every month.
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Responsible for obtaining insurance pre-authorization and/or referral approval codes prior to each treatment. Texas Oncology is looking for a Patient Benefits Representative to join our team.
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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.
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The Approach and Authorization Coordinator (AAC) is responsible for obtaining appropriate authorization for tissue and cornea donation on every suitable referral and providing support to donor families during the authorization process.
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Our mission is still the same today - at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs.
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Therapy Client Authorization Coordinator (CAC) The Client Authorization Coordinator (CAC) is? Conducts initial insurance verification to ensure referral has the appropriate funding source.
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referral authorization jobs in Dallas, TX
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