Top 4 Prior authorization specialist Jobs in Rome, Ny

Referral Specialist
Rome Health —Rome, NY
- $17 - $19 an hour
- Full-time
- HIPAA
- High school diploma or GED
- Communication skills
- Disability insurance
- Health insurance
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SURGICAL SCHEDULING CLERK
Oneida Health —Oneida, NY
- $18.00 - $22.86 an hour
- Part-time
- Medical office experience
- High school diploma or GED
- Ability to lift 25 pounds
1d

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SURGICAL SCHEDULING CLERK
Oneida Health —Oneida, NY
Answers telephone calls and responds to messages received on surgical scheduler's voicemail in a timely manner. Attends to needs of patients and visitors.
$18.00 - $22.86 an hour
1d
Pediatric Front Desk OR Scheduler
SUNY Upstate Medical University —Syracuse, NY
Answer clinic phones, identify sort and file incoming chart documentation. In this role, you will play a key part in providing secretarial, administrative and…
$38,480 - $48,526 a year

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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
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1d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
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Referral Specialist

Rome Health -
Rome, NY

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Job Details

Full-time
$17 - $19 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Vision insurance

Qualifications

HIPAA compliance
Overseeing health insurance pre-certification
Electronic health records (EHR) management
Phone communication
Medical insurance coverage verification
HIPAA
Care documentation
High school diploma or GED
Healthcare referral management
Client referral services
Health record tracking
Health insurance referral requirements
Handling patient inquiries
Clinical confidentiality policies
Patient education
Managing patient records
Care coordination
Communication skills
Patient scheduling via phone
Entry level
Office phone management

Full Job Description

Rome Health is seeking a Referral Specialist who will schedule appointments for patients for testing and/or to see specialists as ordered by the patient's provider of care. The Referral Specialist will:

Adhere to Rome Health's Compliance Plan, Policies and Procedures, HIPAA Privacy and Security, Safety and PCMH Health Policies to maintain a quality level of service for patients and protect the confidentiality of patients Protected Health Information (PHI).

Answer phone calls and assist patients with questions as needed.
Maintain ongoing tracking and appropriate documentation of referrals.
Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
Contacts insurance carriers to obtain and ensure prior approval requirements and/or authorizations are met. Present necessary medical information such as history, diagnosis and prognosis.
Records time and date of appointment and method of patient notification in EMR.
In coordination with guidelines for PCMH, review details and expectations about the referral with the patient, explaining any special instructions regarding test ordered and provides written instructions as applicable.
Ensures that referrals are addressed in a timely manner.
Contact patients with scheduled appointments via mail or phone.
Maintains good communication skills with providers, supervisors, coworkers, patients and other departments, as applicable.
Performs other related duties as necessary to maintain efficient workflow.
Answering phones and other receptionist duties included.

SKILLS AND QUALIFICATIONS:

High School diploma
Knowledge of referral process and insurance industry.
Organized, meticulous, with great attention to detail and able to manage priorities.
Effective verbal and written communication skills.

About Rome Health

Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.

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prior authorization specialist jobs in rome, ny

Referral Specialist

SURGICAL SCHEDULING CLERK

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