Referral Specialist Salary at Mskcc BETA

Description Location: UCHealth UCHlth Peakview Medical Ctr, US:CO:Greeley Department: UCHlth Patient Line Referrals FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience Summary: Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence. Responsibilities: Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements. Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides training on plan requirements. Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) if required. Ensures provider compliance with plan guidelin

Description Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora Department: UCHlth Patient Line Referrals FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience Summary: Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence. Responsibilities: Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements. Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides training on plan requirements. Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) if required. Ensures provider compliance with plan guidelines.

Description Location: UCHealth UCHlth Peakview Medical Ctr, US:CO:Greeley Department: UCHlth Patient Line Referrals FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience Summary: Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence. Responsibilities: Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements. Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides training on plan requirements. Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) if required. Ensures provider compliance with plan guidelin

Description Location: UCHealth UCHlth Peakview Medical Ctr, US:CO:Greeley Department: UCHlth Patient Line Referrals FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $19.67 - $25.57 / hour. Pay is dependent on applicant's relevant experience Summary: Ensures compliance with managed care, commercial insurance, and public insurance requirements. Submits and tracks referrals. Provides efficient patient flow and service excellence. Responsibilities: Verifies eligibility and benefits; obtains authorizations for treatment or precertification of high cost drugs. Tracks referrals to ensure compliance with guidelines. Tracks formulary requirements. Responds to third party payors, employers, internal staff, and physician questions. Maintains information on health plan guidelines. Provides training on plan requirements. Obtains Advance Beneficiary Notice (ABN) or Notice of Exclusions from Medicare Benefits (NEMB) if required. Ensures provider compliance with plan guidelin

Description Looking for an opportunity to make an impact? Unleash your potential at Leidos, where we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customer’s success. We empower our teams, contribute to our communities, and operate sustainably. Everything we do is built on a commitment to do the right thing for our customers, our people, and our community. Our Mission, Vision, and Values guide the way we do business. If this sounds like an environment where you can thrive, keep reading! The Digital Modernization Sector brings together our digital transformation and IT programs, allowing us to better serve our customers through scale and repeatability. - https://www.leidos.com/capabilities/digital-modernization We are seeking a talented and energetic candidate to work with the best and brightest employees around the country in creating innovative all-encompassing solutions for our programs. You will work in a fast-paced and

Description Looking for an opportunity to make an impact? Unleash your potential at Leidos, where we deliver innovative solutions through the efforts of our diverse and talented people who are dedicated to our customer’s success. We empower our teams, contribute to our communities, and operate sustainably. Everything we do is built on a commitment to do the right thing for our customers, our people, and our community. Our Mission, Vision, and Values guide the way we do business. If this sounds like an environment where you can thrive, keep reading! The Digital Modernization Sector brings together our digital transformation and IT programs, allowing us to better serve our customers through scale and repeatability. - https://www.leidos.com/capabilities/digital-modernization We are seeking a talented and energetic candidate to work with the best and brightest employees around the country in creating innovative all-encompassing solutions for our programs. You will work in a fast-paced and

Type of Requisition: Regular Clearance Level Must Currently Possess: Top Secret SCI + Polygraph Clearance Level Must Be Able to Obtain: Top Secret SCI + Polygraph Public Trust/Other Required: None Job Family: Systems Engineering Job Qualifications: Skills: Complex Systems, Operating Systems (OS), Systems Architecture, Systems Design, Systems Engineering Certifications: None Experience: 20 + years of related experience US Citizenship Required: Yes Job Description: Develops requirements from project’s inception to its conclusion for a particular IT subject matter area (i.e., simple to complex systems). Assists other project members with analysis evaluation and with the preparation of recommendations for system improvements, optimization, development, and maintenance efforts in the following specialties: information systems architecture; networking; telecommunications; automation; communications protocols; risk management/electronic analysis; software; life-cycle management; software deve

Responsibilities ABOUT VALLEY HEALTH PHYSICIAN ALLIANCE Las Vegas is known internationally as a major resort city often known for its gambling, shopping, entertainment, and nightlife. Although Las Vegas identifies as “The Entertainment Capital of the World” and is famous for The Strip and its mega casino-hotels, there is so much more to life in the Valley. From the lovely Summerlin area adjacent to Red Rock Canyon, to the beautifully developed Green Valley area set away from the hustle and bustle of The Strip, there are many wonderful communities of people and families who call Las Vegas home. Backing the communities across our region is an ever-growing and ever-strengthening healthcare system. Website: https://valleyhealthphysicians.com/ The Referral Specialist reviews and coordinates external patient referrals for potential admission to facility programming. Provides accurate evaluation of the facility’s capacity and capability to meet the needs of referred patients. Position Summary