- TEKsystems (Tempe, AZ)
- Authorization / Referral Specialist Fully in office in Tempe, AZ! You'll enjoy Competitive Pay - $23.25 Opportunity to work for growing healthcare company! ... | EOB | Provider Communication Core Experience: . 2+ year of authorization or referral experience required . Comfortable working in a high production environment… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Glens Falls*… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
- St. Luke's University Health Network (Allentown, PA)
- …Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital sch… more
- University of Virginia (Charlottesville, VA)
- …to both referring physicians as well as referred patients. Obtains pre- authorization for all diagnostic tests and performs additional administrative support ... functions. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of carrier contracts/changes and… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines. Communicates regularly...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- UPMC (Pittsburgh, PA)
- **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular Institute at CHP! This ... of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …Town Center Location (this is not a hybrid or remote position) **Insurance Authorization Specialist - Full-Time, Outpatient PT/OT/ST** Position acts as the ... in patient treatment and prevent claims denials for missing/invalid pre-certification/ authorization . Duties include monitoring assigned Authorization / Referral… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to support UPMC Vision Institute, Mercy Pavilion. This role will work Monday ... rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays in treatment… more
- UPMC (Pittsburgh, PA)
- **UPMC Department of Plastic Surgery is hiring a Part-Time Authorization Specialist . This is a Monday-Friday, daylight position. No nights, weekends, or ... rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays in treatment… more
- Atlantic Health System (Morristown, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... authorization for all obstetrical patients, medication authorizations, and medical...hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral , and other aspects of employment, on the basis… more
- Centene Corporation (Tallahassee, FL)
- …providers and polices to identify preferred in-network providers and requirements for referral authorization ; provides supporting documentation to health plan + ... with the utilization management team and supports the prior authorization request process to ensure that all authorization...such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Maintains… more
- Children's Clinics (Tucson, AZ)
- Children's Clinics is seeking a Full-Time Prior Authorization Specialist . As a member of the dynamic Prior Authorization team the individual will join a ... thorough knowledge of AHCCCS, CRS and third party insurance prior authorization and referral guidelines + Experience in precertification, referrals and prior … more
- Centene Corporation (Tallahassee, FL)
- …including nights, weekends and holidays**_** **Position Purpose:** Leads the prior authorization request process to ensure work queue is managed and addressed ... knowledge to utilization management team on documenting the most complex authorization requests to ensure accurate and timely documentation for services related… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial Mitigation ... Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet… more
- Centene Corporation (Tallahassee, FL)
- …weekend rotation **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are ... in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services… more
- TEKsystems (San Antonio, TX)
- …of regimen relative to pathway adherence. . Understanding the difference between a referral and authorization . Obtains insurance authorization and ... and financial resources. . Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for… more
- UNC Health Care (Goldsboro, NC)
- …and well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by ... obtain the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals and… more
- UPMC (Lancaster, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- Banner Health (Glendale, AZ)
- …practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being ... you. Apply now. This position is responsible for coordinating referral orders for a continuation of treatment, such as...provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior… more