- 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
- 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
- Berkshire Health Systems (Pittsfield, MA)
- …(Minimum qualifications are required unless stated otherwise.) + Experience: + Three years experience in a hospital admitting/billing office setting required. + ... + DEFINITION/PRIMARY FUNCTION + Responsible for selected fiscal aspects of scheduled/registered accounts to prepare account for billing, assuring maximum payment on a timely basis, and maintenance of accurate history files. The position is also responsible for… 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
- PeaceHealth (Vancouver, WA)
- …in related field **Experience** + Minimum of 2 years Required: Working as referral /pre- authorization specialist or similar role. + Required: Demonstrated ... **Description** PeaceHealth is seeking a ** Referral /Pre-Auth Specialist Lead - Remote for...work. Subject matter expert.Responsible for receiving, processing and documenting referral or prior authorization requests from the… 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)
- …Are you looking to grow your career? UPMC is hiring a full-time Sr. Authorization Specialist to support its Pre-Arrival department. This role would work Monday ... hours. This position is eligible to work from home after training. The Senior Authorization Specialist is to perform authorization activities for a broader… more
- Spectrum Billing Solutions (Skokie, IL)
- …the most efficient and streamlined manner. We are seeking to add an ABA Prior Authorization / UR Specialist to our growing team. The ABA Prior Authorization ... Obtain initial and continuing authorization for treatment services. + Manage authorization denials including referral for peer review. + Document and record… 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... patient's, facilities, physician's, and department to ensure timely and accurate authorization of all services/visits. + Collaborate with internal and external… more
- UPMC (Pittsburgh, PA)
- **UPP Neurosurgery is hiring a full-time Authorization Specialist . This is a Monday-Friday, daylight position with no nights, weekends, or holidays!** The UPMC ... 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 (Wexford, PA)
- UPMC Department of Dermatology is hiring a full-time Authorization Specialist to join their team in Wexford, PA! In this position, you will work Monday-Friday ... 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
- Omaha Children's Hospital (Omaha, NE)
- …to proceed as scheduled. + Coordinates with billing department, Supervisor or Lead Authorization Specialist to resolve any authorization related claims ... and insurance information in Epic Registration systems to initiate a referral or pre-certification. + Obtains necessary paper/electronic referrals from Primary Care… more
- Atlantic Health System (Morristown, NJ)
- We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior authorizations for ... necessary documentation, scheduling peer-to-peer reviews, and meticulously documenting the entire authorization process. When working in CMA role, is responsible for… more
- Randstad US (Tampa, FL)
- authorization specialist ii. + tampa , florida (remote) + posted october 7, 2024 **job details** summary + $18.99 - $19 per hour + temporary + high school + ... working within multiple systems (FaxCom, TruCare, Microsoft Platforms, etc.) to review authorization requests from providers. salary: $18.99 - $19 per hour shift:… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …messages with requesting insurance authorizations preferred.** + The **Case Management Authorization Specialist ** follows developed policies and procedures to ... it relates to clinical authorization and review. + The Case Management Authorization Specialist functions with minimal oversight and guidance with a general… more
- Atlantic Health System (Morristown, NJ)
- …combination of education/experience + Applicable experience as Patient Access Representative or Authorization Specialist + 0-3 years of prior experience ABOUT US ... The Authorizations Specialist I is responsible for securing medical authorizations...written documentation, tracking, prioritizing, and reporting outcomes of each authorization request. Summary: + Completes full financial clearance of… more