- Compass Health Network (Wentzville, MO)
- …to accurately complete referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...and provides case management support to patients with no insurance or commercial insurance who receive services… more
- Compass Health Network (Wentzville, MO)
- …to accurately complete referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...and provides case management support to patients with no insurance or commercial insurance who receive services… more
- Virginia Heart (Leesburg, VA)
- …equipment preparation, and data download.Collect required sleep documentation needed for insurance authorization .Coordinate with DME provider any changes to ... we are looking for a professional Durable Medical Equipment (DME) Clinical Specialist to provide DME services to the extraordinary cardiovascular and sleep care… more
- Glens Falls Hospital (Glens Falls, NY)
- …Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills ... 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)
- …Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills ... 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Glens Falls*… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior-authorizations and referral process for patients being referred for specialty care,...insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization ,… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... + Provides insurance company with clinical information necessary to secure prior- authorization or referral + Works in alignment with Central Scheduling and… more
- St. Luke's University Health Network (Center Valley, PA)
- …and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process ... clarify documentation or address any concerns related to the prior authorization process. + Contacts Insurance Payers to provide Notice of Admission on behalf of… 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 ... and efficiently. + Analyzes information required to complete pre- authorizations with insurance carriers and service area contacts. + Demonstrates the skills of… more
- UT Health (Houston, TX)
- Insurance Authorization Verification Specialist I, II - Colorectal Surgery (Bellaire) **Location:** Houston, Texas **Hot** **Category:** Healthcare Support ... Surgery - Colorectal Surgery Bellaire Clinic is hiring an Insurance Authorization Verification Specialist to...information given or received to support actions taken on insurance charges or referral issues. 3. Identifies… more
- TEKsystems (Austin, TX)
- Hiring for Authorization Specialist Role Position Purpose: Acts as a resource and supports the prior authorization request process to ensure that all ... Additional Skills & Qualifications: * Healthcare Customer Service Representative * Referral Specialist Preferred Skills/ Experience: + Preferred experience in… more
- TEKsystems (Woodland Hills, CA)
- …and processes authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer ... Hiring for Authorizations Specialist Description: Position Purpose: Acts as a resource...Purpose: Acts as a resource and supports the prior authorization request process to ensure that all authorization… more
- Trinity Health (Springfield, PA)
- **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing ... of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities...agency policy. This position works closely with the THAH insurance team and THAH Collection analysts in the tracking… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a Full Time Authorization Specialist in the Pre-Registration Dept at our Morristown Corporate Office. Essential ... Medical terminology preferred + Applicable experience as Patient Access Representative or Authorization Specialist preferred ABOUT US At Atlantic Health System,… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet… more
- HonorHealth (Scottsdale, AZ)
- …the authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit ... across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests… more
- Centene Corporation (New York, NY)
- …and processes authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer ... Purpose: Acts as a resource 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 + Verifies… more
- Sanford Health (SD)
- …remote **Job Summary** The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, ... procedures, etc.; determines if insurance meets prior authorization criteria. Collects necessary documentation and communicates with third party payers,… more
- UPMC (Lancaster, PA)
- **Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area!** The ideal ... about this exciting opportunity, apply today! **Purpose:** The Central Insurance Referral Specialist II will...by manager. + Utilizes electronic referral and authorization services as available. + Communicates with insurance… more
- Trinity Health (Grand Rapids, MI)
- …Shift **Description:** Responsible for all aspects of authorizations/pre-certification, or referral processes. Verifies insurance eligibility and contacts the ... Degree preferred **Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or… more
