- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/08/2024 **Requisition Number** PRN40292B **Job Title** Prior Authorization Representative I **Working Title** Prior ... and accountability - attributes a successful candidate will exemplify. The ** Prior Authorization Representative I** is responsible to secure outpatient and… more
- CVS Health (Columbus, OH)
- …in, or at risk for involvement in, multiple child-serving systems. The Prior Authorization Representative supports comprehensive coordination of medical ... services including intake, screening and referrals to Aetna Medical Services Programs. Promotes/supports quality effectiveness of Healthcare Services. Additional responsibilities to include but not limited to the following: - Performs intake of calls from… more
- Highmark Health (Harrisburg, PA)
- …AHN for scheduled services in accordance with the payer-provider contract. The representative contacts payers to request service authorization and may collect ... information from patients and refers accounts to financial advocates if authorization is not obtained as needed. **ESSENTIAL RESPONSIBILITIES** + Obtains … more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
- System One (Tulsa, OK)
- System One is searching for an Authorization Representative with experience in radiology authorizations for a mid-sized specialty clinic in Tulsa, OK. In this ... from patients and/or physicians on all necessary forms. + Communicates authorization status where applicable to ordering physician, clinical staff and patient.… more
- Covenant Health (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… 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 ... requested services. This position is responsible for: + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite… more
- Providence (Spokane Valley, WA)
- …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... responsibilities include entering patient referral data into the database, entering physician information into the database, adding progress notes, responding to billing department requests, calling providers, insurance companies and patients. Providence… more
- UNC Health Care (Goldsboro, NC)
- …well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining ... authorizations from insurance payers prior to services been scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
- Tidelands Health (Pawleys Island, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... least one (1) year of experience in Healthcare Revenue Cycle that includes prior authorization . **ADDITIONAL PREFERRED EXPERIENCE:** + Knowledge of CPT and ICD… more
- Tidelands Health (Myrtle Beach, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Two (2) years of experience in Healthcare Revenue Cycle that includes prior authorization . **KNOWLEDGE/SKILLS/ABILITIES** : * Ability to interact successfully… more
- Mount Sinai Health System (Greenlawn, NY)
- **Job Description** **Patient Service Representative : 913-Greenlawn, Long Island - OFFS** **Strength Through Diversity** Ground breaking science. Advancing medicine. ... Healing made personal. **Job Title: Patient Service Representative ** The Offsite Patient Service Representative I provides front line contact as a patient… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** The Patient Financial Clearance Representative , under direct supervision of the Department Management and Patient Financial ... by completing all activities related to insurance verification and securing authorization . These activities are performed in accordance with established Stanford… more
- University of Miami (Medley, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work in Miami, FL. T he individual in this position is… more
- University of Miami (Miami, FL)
- …of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more
- Tidelands Health (Myrtle Beach, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... to move objects. The physical demands described here are representative of those that must be met by an...resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates,… more
- Hartford HealthCare (Westport, CT)
- …focused outcomes. ** *Position Description* *We are seeking a Patient Service Representative for our Outpatient Rehab Clinic in Westport, CT.* Our Outpatient Rehab ... to improving the health of all patients. The Patient Service Representative is responsible for providing professional customer service to ensure operational… more
- St. Luke's University Health Network (Quakertown, PA)
- …their visit. + Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs ... pay for health care. JOB SUMMARY The Patient Access Representative I is responsible for the entire scope of...prior to service to decrease denials for no authorization . + Must obtain Medical license Number, NPI and… more
- Veterans Benefits Administration (St. Petersburg, FL)
- …Affairs, Regional Office (VARO), St. Petersburg Decision Review Operations Center. The Authorization Quality Review Specialist (AQRS) is an integral part of the ... are not limited to: Performs individual quality reviews to determine the authorization quality level of individual VSRs for purposes of individual performance… more
- Hartford HealthCare (Hartford, CT)
- …quality, customer focused outcomes. *Position Description* The Patient Service Representative is responsible for providing professional customer service to ensure ... Responsible for Patient Scheduling, Pre-Registration, Registration, Insurance Verification, Insurance Authorization , and ensures patients have been cleared for Rehab… more