- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
- CVS Health (Raleigh, NC)
- …affordable. **Position Summary** The Rep I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. ... The Rep I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be… more
- CVS Health (Columbus, OH)
- …a full-time teleworker position in Ohio. Candidate must reside in Ohio. 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
- Fairview Health Services (St. Paul, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... Fairview at the highest benefit level. The Financial Clearance Representative (FCR) must be able to effectively articulate payor...necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization … 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
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...When needed, will also cross-function as a patient services representative and cashier. # # QUALIFICATIONS# # High school… 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
- Catholic Health Services (Melville, NY)
- …an online system to secure authorizations for scheduled procedures requiring an authorization , prior to the date of service. Responsibilities: Utilize work ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible.… more
- Leidos (Alexandria, VA)
- **Description** The Defense Group at Leidos is seeing a **Security Control Assessor- Representative (SCA-R) SME** on our GSMO II IDIQ contract's Joint Service ... implementing and overseeing all of JSP's ISs (new and re- authorization efforts), security posture, and authorization /...and gain approval of the Security Assessment Plan (SAP) prior to assessment of all implemented security controls and… more
- Hartford HealthCare (New Britain, CT)
- …commitment to high quality, customer focused outcomes. 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
- Veterans Benefits Administration (Chicago, IL)
- Summary The Veterans Service Representative ( Authorization Quality Review Specialist) is an integral part of the VSC and BEST quality assurance program and is a ... pension claims. Responsibilities Performs individual quality reviews to determine the authorization quality level of individual VSRs for purposes of individual… more
- St. Luke's University Health Network (Hamburg, 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
- Hartford HealthCare (Wethersfield, 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
- Elevance Health (Tallahassee, FL)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II** **Location:** Must live within 50 miles...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Elevance Health (Columbus, GA)
- …Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... **Title: Utilization Management Representative I** **Location:** This position will work a...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- Trinity Health (Brighton, MI)
- …registration record. Communicates with patients their financial responsibility, benefit and authorization status prior to clinical services. Facilitate cash ... PURPOSE** Under limited supervision; determines need for and obtains authorization for treatment/procedures and assignment of benefits required. Provides...collection as appropriate prior to and at the time of service, including… 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 is responsible for the entire scope of the...prior to service to decrease denials for no authorization . + Must obtain Medical license Number, NPI and… more
- PeaceHealth (Ketchikan, AK)
- …coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient ... **Description** PeaceHealth is seeking a Patient Access Representative - Admitting for a Per Diem/Relief, Variable...team to obtain VA/Tricare or State of Alaska Medicaid Authorization for medical care and/or travel, including air or… more