- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **39493BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible ... + High school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access Associate (CHAA),… 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 ... entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for all obstetrical patients and gynecological… more
- Texas Health Action (Austin, TX)
- …accessibility throughout the state. Read more about THA here: http://texashealthaction.org. The Prior Authorization Specialist serves our Kind Clinics and ... Specialist , you will be responsible for managing the prior authorization process for medications + Collaborate with healthcare providers, insurance… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… 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 ... requested services. This position is responsible for: + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite… more
- Select Medical (St. Charles, MO)
- **Overview** **Select Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** ** Prior Authorization Specialist / Payor Relations ... the Payor Relations Specialist , you will manage the pre-certification and prior authorization of referrals scheduled for admission to our hospital.… more
- New England Cancer Specialists (Scarborough, ME)
- Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Prior Authorization Specialist . This position will join a varied team of ... extraordinary professional care and customer service to our customers. The Prior Authorization Specialist will handle non-clinical administrative aspects of… more
- Actalent (St. Louis, MO)
- Prior Authorization Specialist Job Description Support a variety of outpatient clinics in a pharmacy prior authorization capacity. You will report to ... to the pharmacist during daily morning huddles. Essential Skills + Prior authorization experience. + Experience with EPIC software. + Clinical experiece in… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... will be required to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of all Managed Care… more
- Health First (Rockledge, FL)
- …skills. **Job:** **Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** * Prior Authorization Nurse Specialist HFHP - Clinical ... with a sustainable, measurable, accurate, reliable and timely execution of the Prior Authorization Process. Success in this position will be based on the… more
- BrightSpring Health Services (Oklahoma City, OK)
- …prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: On site in Oklahoma City Mon-Fri ... our growing network of branches and healthcare professionals. The Prior Authorizaton Specialist will be responsible for...+ Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply,… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- Position Overview: We are seeking a highly organized and detail-oriented Pre- Authorization Specialist to join our team at Ortho Sport & Spine Physicians. This ... to providing exceptional patient support. Key Responsibilities: Submit and track authorization requests with insurance companies for procedures such as MRI, spine… more
- TEKsystems (Tempe, AZ)
- …medical billing, medical claim, Insurance Verification, EOB, ERB, Medical Records, prior authorization , Schedule appointments Top Skills Details: scheduling ... Team. This can include but is not limited to: *Consult Orders ( Specialist Office Visits) *Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
- TEKsystems (Plymouth, IN)
- …+ Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level #PriorityCentral About ... cases from initiation to closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance… more
- TEKsystems (Minneapolis, MN)
- …promoted while on contract Skills/Qualifications: + 5+ years of Insurance verification and prior authorization + 3+ years of healthcare call center experience + ... Experience bein held to performance metrics + Strong processing skills #prioritycentral About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000… more
- TEKsystems (Jeffersonville, IN)
- …+ Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level #PriorityCentral About ... TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America,… more
- KPH Healthcare Services, Inc. (North Syracuse, NY)
- …Works under direct supervision of a pharmacist. Follows standard procedures to accomplish assigned tasks. May assist in orienting and training employees **Job ... **Overview** For over 50 years, the HealthDirect team has been dedicated to the unique pharmacy needs of individuals residing in Long-Term Care (LTC) facilities such as nursing homes and assisted living facilities, as well as correctional facilities and group… more
- Hartford HealthCare (Farmington, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… more