- Daiichi Sankyo, Inc. (Boston, MA)
- …expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements. Develop ongoing ... purpose of this role is to serve as a field-based product access specialist that provides appropriate reimbursement support to HCPs to help facilitate patient access… more
- Daiichi Sankyo, Inc. (Seattle, WA)
- …expertise in formulary decisions, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements. Develop ongoing ... purpose of this role is to serve as a field-based, product access specialist that provides appropriate reimbursement support to HCPs to help facilitate patient… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …which they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare ... Title: Benefits Verification Specialist Location: Remote Duration: 3+ month's Working hours:...to expedite patient access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes… more
- Accounting Now (Tampa, FL)
- …of cases worked Qualifications: Required Two years' recent experience in healthcare revenue cycle or prior authorizations for inpatient/outpatient, ... The Denials Specialist performs advanced-level work related to clinical and...or corrected claims in a timely mannerThis position applies prior knowledge of denials to assess and ensure services/items… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …which they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
- Elite Staffing Inc. (Cary, NC)
- …patients & their insurance companies. Requirements: Candidate must have insurance and prior authorization experience, excellent verbal and written skills, 2+ ... Reimbursement Specialist Job Duties: Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides… more
- Blanchard Valley Hospital (Findlay, OH)
- …support clinical care, release of information, expedite coding, billing and healthcare operations. JOB DUTIES/RESPONSIBILITIES HIIS I associates may have varying ... and external customers. Determines the validity of requests, ensures appropriate authorization is obtained, extracts and prepares all relevant information for… more
- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The Prior Authorization Specialist is a vital member of the healthcare team. They are responsible for managing the ... setting involving customer service or patient-facing responsibilities is required. Keyword: Prior Authorization Specialist From: Spectrum Health Services,… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare . About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical ... About Montrose Regional Health: + As the leading healthcare in the Uncompahgre Valley, MRH offers patients...patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the… more
- Hospice of the Valley (Phoenix, AZ)
- …Generous Paid Time Off. + Flexible schedules for work/life balance. **Position Profile** The Prior Authorization Specialist will obtain prior ... authorization from non-Medicare insurance companies. **Responsibilities** + Obtains prior authorization from non-Medicare insurance companies. + Contacts… 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 ... and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is… more
- BrightSpring Health Services (Duluth, GA)
- …through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating ... prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30AM - 5:30PM This position has… more
- General Physicians PC (Buffalo, NY)
- …Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a Prior Authorization Specialist looking to take your career to the next level? ... Prior Authorization Specialist Join...college degree preferred + Proven work experience in a healthcare facility and/or strong customer service experience preferred +… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist - This is an** ... Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission...package with a variety of options to meet your healthcare needs. Other benefits of this position include: +… more
- Select Medical (Frisco, TX)
- …- Frisco** A joint venture with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite only** **This position must work** ... Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission...package with a variety of options to meet your healthcare needs. Other benefits of this position include: +… more
- Premier Medical Group of the Hudson Valley (Newburgh, NY)
- JOB DESCRIPTION JOB TITLE: Prior Authorization Specialist - Cardiology JOB STATUS: Full-time, Non-Exempt DIVISION/LOCATION: Cardiology REPORTS TO: Practice ... Work with clinical staff and providers to gather additional information to obtain prior authorization as needed. + Coordinate patients' procedures for both the… more
- Sanford Health (SD)
- …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...Collects necessary documentation and communicates with third party payers, healthcare professionals and customers to prioritize requests. Verifies patient… more
- TEKsystems (Louisville, KY)
- Prior Authorization Specialist needed Description: - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements ... assignment to ensure all tasks and coordination notes are completed. Skills: Prior Authorization , Insurance Verification, medical billing, insurance follow up,… more