- Select Medical (West Orange, NJ)
- …under applicable law._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/302428/ prior - authorization - specialist inpatient ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This… 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 ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...of PG provider to secure reimbursement for Observation and Inpatient Services. + Refe rs a ll self- paypa… more
- Select Medical (Peoria, AZ)
- …independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute ... protected under applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/307702/payor-relations- specialist inpatient -rehab/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814) Share this job **Job ID**… more
- UPMC (Pittsburgh, PA)
- **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular Institute at CHP! This ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Pittsburgh, PA)
- …after training. The Senior Authorization Specialist is to perform authorization activities for a broader scope of inpatient , outpatient, and emergency ... grow your career? UPMC is hiring a full-time Sr. Authorization Specialist to support its Pre-Arrival department....UPMC applications and payor/contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Wexford, PA)
- UPMC Department of Dermatology is hiring a full-time Authorization Specialist to join their team in Wexford, PA! In this position, you will work Monday-Friday ... coordinating with providers for prescriptions authorizations infusions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Pittsburgh, PA)
- **UPMC Department of Plastic Surgery is hiring a Part-Time Authorization Specialist . This is a Monday-Friday, daylight position. No nights, weekends, or ... holidays!** **Responsibilities:** + Prior authorization responsibilities: 1. Reviews and interprets medical record documentation for patient history, diagnosis,… more
- MaineGeneral Health (Waterville, ME)
- Job Summary:MaineGeneral Health is seeking an experienced Authorization Review Specialist to ensure the accuracy of inpatient and outpatient surgery prior ... surgical coding, or a related healthcare role is highly preferred. Familiarity with prior authorization processes and insurance protocols is essential. + Strong… more
- Omaha Children's Hospital (Omaha, NE)
- …to proceed as scheduled. + Coordinates with billing department, Supervisor or Lead Authorization Specialist to resolve any authorization related claims ... and family when insurance authorization or coverage is in question 5 days prior to scheduled date or as soon as possible after admission, procedure, or visit is… more
- UNC Health Care (Goldsboro, NC)
- …and 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...or rendered at UNC Health Wayne for outpatient & inpatient visits. Obtains insurance information that will be verified… more
- Bon Secours Mercy Health (Norwood, OH)
- …of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling the patient for outpatient and inpatient ... for clinical and operational excellence. **Job Title:** Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial… more
- Truman Medical Centers (Kansas City, MO)
- …for special projects. They will ask key questions to help facilitate the prior authorization and scheduling process for specified procedures and Admission ... software programs. Preferred Qualifications + Experience in Procedure Authorizations and Inpatient Admission Notifications + Prior Experience working with… more
- AdventHealth (Manchester, KY)
- …available * Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers ... Coordinates with case management staff as necessary (eg, when pre- authorization cannot be obtained for an inpatient ...on their insurance coverage or eligibility for government programs prior to service for both inpatient and… more
- Hackensack Meridian Health (Maywood, NJ)
- …healthcare and serve as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient Access functions ... A day in the life of a **Patient Access Specialist ** at Hackensack Meridian Health includes: + Greets patients...procedure is a covered service under the patients plan prior to receiving services. + Verifies pre- authorization … more
- Billings Clinic (Billings, MT)
- …Starting Wage:$17.00 - 21.25 Responsible for the completion of pre-certification, prior authorization and notification for third party and government ... outpatient examination and procedures requiring preauthorization. May provide back-up pre-certification/ prior authorization resources for other departments as… more
- Billings Clinic (Billings, MT)
- …Wage:$17.15 to $21.44 per hour Responsible for the completion of pre-certification, prior authorization and notification for third party and government payers ... outpatient examination and procedures requiring preauthorization. May provide back-up pre-certification/ prior authorization resources for other departments as… more
- Northern Light Health (Fort Fairfield, ME)
- …is complete. + Maintains current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior Authorization Policy. + ... efficiently to assure services needed are received timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to… more
- Sanford Health (Bismarck, ND)
- …general instructions on new assignments. Reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; ... $20.50 - $33.00 **Job Summary** The Lead Patient Access Specialist applies advanced knowledge and expertise within the department....determines if insurance meets prior authorization criteria. Exercises autonomy in determining… more
- St. Luke's University Health Network (Allentown, PA)
- …to date of service + Ensure all IP only procedures for Medicare cases have an Inpatient order prior to discharge as well as communicate all IP only procedures ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the… more
- AdventHealth (Bolingbrook, IL)
- …responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services *Advises ... management with training and supervising Consumer Access Representative, Consumer Access Specialist , and Senior Consumer Access Specialist in daily activities… more