- Montrose Memorial Hospital (Montrose, CO)
- …of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as ... patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the...and patient's plan of care as they secure payer authorization for medical services and optimize patient… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply...and prior authorizations. + Demonstrated knowledge of Prior Authorization operations and medical ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding...AND EXPERIENCE: One to two years of experience in medical billing, a medical office or insurances… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Premier Medical Group of the Hudson Valley (Kingston, NY)
- The Prior Authorization Specialist will support the Providers while monitoring patient flow, scheduling patient appointments, attaining prior ... authorizations and processing necessary insurance information. The Prior Authorization Specialist uses his/her working knowledge of urology and the health… 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 ... staff and providers to gather additional information to obtain prior authorization as needed. + Coordinate patients'...working with EMR systems. + Knowledge of commonly used medical terms and procedures. + Strong organizational skills. +… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...reviewing all claim denials related to missing or invalid prior authorizations in addition to medical necessity… 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)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… 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
- BrightSpring Health Services (Englewood, CO)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities ... This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30AM...are trained and meeting performance goals and expectations. * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- TEKsystems (Oak Park, IL)
- Description: The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior authorization ... hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for… 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 ... college degree preferred. Minimum of 2 years of experience in medical billing or authorization processes, preferably in an orthopedic or medical setting.… more
- Glens Falls Hospital (Glens Falls, NY)
- …be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:** *NY-Glens ... our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop...benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding… more
- G-TECH Services, Inc. (Detroit, MI)
- Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care ... embedded in the care management system to administratively approve prior authorization requests. May work with providers...work with providers to secure discharge plans, Notice of Non- Medical Coverage, Durable medical equipment, and other… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist , with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug ... guidelines to all aspects of drug prior authorization work. The Drug Authorization Specialist...Medical School-affiliated hospitals. With direct supervision, the Drug Authorization Specialist : + Reviews and monitors the… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for ... prior authorization needs, obtaining needed ...other front-end processes, including scheduling, pre-registration, financial counseling, insurance authorization , medical necessity, and registration. + Superb… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... coordination of benefit * Prepare and compile necessary documentation to secure prior authorization .Collect clinical information regarding service to be rendered… more
- UPMC (Pittsburgh, PA)
- …UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record documentation for ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize… more
- Carle (Urbana, IL)
- …a Friend Save Save Apply Now Position Summary: The Pre- Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and ... Pre- Authorization Specialist + Department: Registration Center...processes and completes prior authorizations for scheduled and add on services. Determines… more