- Medtronic (Minneapolis, MN)
- …innovation in a more connected, compassionate world. **A Day in the Life** The Prior Authorization Representative is responsible for verifying prior ... identify requirements for prior approval, and submit for authorization . Assists with appealing prior authorization denials, retro authorization or… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Insight Global (Eden Prairie, MN)
- Job Description An employer is looking for a highly skilled remote Prior Authorization Regulatory Specialist to join one of our largest national ... jargon. Lastly, any prior professional experience working within the prior authorization process specifically within a regulatory environment will help… more
- Spectrum Billing Solutions (Skokie, IL)
- …is managed in the most efficient and streamlined manner. We are seeking to add an ABA Prior Authorization / UR Specialist to our growing team. The ABA ... Prior Authorization UR Specialist will utilize his or...flexibility? We offer flexible options to work in-office, hybrid remote /in-office, or to work 100% fully remote … 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 ... if medical necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when necessary. **Point… more
- Cedars-Sinai (Beverly Hills, CA)
- …a row on the "Best Hospitals" Honor Roll. The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center will ... or PGY2 in oncology (For oncology based - Clinical Prior Authorization Pharmacist Specialist Position)...: 5618 **Working Title** : Pharmacist - Oncology Clinical Prior Authorization - Remote **Department**… 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...Education Required: HS Diploma/GED + Shift: Day + Location: Remote + Usual Schedule: M-F + On Call Requirements:… more
- ManpowerGroup (Marlborough, MA)
- …and the ability to work efficiently in a fast-paced environment. **Job Title:** Pre- Authorization Specialist **Location:** Fully Remote , EST Time Zone **Pay ... Our client in the _healthcare industry_ is seeking a **Pre- Authorization Specialist ** to join their team.This position...initial intake of physician and facility requests to secure prior authorization for service + Create electronic… more
- Randstad US (Tampa, FL)
- authorization specialist ii. + tampa , florida ( remote ) + posted october 7, 2024 **job details** summary + $18.99 - $19 per hour + temporary + high school + ... authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer Remains… more
- Centene Corporation (Raleigh, NC)
- …live in North Carolina.** **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization ... requests for services in accordance with the insurance prior authorization list and routes to the...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- GE Aerospace (Evendale, OH)
- …Consistent with the role of the ITC team, the primary tasks of Senior Specialist - ITC include, but are not necessarily limited to): **Job Description** + Prepare ... and submit authorization applications for approval to the US Department of...or equivalent experience and at least 6 years of prior relevant trade compliance experience + Experience with International… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Patient Access Specialist - Local Remote **Cost Center:** 301351028 Central District-Appointments ... to expedite and enhance the patient experience. The Patient Access Specialist activities include appointment scheduling, referral completion, authorization for… more
- L3Harris (Palm Bay, FL)
- Job Title: Senior Specialist , Information Security Systems Engineer Job Code: 16575 Job Location: Remote Job Description: Applies current systems security ... cycle of system that will allow for the security authorization of the system of interest. Works with systems...Education + Bachelor's Degree and minimum 6 years of prior relevant experience, or + Graduate Degree and a… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time, Monday-Friday **Job Location** : Remote **The role you'll contribute:** Ensures patients are appropriately registered for ... department meetings and promotes positive dialogue within the team Insurance Verification/ Authorization : . Contacts insurance companies by phone, fax, online portal,… more
- Sharecare, Inc. (Canton, MS)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. This position follows a hybrid- remote ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Sharecare, Inc. (Phoenix, AZ)
- …and that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. The schedule for this position is 8 ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... wage requirements** **.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient-benefit- specialist -- remote /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_… more
- AECOM (Fairbanks, AK)
- …government construction projects, including LPOEs, secure military bases/compounds; + Prior experience remote and sub-arctic locations **Additional Information** ... work options. Whether you're working from an AECOM office, remote location or at a client site, you will...started. **Job Description** **AECOM** is seeking a **Quality Control Specialist IV** (Inspector / Quality Assurance Manager) to be… more
- AbbVie (Chicago, IL)
- …calls to drive first call resolution. Provide insurance coverage, verification details prior authorization statues and alternate funding options for existing and ... and medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy… more