- TEKsystems (Tempe, AZ)
- …and coordination of complex female health procedures. (Ex. Colposcopy) + Processing Referrals and Authorizations + Maintaining service level agreements in ... include but is not limited to: + Consult Orders ( Specialist Office Visits) + Procedure Orders (Ex: MRI/CTs, Radiology,...complex insurance authorizations . + Meeting or exceeding performance requirements for 6… more
- Hartford HealthCare (Farmington, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** * Prior Authorizations Specialist - Medical Weight ... Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties... performs all clerical duties required to obtain insurance prior authorizations for all in office procedures,… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance ... verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the required timeframe. + Completes appropriate… more
- St. Luke's University Health Network (Allentown, PA)
- …for health care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, ... submission of insurance referrals for all Primary Care and Care Now departments,...ial cl ea rance is obtain ed + Submit prior authorizations for all STAT imaging orders… more
- Atlantic Health System (Morristown, NJ)
- …Stay updated on changes in insurance policies, guidelines, and procedures related to prior authorizations . 10. Provide support and guidance to providers and ... Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our...office or healthcare setting, preferably in a role involving prior authorizations . + Strong understanding of medical… more
- University of Rochester (Rochester, NY)
- …scheduling, treatment, care and follow up. Adheres to approved protocols for working referrals and prior authorizations . Makes decisions that are guided ... POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of...details to insurance or worker's compensation carrier to obtain prior authorizations for both standard and complex… more
- Select Medical (West Orange, NJ)
- …Experience within a physical rehabilitation setting preferred + Experience submitting prior authorizations and/or utilization review preferred. + Experience ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is… more
- TEKsystems (Tempe, AZ)
- …providers, and internal parties. Necessary Skills and Strengths: Referral Coordinator | Prior Authorizations | Medical Scheduling Appointments | Call Center | ... of complex female health procedures. (Ex. Colposcopy) + Processing Referrals and Authorizations + Maintaining service level...| Insurance Verification | EOB Core Experience: + Referral Specialist + Prior Authorization + 2 years… 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 join a ... requested services. This position is responsible for: + Appropriately prioritize all prior authorization request/ referrals . Submits for onsite and offsite… more
- St. Peters Health (Helena, MT)
- …all Managed Care Contracts as well as insurance requirements and policies for authorizations , notifications and/or referrals . The Specialist position will ... The primary function of the Prior Authorization Specialist position is to...be required to verify insurance coverage and obtain insurance authorizations . The Specialist is required to maintain… more
- TEKsystems (Tempe, AZ)
- …and coordination of complex female health procedures. (Ex. Colposcopy) *Processing Referrals and Authorizations *Maintaining service level agreements in complex ... Team. This can include but is not limited to: *Consult Orders ( Specialist Office Visits) *Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)… more
- Select Medical (St. Charles, MO)
- …the Payor Relations Specialist , you will manage the pre-certification and prior authorization of referrals scheduled for admission to our hospital. ... **Overview** **Select Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** ** Prior Authorization Specialist / Payor Relations Specialist (… 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 ... Hospitals** A joint venture with Select Medical & Banner Health Phoenix, Arionza ** Prior Authorization Specialist / Payor Relations Specialist ** **Remote… more
- Vanderbilt University Medical Center (Franklin, TN)
- …Obtain and update patient registration (demographic and insurance) information. Obtain referrals and insurance authorizations / precertifications prior to ... patient's date of service; accurately document and assign referrals and authorizations in EPIC. . KEY...as needed, to ensure that patient's visits are authorized prior their appointment date b) If insurance coverage has… more
- UNC Health Care (Goldsboro, NC)
- … Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance payers prior to services been scheduled or ... via websites, telephone, or the Electronic Health Record (EHR). Electronic referrals , patient accounts issues and/or questions related to billing and insurance… more
- Northern Light Health (Fort Fairfield, ME)
- …assure services needed are received timely. They assist with insurance prior authorizations . The role of the referral specialist is critical to assure that ... that they need. A major role of the Referral Specialist is to communicate progress of referrals ...assisting with scheduling as assigned. + Manages and monitors prior authorizations /out-going referrals for the… more
- Glens Falls Hospital (Glens Falls, NY)
- …cancer treatment program by serving as the point person for managing insurance authorizations / referrals . You will closely support this team by obtaining ... prior authorization * Maintain ongoing tracking and appropriate documentation of referrals & authorizations while verifying all insurance requirements for… more
- Glens Falls Hospital (Glens Falls, NY)
- …cancer treatment program by serving as the point person for managing insurance authorizations / referrals . You will closely support this team by obtaining ... prior authorization . Maintain ongoing tracking and appropriate documentation of referrals & authorizations while verifying all insurance requirements for… more
- Banner Health (Glendale, AZ)
- …pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is ... responsible for tracking and managing all referrals with the intention and outcome to close any...needed for the payor authorization and the facility or specialist prior to the services being rendered.… more
- City of New York (New York, NY)
- …to Advocate Mailbox Inquiries are expected to be completed within seven days or prior to fair hearing date, whichever comes first. Though Resolutions are to be ... as possible to avert fair hearing scheduling. The Fair Hearing Process Specialist provides economic support and employment related services to persons in need,… more