- CSI Pharmacy (Plano, TX)
- …to patient and referring providers. The Referral Coordinator will obtain prior authorizations, complete benefit request and process pre-certs. Pay Range: $25 ... include the following. Other duties may be assigned, as necessary. Coordinates the authorization and pre-cert process for each assigned referral. Follows up on … more
- Molina Healthcare (Madison, WI)
- …Provides administrative support for Wisconsin IRIS program operations, including referrals , enrollment, eligibility, service authorization and other ... quality and cost-effective care. Essential Job Duties * Supports referrals , enrollments, disenrollments, workload assignments, ongoing eligibility, financial eligibility,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …and UM protocols to confirm member and provider details when evaluating prior authorization and appeal submissions _Responsibility D: Participates in quality ... **Work from Home Appeals and Grievance Specialists** . The Appeals and Grievance Specialist plays a key role in helping members navigate and understand their… more
- Tidelands Health (Myrtle Beach, SC)
- …coordinating multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, ... reschedule appointments as needed. May assist with identifying and initiating necessary referrals for specialist appointments, procedures and tests. + Organizes,… more
- US Physical Therapy (Palmer, AK)
- …the initial evaluation call to schedule. The NPC works closely with the Benefit Specialist and the Lead NPC to ensure all benefits and pre-auth needs are obtained, ... New Patient Coordinator calls all locations (Anchorage, Palmer and Wasilla) incoming referrals . During contact with the patient, they ensure expectations are clear,… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have ... seamless access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …fast-paced healthcare environment. The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure ... Referral & Prior Authorization Specialist Salary...authorization approvals. What You'll Do + Processes all referrals and authorizations received. Completes prior authorizations… more
- University of Washington (Seattle, WA)
- …Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior Authorization Specialist .** **WORK SCHEDULE** + Full-time, 100% FTE ... Medicine Health System and to process prior authorizations + Process referrals / prior authorization in accordance with UW Medicine standards, ensuring all… more
- Children's Clinics (Tucson, AZ)
- …Occupational, Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals . Submits for onsite and ... AHCCCS, CRS, and private insurance guidelines + Knowledge of precertification, referrals , and prior authorization + Knowledge of medical terminology, CPT,… more
- BrightSpring Health Services (Louisville, KY)
- …Work with the authorization team to ensure all eligibility checks and prior authorizations are completed. + Communicate authorization status and next steps ... Overview Join SpringHealth Behavioral Health and Integrated Care as an Intake Specialist and become the compassionate first connection for families seeking ABA… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... as well as insurance requirements and policies for authorizations, notifications and/or referrals . The Specialist position will utilize the system functionality… more
- University of Connecticut (UConn) (Storrs, CT)
- …on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the ... accurate and timely pre- authorization / authorization of insurance coverage and benefits for...position reports to the Student Health and Wellness Insurance Specialist Manager. SHaW is committed to diversity and inclusion,… more
- Dayton Children's Hospital (Dayton, OH)
- …+ Registration/Front desk experience (preferred) + Healthcare experience (preferred) + Prior authorization knowledge (preferred) + ICD-10 familiarity Education ... Facility:Dayton Children's - Tech TownDepartment:Patient Access - Pre-Registration/ Prior AuthorizationSchedule:Full timeHours:40Job Details:Patient Access Representatives provide customer-service… more
- Lake Region Healthcare (Fergus Falls, MN)
- Pre- Authorization Specialist Job Details Job Location Lake Region Healthcare Corporation - FERGUS FALLS, MN Position Type 80 Hours Biweekly Salary Range $19.48 - ... $28.48 Hourly Job Category Billing and Registration Description The Pre- Authorization Specialist will facilitate the gathering of information to verify medical… more
- BJC HealthCare (St. Louis, MO)
- …- Friday 8:00-4:30 Pm + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals , EPIC, Patient registration, and Insurance Verification ... About the Role** BJC is looking to hire a Authorization Specialist ! **Additional Preferred Requirements** + Remote...assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to… more
- Trinity Health (Syracuse, NY)
- …focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from ... insurance payers prior to services being scheduled or rendered at UNC...electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for referrals in Epic. 4.… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The primary responsibility of the Finance and Authorization Specialist is to promptly verify patient's insurance, obtain and verify if not provided, ... via phone call, email, or MyCare channels * Obtain prior - authorization on both internal and external department...* Participate in orientation of new staff * Obtain referrals from payers that require it * Obtain insurance… more
- TEKsystems (Phoenix, AZ)
- …perform in a team environment. Qualifications + Experience Needed: Patient Registration, Scheduler, Prior Authorization and referrals - within the last 2-3 ... Auto-Dialer (80 calls per day) + Metric Goal: 25 Referrals per day + 4 hours of the day...focuses on Primary Care Physicians referring their patients to Specialist + To be successful in this role a… more
- Penn Medicine (Lancaster, PA)
- …Financial Services personnel PFS , and other departments across the organization to ensure authorization and or referrals for services on file and accurate with ... with or without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for the Financial Clearance… more
