- Corewell Health (Kentwood, MI)
- …clinical service lines with the ability to support multiple areas within the Central Authorization team. Crucial to obtaining an authorization is the ability to ... consist of six weeks of in-person instruction and will shift to remote training after that time pursuant on satisfactory progress including authorizations obtained… more
- Elevance Health (Topeka, KS)
- …Management Rep I** is responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... **Utilization Management Rep I** **Location:** This position will work a...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- University of Rochester (Rochester, NY)
- …information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. + Completes the referral ... POSITION SUMMARY: This hybrid/ remote position supports Primary Care practices and PCN...be performed on a daily basis. The Physician Support Rep III, PCA Centralized Projects plays a valuable support… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... **Overview** **This position is primarily remote work, but candidate must reside within the...May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities**… more
- Dignity Health (Bakersfield, CA)
- …+ Familiarity with third party administrator operations such as eligibility, prior authorization , claims administration and provider network administration. ... that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), now part… more
- Harvard University (Cambridge, MA)
- …- MA - Cambridge Business Title:Deposit Operations Representative IISub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) :052Time Status:Full-time ... of Foreign Assets Control). + Harvard University is unable to provide work authorization and/or visa sponsorship. + This position has a 90-day orientation and review… more
- Central Maine Medical Center (Lewiston, ME)
- …day. *After completing a 6 week in-office training, this is a primarily remote position that has rotating weekend and holiday coverage* Essential Duties: Patient ... + Perform patient estimates as required + Advise and secure patient payments prior to service + Refer patients to financial counselors + Provide exceptional customer… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… 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 ... Fairview at the highest benefit level. The Financial Clearance Representative (FCR) must be able to effectively articulate payor...necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization … more
- Cummins Behavioral Health Systems Inc. (Avon, IN)
- Hybrid Remote Centralized Access Representative + - Avon Business Office 260 + 46123, IN, USA + 18.00 + Hourly + Full Time + 5% bi-lingual pay bonus Email Me ... This Job Cummins Behavioral Health Systems, Inc. has a full time, Hybrid/ Remote position available as a Centralized Access Representative in Avon, Indiana. Job… more
- University of Miami (Doral, FL)
- …Verification Representative ensures that proper insurance authorizations are processed prior to patients' appointments to ensure a smooth and efficient visit for ... + Calls insurance companies and patients to verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper… more
- The Cigna Group (Bloomfield, CT)
- …inbound calls from Health Plan clients, providers, and imaging centers seeking pre- authorization + Properly handle and verify patient records under HIPPA and ... calls. **QUALIFICATIONS** + High School diploma or equivalent required + Prior customer service background strongly preferred + Intermediate proficiency in Microsoft… more
- The Cigna Group (Bloomfield, CT)
- …that are presented by our member's or their representatives pertaining to the authorization of or delivery of clinical and non-clinical services. Grievance works in ... be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska,… more
- Elevance Health (Palo Alto, CA)
- …Management Representative I** is responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact** : + ... **Utilization Management Representative I** **Location:** This position will work a...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- CommonSpirit Health Mountain Region (Layton, UT)
- …will verify insurance benefits; explain financial requirements to the patient or patient representative and collect the outstanding patient portion prior to or ... orientation. Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After verification of benefits and … more
- University of Michigan (Ann Arbor, MI)
- Clinic Service Representative - Schedulers Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... accurate registration by verifying demographics and insurance information appropriately Review cases prior to the day of appointment to ensure that the requested … more
- Chewy (Houston, TX)
- …helping problem-solve (within scope) when appropriate. + Conduct outreach for Prior Medical Requests (PMRs) authorization and client/appointment follow-ups. + ... **Our Opportunity:** Chewy is looking for a Veterinary Care Representative to join our Healthcare Team. Join a team...to local Austin, TX Clinic (periodically as needed). + ** Remote :** This role IS a remote role… more
- Open Mind Health (Bakersfield, CA)
- POSITION DESCRIPTION PROVIDER LIAISON REPRESENTATIVE LOCATION: REMOTE REPORTS TO: CHIEF CLINICAL OFFICER APPLICANTS - PLEASE VERIFY THAT YOUR BACKGROUND MEETS ... THE MINIMUM QUALIFICATIONS BELOW PRIOR TO APPLYING ABOUT OPEN MIND HEALTH We are...to document all details of client referral, insurance information, authorization date ranges and credentials. + Interact with providers… more
- Kepro (Cary, NC)
- …a Customer Service Representative and become an essential player in the vital prior authorization process. In this dynamic role, you will be the first point ... partner for health solutions in the public sector. Acentra seeks a Remote Customer Service Representative to join our growing team. Job Summary Join our North… more
- Randstad US (Spokane, WA)
- …Account Management: + Confirm and set up payor coverage structures. + Obtain prior authorization for services. + Process appropriate items in the patient, ... patient access representative (call center). + spokane , washington +...providing exceptional customer service. Equipment will be provided for remote work. This is a 4-month assignment, with potential… more