- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Benefits Verification Specialist Location: Remote Duration: 3+ month's...to expedite patient access. Could include documenting and initiating prior authorization process, claims appeals, etc. Completes… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Sanford Health (ND)
- …The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... of health and healing across our broad footprint.** **Facility:** Remote ND (Central Time) **Location:** City - Remote...insurance meets prior authorization criteria. Collects necessary documentation and… 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
- Centene Corporation (Tampa, FL)
- …on workplace flexibility. **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...medical terminology and insurance preferred. **Location:** Position is 100% remote . Candidate must live in Florida. Centene offers a… more
- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Supports the prior authorization request to ensure all authorization requests ... requests for services in accordance with the insurance prior authorization list + Supports and performs...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- TEKsystems (Atlanta, GA)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... As the Medical Program Specialist If you're ready to explore the next...growth opportunities for you career Standard Hours - 100% remote . Monday-Friday (8:00am-6:00pm) Competitive Pay - $21.00 an hour… more
- TEKsystems (Durham, NC)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... As the Medical Program Specialist If you're ready to explore the next...growth opportunities for you career Standard Hours - 100% remote . Monday-Friday (8:00am-8:00pm - 8 hour shift will be… more
- TEKsystems (Chicago, IL)
- …+ 1-3 Years: Healthcare Insurance Verification Experience + 1-3 Years: Prior Authorization Experience + 2-3 Years: Patient Access/Patient Registration ... Remote Pharmacy Program Specialist - ...patient's prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding… more
- Medtronic (FL)
- …In this exciting role as a Principal Software and Product Security Compliance/Audit Specialist you will have responsibility to plan, lead, conduct and report on ... sustainable impact. **As a Prin Software and Product Security Compliance Specialist :** + **Must have experience and knowledge working with regulated medical… more
- TEKsystems (Charlotte, NC)
- …care, medical, insurance, patient access, medical terminology, patient registration, prior authorization , inbound call, administrative support, bilingual, ... Description: The Program Specialist is responsible for serving as the customer's...management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that… more
- TEKsystems (Richmond, VA)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... Healthcare Program Specialist Fully remote with equipment provided!!...prescribed therapy is eligible for coverage. . Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding… 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
- Molina Healthcare (WI)
- **Job Description** **Job Summary** The Sr IRIS Operations Specialist is responsible for leading and executing activities and initiatives to support IRIS program ... of referrals, enrollments, disenrollments, workload assignments, ongoing eligibility, service authorization , and other requirements of Wisconsin's IRIS program. The… more
- AdventHealth (Altamonte Springs, FL)
- …better. **Shift** : Monday-Friday; Full-time- 8:30am-5pm CST **Job Location** : Remote **The role you'll contribute:** Ensures patients are appropriately registered ... meetings and promotes positive dialogue within the team . Insurance Verification/ Authorization : . Contacts insurance companies by phone, fax, online portal, and… more
- Sharecare, Inc. (Richmond, VA)
- …and that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. This position is fully 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
- 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
- Sharecare, Inc. (Austin, TX)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... and accurate manner. **Qualifications:** + High School Diploma (GED) required + 1 year prior experience in a medical records department or like setting + Must have… more
