- CVS Health (Phoenix, AZ)
- …with heart, each and every day. **Position Summary** - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer ... and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... Transcript **Travel Required:** Up to 25% **Major/Essential Functions:** + Handle authorization process and obtain pre-certification approvals prior to service. +… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II (ALD) Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... the safety net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all… more
- UPMC (Steubenville, OH)
- …detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist, you will play a vital role in ensuring patients have access to the care they deserve. We… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will ... record documentation for patient history and diagnosis, submitting and obtaining authorization , scheduling testing and imaging for patients, and other office duties… more
- University of Colorado (Aurora, CO)
- **Pre- Authorization Specialist** **Description** **Univers** **ity of Colorado Anschutz Medical Campus** **Department: Orthopedics** **Job Title:** **Position #:** ... to detail, accuracy, follow-through, and independent problem-solving** **Key Responsibilities:** ** Authorization & Insurance Workflow - 75%** + Manage end-to-end … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Director of Authorization -Patient Financial Services Mount Sinai Health System-Corporate 42nd Street -Full-Time-Days** The Director Health ... System Authorization is for the Mount Sinai Health System (MSHS)...MSHS and the Faculty Practice Plan) is accountable for authorization across the medical center. The Director will report… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** BJC is looking to hire a Authorization Specialist! **Additional Preferred Requirements** + Remote Role Monday - Friday ... 8:00-4:30 Pm + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals, EPIC, Patient registration, and Insurance Verification + Daily Pay!… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. **Centene is hiring a Remote Clinical Review Nurse - Prior Authorization ** to support our **Duals team** . The **ideal candidate** will have ... This role is responsible for conducting clinical reviews for prior authorization requests in accordance with medical necessity guidelines, regulatory requirements,… more
- HCA Healthcare (Nashville, TN)
- …individual is recognized. Submit your application for the opportunity below:Central Authorization Rehab CoordinatorWork from Home **Benefits** Work from Home offers ... Eligibility for benefits may vary by location._** We are seeking a Central Authorization Rehab Coordinator for our team to ensure that we continue to provide… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to interface… more
- University of Utah Health (Salt Lake City, UT)
- …obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with physicians, ... codes and related medical records are submitted in the authorization request. Requires critical thinking to determine what each...payer requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day… more
- Saratoga Hospital (Saratoga Springs, NY)
- Supervisor, Referral and Authorization Salary Range: $20.52-$33.70/hr based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we've ... Role We're looking for a dedicated Supervisor, Referral and Authorization to join our team and help us continue...and coordination of daily operations of the Referral and Authorization team within Patient Engagement Center (PEC), under the… more
- Trinity Health (Livonia, MI)
- …**Monday-Friday 8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of ... all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities include processing all frontend documentation needed… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details The Financial Clearance Authorization Coordinator is responsible for ensuring a patient's visit is financially ... information. The role performs insurance verification, insurance notification and authorization , patient financial responsibility communication, and other patient access… more
- University of Washington (Seattle, WA)
- …Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Per Diem * Day Shifts **POSITION ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as a… more
- Centene Corporation (Oklahoma City, OK)
- …cases and support member/provider needs.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- Hartford HealthCare (Manchester, CT)
- …19 towns. *POSITION SUMMARY:* This position reports to the Manager, Central Authorization Center and works directly with FCC, ASC scheduling and physician's offices ... care authorizations; follows up to obtain missing patient and/or insurance pre- authorization data as required. Researches and resolves reasons for insurance and… more
- Omaha Children's Hospital (Omaha, NE)
- …including veterans and people with disabilities. **A Brief Overview** The Prior Authorization Therapist serves as a licensed clinician responsible for managing the ... utilization review and authorization process for patients receiving care within the Partial...and evidence-based standards. **Essential Functions** + Utilization Management & Authorization + Conduct timely and comprehensive clinical reviews for… more
- Henry Ford Health System (Detroit, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures ... and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance improvement… more
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