• Referral & Authorization Specialist

    Glens Falls Hospital (Ballston Spa, NY)
    …benefit * Prepare and compile necessary documentation to secure prior authorization .Collect clinical information regarding service to be rendered as applicable (as ... obligations / secure payment arrangements * Contact provider/payer to obtain prior authorization * Gather additional clinical and / or coding information as… more
    Glens Falls Hospital (01/11/25)
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  • Authorization Specialist

    WMCHealth (Ardsley, NY)
    Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Ardsley, NY Category: Clerical/Administrative Support Department: ENT Union: No ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28301) Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures… more
    WMCHealth (01/10/25)
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  • Insurance Authorization Representative

    AdventHealth (Tampa, FL)
    **Insurance Authorization Representative - AdventHealth Primary Care Network** **All the benefits and perks you need for you and your family:** + Benefits from Day ... : 10987 Sheldon Road, Tampa, 33626 **The role you'll contribute:** Insurance Authorization Representative will work as a liaison with Hospital Authorization more
    AdventHealth (01/10/25)
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  • Authorization Representative

    AdventHealth (Tampa, FL)
    **Insurance Authorization Representative - AdventHealth Medical Group** **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... _AdventHealth Medical Group West FL_ **The role you'll contribute:** Insurance Authorization Representative will work as a liaison with Hospital Authorization more
    AdventHealth (01/09/25)
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  • Outpatient Authorization Specialist

    University of Michigan (Ann Arbor, MI)
    Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring outpatient ... insurance authorizations. The Authorization Specialist will be accountable to one or more...are obtained timely and appropriately prior to service. The Authorization Specialist will provide subject matter expertise in the… more
    University of Michigan (01/08/25)
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  • Authorization Representative

    AdventHealth (Tarpon Springs, FL)
    …Group West FL_ **The role you'll contribute:** **_Authorization Representative_** Insurance Authorization Representative will work as a liaison with Hospital ... Authorization departments to obtain insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for… more
    AdventHealth (01/07/25)
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  • Authorization Technician II

    LA Care Health Plan (Los Angeles, CA)
    Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... the safety net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all… more
    LA Care Health Plan (01/02/25)
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  • Authorization Coordinator - $23.50/hr

    Fallon Health (Worcester, MA)
    **Overview** **The Authorization Coordinator works M - F 8 am to 5 pm/ 8:30 am to 5 pm and will require at least 6 months of training 5 days/week in the office and ... Twitter and LinkedIn. **Brief Summary of Purpose:** The Fallon Health (FH) authorization process is an essential function to FH's compliance with CMS regulations,… more
    Fallon Health (01/01/25)
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  • Authorization Specialist

    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 (12/18/24)
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  • Senior Insurance Authorization Specialist…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services, ... patient's, facilities, physician's, and department to ensure timely and accurate authorization of all services/visits. + Collaborate with internal and external… more
    Houston Methodist (12/16/24)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and ... Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for… more
    Dana-Farber Cancer Institute (12/11/24)
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  • Service Coordinator - Prior Authorization

    Fallon Health (Worcester, MA)
    …: Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted facilities/agencies/providers to collect pertinent ... prior authorization request data and disseminates information to the Authorization Coordinators. Additionally, supports the authorization process by… more
    Fallon Health (12/05/24)
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  • Referral & Authorization Specialist…

    Glens Falls Hospital (Glens Falls, NY)
    …Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This position can further develop your skills in compliance, medical ... of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be rendered as applicable… more
    Glens Falls Hospital (11/01/24)
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  • Supervisor, Authorization Technician

    LA Care Health Plan (Los Angeles, CA)
    Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all… more
    LA Care Health Plan (10/26/24)
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  • CMA, Prior Authorization Specialist, Full…

    Atlantic Health System (Morristown, NJ)
    Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... authorization for all obstetrical patients, medication authorizations, and medical...documentation, scheduling peer-to-peer reviews, and meticulously documenting the entire authorization process. Responsibilities: 1. Initiate and manage the prior… more
    Atlantic Health System (12/31/24)
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  • Medical Prior Authorization Specialist

    St. Luke's University Health Network (Allentown, PA)
    …a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for ... to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior… more
    St. Luke's University Health Network (12/24/24)
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  • Authorization Specialist

    WMCHealth (Goshen, NY)
    Authorization Specialist Company: Bon Secours Charity Medical Group City/State: Goshen, NY Category: Clerical/Administrative Support Department: Goshen Medical Assoc ... External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist is responsible for performing complex clerical procedures related… more
    WMCHealth (12/13/24)
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  • Prior Authorization - LPN - LVN - Remote

    CVS Health (Austin, TX)
    …and affordable. Candidates **MUST HAVE AT LEAST TWO YEARS OF** prior authorization experience. Schedule: For training there is a set schedule 8am-430pm CST ... in accordance with CVS/Caremark policies and procedures. * Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate.… more
    CVS Health (01/10/25)
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  • Authorization & Verification Coordinator

    Crouse Hospital (Syracuse, NY)
    …various points of service throughout Crouse Hospita.lThe Patient Access team is hiring a Authorization and Verification Coordinator to work 7:30 am - 4:00 pm or 8 am ... shifts assigned Pay Range: $16.90-32.19/hour based on verified experience Authorization and Verification Coordinator Position Responsibilities: + Proficiently responds… more
    Crouse Hospital (11/22/24)
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  • Clinical Review Nurse - Prior Authorization

    Centene Corporation (New York, NY)
    …York State.** **8:30am-5pm, Monday-Friday.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
    Centene Corporation (01/10/25)
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