- Peoples Home Health, LLC (Pensacola, FL)
- …to accurately reflect coverage amounts and Client co-pay (prior approval of insurance authorization ). The Intake Specialist must be able to discuss and relay ... appropriate clinical information to obtain authorization for Home Care Services. They are also responsible...insurance contracts. Monitors the web-based program, Allscripts, for open referrals and respond as needed. Assist with accepting physician… 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 ... to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral process.… more
- Rochester Institute of Technology (Rochester, NY)
- …from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as required. + Clinical referral process + Use the ... **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** +...as requested + Prior authorization + Using information… more
- University of Washington (Seattle, WA)
- … Authorization Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior Authorization Specialist .** **WORK SCHEDULE** + ... the UW Medicine Health System and to process prior authorizations + Process referrals /prior authorization in accordance with UW Medicine standards, ensuring all… 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… more
- BayCare Health System (Clearwater, FL)
- …**Shift:** 8:00 AM to 4:30 PM + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following the below ... will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying...+ Required - 2 years of Insurance Verification and Authorization Retrieval or Referrals + Required -… more
- Trinity Health (Syracuse, NY)
- …in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT ... clinical services staff. This role focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization… more
- Saint Francis Health System (Tulsa, OK)
- …& Sundays (weekdays as needed)** **8:00am - 4:30pm** Job Summary: The Authorization Specialist I directly impacts the billing and collections functions ... cycle by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments as well as inpatient… more
- Lake Region Healthcare (Fergus Falls, MN)
- …Position Type 80 Hours Biweekly Category Billing and Registration Description The Pre- Authorization Specialist will facilitate the gathering of information to ... verify medical necessity to meet prior authorization and insurance referral requirements, as well as gather information for inpatient and swing bed stay approvals.… 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 electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for referrals in Epic. 4. Update the… more
- Hartford HealthCare (Hartford, CT)
- …**Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Prior Authorization Specialist - Physical Medicine Rehab * ... urgent care and more than 30 different specialties. *_Job Description_* Authorization Coordinators are responsible for obtaining authorizations on all testing… 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, ... provide accurate patient estimate as requested, obtain or verify authorization for the procedures and treatments ordered by the...* Participate in orientation of new staff * Obtain referrals from payers that require it * Obtain insurance… more
- Children's Clinics (Tucson, AZ)
- …Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals . Submits for onsite and offsite appointments, ... of AHCCCS, CRS, and private insurance guidelines + Knowledge of precertification, referrals , and prior authorization + Knowledge of medical terminology, CPT,… more
- Option Care Health (Springfield, IL)
- …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected ... Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed...benefit verification or authorization for all new referrals with speed and accuracy. + Assist AVA Supervisor… 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
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, Infusion Authorization Specialists are a pivotal role that involves extensive interaction with various internal and external ... + obtaining insurance prior authorizations for episode-based infusion treatment referrals primarily administered in SLHS non-oncology infusion centers + providing… more
- Actalent (Sparta, NJ)
- Job Title: Patient Care SpecialistJob Description We are seeking a dedicated Patient Care Specialist to join our team. In this role, you will handle a high volume of ... service. + Confirm eligibility of various patient insurance plans. + Obtain referrals as needed. Essential Skills + Experience with EMR systems, particularly ModMed.… more
- Saratoga Hospital (Saratoga Springs, NY)
- …Center (PEC), under the direct supervision of the Manager. The Referral and Authorization Specialist (RAS) is responsible for scheduling and routing referrals ... + Act as a role model for Referral and Authorization Specialist performance standards. + Maintains effective... Responsibilities: + Makes outbound calls to schedule incoming referrals or orders for all practices or modalities within… more
- Whidbey General Hospital (Coupeville, WA)
- … and authorizations in place. + Documents contact person name, eligibility, benefits, referrals , authorization , and any other pertinent information in notes. + ... organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow up, verifying insurance and providing financial… more
- LA Care Health Plan (Los Angeles, CA)
- …The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the ... duties as assigned. Duties Functional Elements: Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests… more
