- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... referrals , authorizations, pre-certifications, prescriptions for therapies, and benefit verification...**Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist * **Location:** *NY-Glens Falls* **Requisition ID:**… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... per week, can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:**… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for prior ... authorization needs, obtaining needed prior authorizations, and properly documenting...and policies + Experience as an Insurance Verification and Referrals within the organization, or at least two to… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Referral/ Authorization Specialist - Rensselaer - Remote (Must be local to Albany, NY)** If ... and abides by all HIPPA guidelines. + Obtains necessary authorization for referrals and diagnostic testing in...complete pre-certification process. + Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
- St. Luke's University Health Network (Bethlehem, PA)
- …insurance verification, obtaining pre-authorizations, scheduling, and referrals . The specialist will secure the necessary prior authorization , then notify ... ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... and surgery. Performs scheduling, insurance verification, obtaining pre-authorizations, and referrals . Ensures notification of reimbursement to physicians, nurses, financial… more
- Select Medical (West Orange, NJ)
- …judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is… more
- St. Luke's University Health Network (Allentown, PA)
- …prior authorizations for SLPG Primary Care and Specialty practices, submission of insurance referrals for all Primary Care and Care Now departments, peer to peer ... necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a...prior to date of service. + Submit for insurance referrals for all PG Specialty and PCP orders and… more
- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests ... authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit… more
- Centene Corporation (Tallahassee, FL)
- …of Florida.** **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are ... in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services… more
- UNC Health Care (Goldsboro, NC)
- …and well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by ... insurance payers electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for referrals in Epic. 4. Update the… more
- Centene Corporation (Jefferson City, MO)
- …flexibility. **Required Shift 1-9pm CST.** **Position Purpose:** Supports the prior authorization request to ensure all authorization requests are addressed ... in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related… more
- Option Care Health (Lincoln, NE)
- …is 10:30AM-7PM. This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed ... 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. Luke's Health System (Boise, ID)
- …a great place to work. We are seeking a Pharmacy Technician - Medication Authorization Specialist to join our Medication Access team. SIGNING BONUS! **What You ... governmental peer review organizations, and referring physicians + Manage referrals related to prescription medications for various disease states, obtaining… more
- University of Virginia (Charlottesville, VA)
- Assures that all referrals are managed effectively and efficiently. Provides high-level customer service to both referring physicians as well as referred patients. ... Obtains pre- authorization for all diagnostic tests and performs additional administrative...contracts/changes and departmental policies and procedures. + Assures all referrals are handled effectively and efficiently. + Analyzes information… more
- Tufts Medicine (Lawrence, MA)
- …entities, or the patients themselves, schedules services for patients, and handles referrals from primary care doctors to ensure patients are scheduled for ... recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (eg, technical, clinical, non-clinical) operating in a "hands on"… more
- TEKsystems (San Carlos, CA)
- …determine if prior authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the ... facilitate responses to patient and provider inquiries regarding authorizations and referrals within turnaround standards. The authorization coordinator position… more
- Adelante (Phoenix, AZ)
- …procedures and benefits, related to the need for referrals . Coordinates referrals with patients and specialist 's offices, and process insurance referrals ... health locations POSITION REPONSIBILITIES + Initiate and manage clinical referrals for pre- authorization + Act as a liaison between health plans, physicians,… more
- UPMC (Lemoyne, PA)
- …procedures, and benefits, related to the need for referrals . Coordinates referrals with patients and specialist 's offices, and process insurance referrals ... for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. +… more