- Spectrum Billing Solutions (Skokie, IL)
- … | Utilization Management Specialist | UR Specialist | Revenue Cycle Specialist | Insurance Specialist | UR Specialist | Revenue Cycle ... streamlined manner. We are seeking to add an ABA Prior Authorization / UR Specialist to our...prioritize and meet expected deadlines. + Solid understanding of insurance benefits and coverages. + Strong computer skills (Word,… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is ... NO weekends or holidays!** **Advocate for patients to receive insurance coverage for the care and services they need,...for the care and services they need, as a Prior Authorization Specialist .** **Responsibilities** As a **… more
- Hartford HealthCare (Farmington, CT)
- … Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all in office procedures, medications, and any ... requirements for scheduled procedure, surgery and or medication. . Contacts insurance companies to obtain prior authorization via telephone and/or… more
- Stark Tech Group (Rochester, NY)
- …certification. + Chartered Property Casualty Underwriter certification. + Construction Risk Insurance Specialist certification. + Prior Construction company ... + Paid Time Off & Holidays + 401(k) with employer match + Medical/Dental/Vision insurance + Health Savings Account (HSA) and Flexible Spending Account (FSA) + HSA… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and referral ... to specialist includes, preparing and providing multiple, complex details to insurance or worker's compensation carrier to obtain prior authorizations for… more
- 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 ... up as necessary to expedite approvals. 9. Stay updated on changes in insurance policies, guidelines, and procedures related to prior authorizations. 10. Provide… more
- Atlantic Health System (Morristown, NJ)
- We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior authorizations ... up as necessary to expedite approvals. 9. Stay updated on changes in insurance policies, guidelines, and procedures related to prior authorizations. 10. Provide… more
- BrightSpring Health Services (Englewood, CO)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating ... to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior … more
- Children's Clinics (Tucson, AZ)
- …preferred + Must have thorough knowledge of AHCCCS, CRS and third party insurance prior authorization and referral guidelines + Experience in precertification, ... Children's Clinics is seeking a Full-Time Prior Authorization Specialist . As a member...authorization request and all required documentation to the appropriate insurance companies. + Track pending authorizations, follow up on… more
- Hospice of the Valley (Phoenix, AZ)
- …Profile** The Prior Authorization Specialist will obtain prior authorization from non-Medicare insurance companies. **Responsibilities** + Obtains ... prior authorization from non-Medicare insurance companies. + Contacts non-Medicare insurance companies for prior authorization upon patient admission. +… more
- Bon Secours Mercy Health (Norwood, OH)
- …for clinical and operational excellence. **Job Title:** Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial ... include collection and validation of accurate patient demographic and insurance information, obtaining pre-certification/authorization, scheduling the patient for outpatient… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- Position Overview: We are seeking a highly organized and detail-oriented Pre-Authorization Specialist to join our team at Ortho Sport & Spine Physicians. This role ... is essential in ensuring that patients receive timely care by managing insurance pre-authorizations for a variety of services including internal MRI, interventional… more
- Sanford Health (MN)
- …may include patient chart review, and assisting with and managing of insurance coverage and denials, prior authorizations, scheduled procedures, same-day ... the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating to determination… more
- TEKsystems (Louisville, KY)
- …assignment to ensure all tasks and coordination notes are completed. Skills: Prior Authorization, Insurance Verification, medical billing, insurance follow ... up, epic, Heealhcare, customer service, data entry Top Skills Details: Prior Authorization, Insurance Verification,medical billing, insurance follow up,epic… more
- TEKsystems (Jeffersonville, IN)
- …essential support to patients, healthcare providers, and clients by navigating insurance coverage, reimbursement challenges, and healthcare access. This role is an ... HSA employer contribution * Company paid and voluntary Life Insurance options * Voluntary Life, AD&D and Long-Term Disability...At least 6 months of payer benefits experience (reimbursement, prior auth, etc.). Skills: + Strong customer service and… more
- TEKsystems (Sellersburg, IN)
- …Identifies and communicates patients' plan benefit coverage including the need for prior auth, appeal, tier exception, and/or formulary exclusions . Uses electronic ... outcome Necessary Skills and Strengths: Health Plan Knowledge| Medical Insurance | Medical Terminology Core Experience: . Healthcare experience required (1.5-2… more
- TEKsystems (Jeffersonville, IN)
- …IN Skills and Qualification + Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level ... #PriorityCentral About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune… more
- Avera (Sioux Falls, SD)
- …for career growth. **Exciting opportunity to join Avera as an Insurance Specialist !** **_Position Highlights:_** + **Positive Work Environment:** Be ... employer in South Dakota.** **Job Summary** + PreArrival Management Specialist is responsible for ensuring insurance eligibility,... prior to service and attempt to collect prior balances. + The Specialist also collaborates… more