• Insurance Verification/ prior

    TEKsystems (Minneapolis, MN)
    …have even been promoted while on contract Skills/Qualifications: + 5+ years of Insurance verification and prior authorization + 3+ years of healthcare call ... The PAC will coordinate review of all application documents conduct insurance investigations when applicable assess patients financial information and provide an… more
    TEKsystems (11/21/24)
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  • Patient Access Specialist (Differential…

    Sanford Health (Fargo, ND)
    …**Job Summary** The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, ... etc.; determines if insurance meets prior authorization criteria. Collects necessary documentation and communicates with third party payers, healthcare… more
    Sanford Health (11/25/24)
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  • Prior Authorizations Specialist

    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
    Hartford HealthCare (10/24/24)
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  • Director of Risk Management & Safety

    Stark Tech Group (Buffalo, 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
    Stark Tech Group (11/23/24)
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  • Prior Authorization Specialist

    Texas Health Action (Austin, TX)
    …throughout the state. Read more about THA here: http://texashealthaction.org. The Prior Authorization Specialist serves our Kind Clinics and Waterloo ... 40 hours a week. Core Functions: + As a Prior Authorizations Specialist , you will be responsible...gather necessary documentation and information + Review and submit prior authorization requests to insurance companies and… more
    Texas Health Action (11/20/24)
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  • CMA, Prior Authorization Specialist

    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 (10/01/24)
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  • Prior Authorization Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    **39493BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... verifying insurance coverage and eligibility, and obtaining required pre-authorizations for...school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare… more
    Texas Tech University Health Sciences Center - El Paso (11/25/24)
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  • Prior Authorization Specialist

    New England Cancer Specialists (Scarborough, ME)
    Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Prior Authorization Specialist . This position will join a varied team of ... extraordinary professional care and customer service to our customers. The Prior Authorization Specialist will handle non-clinical administrative aspects of… more
    New England Cancer Specialists (11/06/24)
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  • Prior Authorization Specialist -…

    Select Medical (St. Charles, MO)
    **Overview** **Select Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** ** Prior Authorization Specialist / Payor Relations Specialist ( ... by doing what is right. As the Payor Relations Specialist , you will manage the pre-certification and prior...Extended Illness Days (EID). + Health, Dental, and Vision insurance ; Life insurance ; Prescription coverage. + A… more
    Select Medical (11/09/24)
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  • Prior Authorization Specialist

    BrightSpring Health Services (Oklahoma City, OK)
    …nationwide through our growing network of branches and healthcare professionals. The Prior Authorizaton 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
    BrightSpring Health Services (11/05/24)
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  • Prior Authorization Specialist

    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
    Children's Clinics (10/31/24)
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  • Prior Authorization Specialist

    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 ... will be required to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of all Managed… more
    St. Peters Health (11/12/24)
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  • Prior Authorization Specialist

    Actalent (St. Louis, MO)
    Prior Authorization Specialist Job Description Support a variety of outpatient clinics in a pharmacy prior authorization capacity. You will report to the ... in ensuring that patients receive their prescribed medications through proper insurance verification and communication. Responsibilities + Complete 22 referrals per… more
    Actalent (11/19/24)
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  • Prior Authorization Nurse Specialist

    Health First (Rockledge, FL)
    …**Job:** **Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** * Prior Authorization Nurse Specialist HFHP - Clinical Operations* ... associated with a sustainable, measurable, accurate, reliable and timely execution of the Prior Authorization Process. Success in this position will be based on the… more
    Health First (11/21/24)
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  • Network Prior Authorization and Referral…

    St. Luke's University Health Network (Allentown, PA)
    …orders for PCP and Specialty prior to date of service. + Submit for insurance referrals for all PG Specialty and PCP orders and SL Care Now Departments. + Submit ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed for… more
    St. Luke's University Health Network (09/18/24)
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  • Prior Authorization Specialist

    TEKsystems (Tempe, AZ)
    …Patient Access, Customer service, medical terminology, medical billing, medical claim, Insurance Verification, EOB, ERB, Medical Records, prior authorization, ... Team. This can include but is not limited to: *Consult Orders ( Specialist Office Visits) *Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)… more
    TEKsystems (11/12/24)
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  • Patient Service Specialist Prior

    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
    Bon Secours Mercy Health (10/01/24)
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  • Prior Authorization Specialist

    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
    Ortho Sport and Spine Physicians (09/19/24)
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  • Prior Authorizations & Referrals…

    TEKsystems (Phoenix, AZ)
    …Team. + This can include but is not limited to: + Consult Orders ( Specialist Office Visits) + Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.) + ... Referrals and Authorizations + Maintaining service level agreements in complex insurance authorizations. + Meeting or exceeding performance requirements for 6 months… more
    TEKsystems (11/23/24)
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  • Prior Authorization Specialist

    TEKsystems (Plymouth, IN)
    …IN Skills and Qualification + Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level ... cases from initiation to closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance… more
    TEKsystems (11/13/24)
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