• Insmed Incorporated (Dallas, TX)
    …and ensure a holistic and patient-centric approach to care. Prior Authorization & Insurance Coordination: Verify insurance coverage and prior authorization ... and experience with health insurance, Medicare Part D coverage, prior authorization process, and Rx reimbursement, specifically in specialty drugs Understands HIPAA… more
    HireLifeScience (01/22/25)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
    HireLifeScience (01/22/25)
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  • Medical Authorization Assistant…

    US Tech Solutions (Orange, CA)
    + The Medical Authorization Assistant will provide office and case management support services by serving as a contact between members, physicians, nursing home ... + The incumbent will complete initial intake of information, assist with authorization functions and gather information. The incumbent will perform under the… more
    US Tech Solutions (01/09/25)
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  • Medical Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience. + Previous Medical Assistant experience. Please complete ... a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for… more
    St. Luke's University Health Network (12/24/24)
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  • Authorization Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …equivalent combination of education and experience. Preferred Qualifications: One year of medical authorization submission preferred. Work Days: Monday - Friday ... carriers via web, phone, and fax to obtain benefit and authorization requirements. Processing pre-service authorizations for radiology advanced imaging, injectable… more
    SUNY Upstate Medical University (01/03/25)
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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 procedure authorizations from insurance companies. This role involves… more
    Atlantic Health System (12/31/24)
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  • Prior Authorization - LPN - LVN - Remote

    CVS Health (Austin, TX)
    …and problem-solving skills to support the research of documentation, communication of medical services, and prior authorization determinations. * Ability to ... and affordable. Candidates **MUST HAVE AT LEAST TWO YEARS OF** prior authorization experience. Schedule: For training there is a set schedule 8am-430pm CST… more
    CVS Health (01/24/25)
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  • Patient Access Specialist - Prior…

    Sanford Health (Fargo, ND)
    …tests, procedures, and other services. Responsible for assuring that prior authorization for medical services, including testing, procedures, surgery, Durable ... Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if insurance… more
    Sanford Health (01/08/25)
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  • Authorization Specialist - Ortho Surgery…

    Health First (Melbourne, FL)
    …and submit medical records to insurance carriers to expedite prior authorization processes in accordance to Health First policy and procedures * Manage ... the communities we serve. **Job:** **Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** * Authorization Specialist - Ortho Surgery… more
    Health First (01/24/25)
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  • Patient Authorization Representative

    UCLA Health (Los Angeles, CA)
    …a flexible, customer-focused, detail-oriented individual with: + Experience with pharmaceutical/ medical insurance verification and authorization + Excellent ... Description As a Patient Authorization Representative, you will be responsible for: +...with Word, Excel, and CareConnect system + Experience with medical office procedures, including scheduling appointments UCLA Health welcomes… more
    UCLA Health (01/23/25)
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  • Referral & Authorization Specialist…

    Glens Falls Hospital (Glens Falls, NY)
    …per week, can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:** ... Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This position can further develop your skills in compliance, medical more
    Glens Falls Hospital (11/01/24)
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  • Senior Insurance Authorization Specialist…

    Houston Methodist (Houston, TX)
    …parties as needed. **SERVICE ESSENTIAL FUNCTIONS** + Initiate and manage the authorization process for medical services and simple procedures and treatments. ... At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical more
    Houston Methodist (12/16/24)
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  • Clinical Review Nurse - Prior Authorization

    Centene Corporation (New York, NY)
    …a New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization ...Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of… more
    Centene Corporation (01/18/25)
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  • Referral and Authorization Clerk: Crouse…

    Crouse Hospital (East Syracuse, NY)
    Why Crouse Medical Practice? At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best ... + Opportunities for professional growth & stability within a fast growing Medical Practice + Longevity and consistency of management + Perfect attendance award… more
    Crouse Hospital (01/20/25)
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  • Coordinator, Referral/ Authorization

    Pomona Valley Hospital Medical Center (Pomona, CA)
    …copy machine, multi-line telephone). At least 1 year clerical experience in a medical office setting. Knowledge of authorization /referral process for HMO/PPO and ... Job Summary: Processing patient referrals to specialists and obtain authorization from third party payer. Keep patients informed of the status of the referral and… more
    Pomona Valley Hospital Medical Center (01/23/25)
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  • Prior Authorization Representative I

    University of Utah Health (Salt Lake City, UT)
    …creates pre-service liability estimate. + Ensures accurate ICD, CPT codes and related medical records are submitted in the authorization request. + Secures prior ... obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with physicians,… more
    University of Utah Health (01/24/25)
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  • Coordinator- Authorization - ME Case…

    Baptist Memorial (Memphis, TN)
    …Experience Experience Minimum: 2 years' clerical/support experience in a medical environment Experience Preferred: Previous authorization coordinator experience ... Summary The Authorization Coordinator is responsible for facilitating information documentation...Review Nurse + Works assigned queues in the electronic medical record + Documents next review dates in the… more
    Baptist Memorial (01/06/25)
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  • Financial Authorization Associate…

    Mount Sinai Health System (New York, NY)
    …as necessary. Assists in training, mentoring and education of junior financial authorization and related medical clerical staff. **Qualifications** + Associates ... **Job Description** The Financial Authorization Associate II verifies or obtains insurance benefits...patients, determines patient liability and coordinates payment of uncovered medical expenses. Assists patients with insurance and payment issues,… more
    Mount Sinai Health System (12/19/24)
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  • Medical Biller/Customer Service Rep

    Rick's Medical Supply (Grants Pass, OR)
    …+ Submits appropriate documentation such as prescription, labs results, medical justification, authorization , eligibility, and others as necessary ... our customers." Looking for a new opportunity? At Rick's Medical Supply, a SuperCare Health company, you have the...satisfying. Essential Duties: Under the general supervision of the Medical Necessity Supervisor, a Medical Necessity Specialist… more
    Rick's Medical Supply (01/22/25)
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  • Authorizations Coordinator II

    Modivcare (Rochelle Park, NJ)
    …overall efficiency of services. This role + Initiates and completes the authorization process for medical services; responds within pre-established timeline for ... authorization requirements for each case. + Handles complex medical service authorization requests, requiring a deeper understanding of medical more
    Modivcare (11/27/24)
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