- A-Line Staffing Solutions (Pittsburgh, PA)
- …for immediate consideration! Or call at ###. Job Description: Billing Specialist I will be responsible for qualifying, preparing and submitting claims ... to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party… more
- Accounting Now (Tampa, FL)
- …to support medical necessity) for a reconsideration, appeal, or retro authorization to the insurance carrier via payer portal, fax, etc Documents and summarizes ... The Denials Specialist performs advanced-level work related to clinical and...and CMS-1500 (HCFA) forms Experience in managing and appealing authorization or medical necessity denials Medical… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
- Compass Health Network (Wentzville, MO)
- …trainings and/or staff meetings as required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Compass Health Network (Wentzville, MO)
- …and/or staff meetings as required by Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Elite Staffing Inc. (Cary, NC)
- …patients & their insurance companies. Requirements: Candidate must have insurance and prior authorization experience, excellent verbal and written skills, 2+ ... Reimbursement Specialist Job Duties: Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial… more
- Blanchard Valley Hospital (Findlay, OH)
- …the extent possible and determined necessary. Duty 1: Analysis of the medical record to identify and assign provider deficiencies present. Knowledgeable of inpatient ... and outpatient medical record analysis policies and procedures. Duty 2: Scans...external customers. Determines the validity of requests, ensures appropriate authorization is obtained, extracts and prepares all relevant information… more
- Prestige Staffing (Atlanta, GA)
- Onsite Prior Authorization Specialist Job Overview Position requires utilization of clinical knowledge and excellent customer service skills to schedule ... and MRI/X rays/CT scans are forwarded to the facility prior to the surgery date Consult with patient to...with other physicians and vendors Assisting in preop for medical clearance for scheduled procedure Assist as needed with… more
- A-Line Staffing Solutions (Des Moines, IA)
- …billing, EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization , reimbursement counselor, Medical customer service, ... proof of vaccination Summary: The main function of a call center/customer service specialist is to interact with customers to provide information in response to… more
- Bosch Group (Farmington Hills, MI)
- …industry or cloud transformation programs as well as having prior technical experience in cloud, technology, and/or software developmentPreferred Qualifications:A ... sales experience in a large matrixed sales organization, with specialist sales experience preferredBuilding collaborative partnerships with companies and selling… more
- Ascension (Columbia, MD)
- …Management experience preferred2 years management experienceAbility to demonstrate prior experience managing projects and peopleAbility to understand basic ... range of functions, including but not limited to: Access Authorization and pre-certification, utilization review and denial management, CareCoordination,… more
- Compass Health Network (St. Charles, MO)
- …samples, maintain accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full… more
- Compass Health Network (St. Charles, MO)
- …maintain accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders ... actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of....cleanliness of unit facilities and equipment Monitor supply of medical stock, medical supplies, and laboratory needs… more
- Select Medical (Lakeway, TX)
- …A joint venture with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite only** **This position must work** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! This position is responsible for ... verify patient's insurance eligibility, benefits and requirements. Request, track and obtain prior authorization from insurance carriers within time allotted for… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply...and prior authorizations. + Demonstrated knowledge of Prior Authorization operations and medical ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding...AND EXPERIENCE: One to two years of experience in medical billing, a medical office or insurances… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist - This is an** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Montrose Memorial Hospital (Montrose, CO)
- …of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as ... patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the...and patient's plan of care as they secure payer authorization for medical services and optimize patient… more
- Premier Medical Group of the Hudson Valley (Kingston, NY)
- The Prior Authorization Specialist will support the Providers while monitoring patient flow, scheduling patient appointments, attaining prior ... authorizations and processing necessary insurance information. The Prior Authorization Specialist uses his/her working knowledge of urology and the health… more
