- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Prior Authorization Manager is responsible for the work of the Prior Authorization Coordinators and ensuring the quality of the ... prior authorization workflow. Acting as a working manager ,...tracking productivity towards goals, hiring, training, and managing the Prior Authorization Coordinators, and completing the necessary… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Manager , Network Prior Authorization Services is responsible for monitoring and ... the department, coordinating day-to-day activities, including direction of the Network Prior Authorization and Referral Specialists. JOB DUTIES AND… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* Under the direction of the Manager , Prior Authorization Services, HHC Cancer Institute, performs ... and other duties as assigned. *_Working Relationships:_* *This Job Reports To:* Manager , Prior Authorization Services, HHC Cancer Institute *_Requirements… more
- Fallon Health (Worcester, MA)
- …and LinkedIn. **Brief summary of purpose** : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted ... facilities/agencies/providers to collect pertinent prior authorization request data and disseminates information...Manager as business needs dictate. + Prepares completed authorization records for filing in accordance with company record… more
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... possible. What you'll do nder the direction of the Manager , Security Operations, the Security Officer I performs a...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Office Manager will be responsible for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab ... in insurance and reimbursement requirements inclusive of coding and treatment authorization and making recommendations to optimize compliance. Management of … more
- Elevance Health (Indianapolis, IN)
- …clinical-first lens, to deliver member-centered, lasting pharmacy care. **Title** : Prior Authorization Clinical Pharmacist **Virtual:** This role enables ... an accommodation is granted as required by law._** The ** Prior Authorization Clinical Pharmacist** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Dayton Children's Hospital (Dayton, OH)
- …+ Registration/Front desk experience (preferred) + Healthcare experience (preferred) + Prior authorization knowledge (preferred) + ICD-10 familiarity Education ... Facility:Dayton Children's - Tech TownDepartment:Patient Access - Pre-Registration/ Prior AuthorizationSchedule:Full timeHours:40Job Details:Patient Access Representatives provide customer-service… more
- Hartford HealthCare (Farmington, CT)
- …based on eligibility.* *Job Summary: Under the direction of the Prebilling and Authorization Manager , the Authorization Specialist performs all duties ... Communicate updates in insurance or regulatory guidelines to the manager and relevant departments.* *Key areas of responsibility:* *...authorization processes.* * *Assists with training of new prior authorization staff and other duties as… more
- Caris Life Sciences (Irving, TX)
- …**Position Summary** Caris Life Sciences is seeking a full-time **Billing Operations Manager ** to lead and manage the **Eligibility** function within our Billing ... eligibility processes are compliant, efficient, and patient-focused. The Eligibility Manager provides leadership, training, and performance management to staff,… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving ... referral, precertification, and/or prior authorization to support insurance specific plan...15. Other duties as needed and assigned by the supervisor/ manager . Rush is an equal opportunity employer. We evaluate… more
- University of Michigan (Ann Arbor, MI)
- …payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide subject matter ... Outpatient Authorization Specialist **Early Site Maintenance** We are performing...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- University of Connecticut (UConn) (Storrs, CT)
- …the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the accurate ... and timely pre- authorization / authorization of insurance coverage and benefits for...reports to the Student Health and Wellness Insurance Specialist Manager . SHaW is committed to diversity and inclusion, competence… more
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: This position reports to the Manager , Central Authorization Center and works directly with FCC, ASC scheduling and physician's offices to ... are prevented. + Verifies insurance policy benefit information and obtains Authorization /Precertification prior to the patient's visit, scheduled surgery,… more
- Henry Ford Health System (Troy, MI)
- …with high risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the ... Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager . Responsible for coordinating and leading a designated area within the CBO… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... payers prior to services being scheduled or rendered at UNC...electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for referrals in Epic. 4. Update the… more
- Trinity Health (Syracuse, NY)
- …This role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... appropriate health care setting. Ideally, has a background in referrals, denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M coding… more
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