• Network Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital… more
    St. Luke's University Health Network (09/18/24)
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  • Referral Coordinator/ Prior Auth…

    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 and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (10/29/24)
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  • Referral & Authorization

    Glens Falls Hospital (Glens Falls, NY)
    …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
    Glens Falls Hospital (11/01/24)
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  • Referral & Authorization

    Glens Falls Hospital (Glens Falls, NY)
    …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Glens Falls*… more
    Glens Falls Hospital (08/14/24)
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  • ABA Prior Authorization / UR…

    Spectrum Billing Solutions (Skokie, IL)
    …is managed in the most efficient and streamlined manner. We are seeking to add an ABA Prior Authorization / UR Specialist to our growing team. The ABA ... Prior Authorization UR Specialist will utilize his or...continuing authorization for treatment services. + Manage authorization denials including referral for peer review.… more
    Spectrum Billing Solutions (10/10/24)
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  • Certified Medical Assistant Prior

    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 ... entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for all obstetrical patients and gynecological… more
    Atlantic Health System (10/01/24)
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  • Certified Medical Assistant I/ Prior

    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 ... specialized tasks. Position Principal Accountabilities: 1. Initiate and manage the prior authorization process to include medications, diagnostic testing,… more
    Atlantic Health System (10/18/24)
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  • Prior Authorization

    Children's Clinics (Tucson, AZ)
    Children's Clinics is seeking a Full-Time Prior Authorization Specialist . As a member of the dynamic Prior Authorization team the individual will ... Must have thorough knowledge of AHCCCS, CRS and third party insurance prior authorization and referral guidelines + Experience in precertification, referrals… more
    Children's Clinics (10/31/24)
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  • Authorization Specialist - Heart…

    UPMC (Pittsburgh, PA)
    **UPMC University of Pittsburgh Physicians is hiring a full-time Authorization Specialist to join their team at the** Heart Vascular Institute at CHP! This ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
    UPMC (10/12/24)
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  • Authorization Specialist

    UPMC (Wexford, PA)
    UPMC Department of Dermatology is hiring a full-time Authorization Specialist to join their team in Wexford, PA! In this position, you will work Monday-Friday ... coordinating with providers for prescriptions authorizations infusions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
    UPMC (10/12/24)
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  • Authorization Specialist - Oakland

    UPMC (Pittsburgh, PA)
    **UPP Neurosurgery is hiring a full-time Authorization Specialist . This is a Monday-Friday, daylight position with no nights, weekends, or holidays!** The UPMC ... care for those suffering with neurological Conditions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record… more
    UPMC (11/02/24)
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  • Sr Insurance Authorization

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... FUNCTIONS** + Utilizes multiple online resources to initiate and verify proper insurance authorization is obtained timely and accurately prior to the patient's… more
    Houston Methodist (09/17/24)
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  • Authorization Specialist | Access…

    Omaha Children's Hospital (Omaha, NE)
    …to proceed as scheduled. + Coordinates with billing department, Supervisor or Lead Authorization Specialist to resolve any authorization related claims ... insurance information in Epic Registration systems to initiate a referral or pre-certification. + Obtains necessary paper/electronic referrals from...authorization or coverage is in question 5 days prior to scheduled date or as soon as possible… more
    Omaha Children's Hospital (10/29/24)
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  • Authorization Specialist II

    Randstad US (Tampa, FL)
    authorization specialist ii. + tampa ,... requests for services in accordance with the insurance prior authorization list and routes to the ... working within multiple systems (FaxCom, TruCare, Microsoft Platforms, etc.) to review authorization requests from providers. salary: $18.99 - $19 per hour shift:… more
    Randstad US (10/10/24)
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  • Authorization Specialist

    Atlantic Health System (Morristown, NJ)
    …education/experience + Applicable experience as Patient Access Representative or Authorization Specialist + 0-3 years of prior experience ABOUT US At ... The Authorizations Specialist I is responsible for securing medical authorizations...written documentation, tracking, prioritizing, and reporting outcomes of each authorization request. Summary: + Completes full financial clearance of… more
    Atlantic Health System (10/30/24)
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  • Authorization Specialist II

    Centene Corporation (Tallahassee, FL)
    …include working every Saturday **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization ... such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Verifies... requests for services in accordance with the insurance prior authorization list and routes to the… more
    Centene Corporation (11/03/24)
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  • Guest Services Rep II

    University of Rochester (Rochester, NY)
    Responsibilities **Position Summary** Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (10/03/24)
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  • Pre-Arrival Authorization Specialist

    UNC Health Care (Goldsboro, NC)
    …and well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by ... obtaining authorizations from insurance payers prior to services been scheduled or rendered at UNC Health Wayne for outpatient & inpatient visits. Obtains insurance… more
    UNC Health Care (10/17/24)
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  • Authorization Specialist Financial…

    AdventHealth (Denver, CO)
    …ongoing, new, or altered. After gathering clinical information, responsible for obtaining prior authorization for infusion and injectable medications based on ... medication-based referrals as well as expiring medication-based referrals. + Verifies Prior authorization requirements based on patient's specific insurance… more
    AdventHealth (10/29/24)
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  • Insurance Authorization Verification…

    UT Health (Houston, TX)
    Insurance Authorization Verification Specialist II/III **Location:** Houston, Texas **Hot** **Category:** Healthcare Support Services McGovern Medical School at ... more! **Position Summary:** Verifies insurance policy benefit information and obtains Authorization / Precertification, prior to the patient's visit or scheduled… more
    UT Health (10/17/24)
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