- Froedtert South (Kenosha, WI)
- Prior Authorization / Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply Now Job Details + POSITION PURPOSE + A Prior - ... ) requirements are met for both the facility and professional services. The Prior - Authorization / Referral Specialist provides detailed documentation and… more
- 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
- Prime Healthcare (Chicago, IL)
- … prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... referral specialist makes referrals to specialist for the office practices along with prior...polite and friendly manner. Be able to maneuvers through prior authorization with insurance companies and provide… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** 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 (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical… more
- 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 (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
- 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
- Sanford Health (Fargo, ND)
- …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 professionals… more
- TEKsystems (Overland Park, KS)
- Description TEKsystems is partnered with a leading physicians clinic seeking a Prior Authorization Specialist to join their diverse and inclusive team in ... fax communications. Responsible for verification and investigation of pre-certification, authorization , and referral requirements for services. Coordinates and… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Job Summary**...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- UPMC (Harrisburg, PA)
- **UPMC seeks an Authorization Specialist to join the Pain Management department.** **Monday-Friday 7:30am-4pm. No weekends or holidays!** **Purpose:** To perform ... 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 (Beaver, PA)
- …to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist , you will play a vital...provide exceptional care at Hillman Cancer Center! **Responsibilities:** + Prior authorization responsibilities + 1. Reviews and… more
- 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
- 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
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial Mitigation ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations per payer guidelines prior to services… more
- University of Rochester (Rochester, NY)
- …as assigned. 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
- UT Health (Houston, TX)
- Insurance Authorization Verification Specialist I -Revenue Cycle **Location:** Houston, Texas **Category:** Professional/Managerial 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
- CaroMont Health (Gastonia, NC)
- …eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements are met prior to the delivery of ... Job Summary: The Pre- Authorization Specialist is a member of the Utilization Review Department who is responsible for verifying… more
- 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
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