- 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
- 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
- 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 (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
- 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
- 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 (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
- 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
- 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 (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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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