- Staffing Now (Norfolk, VA)
- …(8:30-5 EST) Pay: $17/hour Responsible for coordinating cases for precertification and prior authorization review. Primary duties may includes, but are not ... provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests.Refers cases requiring… more
- Beacon Hill (Robinson Township, PA)
- …patient insurance coverage - Identify any payer coverage restrictions- Document prior authorization and appeals protocols- Communicate regularly with internal ... Investigation Specialists to join their team! Searching for individuals with prior healthcare-based customer service experience. This company offers a variety of… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …staff within the surgery center including, but not limited to insurance verification, prior authorization , point of service collections, and frontline check in. ... Tasks and ResponsibilitiesResponsible for the scheduling, insurance verification, pre-registration, prior - authorization , collections and check in for patients… more
- ConsultNet (North Kingstown, RI)
- …involving claim, enrollment, and billing problems Provide advice and direction without prior authorization . Bind policies and make sales. Adhere to schedules, ... Customer Care Representative responds to inquiries regarding insurance coverage submitted...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… 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. ... limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of benefits. Benefit… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …areas Education: Associates degree in related field or equivalent experience is preferred. Proficient in Excel. SQL experience a plus Skills: Prior authorization ... normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- Percepta (Melbourne, FL)
- …bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne Florida, you'll be a part of creating and delivering ... * Ability to speak confidently about extended service business products and prior approval process * Ability to utilize web based technical service information… more
- Windstream (Live Oak, FL)
- …Manage existing agreements, including renewals, term enforcement, and payment authorization . Establish relationships with government entities to secure permits for ... and risk management teams to execute and manage contracts. Be Kinetics representative to permitting entities, governmental and legislative bodies within the assigned… more
- STS Technical Services (Philadelphia, PA)
- …System (SMS). Experience with PHL operations and airport challenges a PLUS. Authorization : All candidates must currently be authorized to work in the United ... machines and filing cabinets. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Description:** The Rep I, Clinical Services takes in-bound calls from...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion and in ... accordance with practice requirements. Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver. Verifies eligibility, benefits and contractual appropriateness. Responsible for recording referral information… more
- Hart Medical Equipment (Grand Blanc, MI)
- …services. + Maintains accurate records for certification of medical necessity and prior authorization forms. + Follows department policies and work instructions ... Supports the billing department with functions such as insurance changes and prior authorizations to ensure a complete billing transaction. ESSENTIAL DUTIES AND… more
- Fairview Health Services (St. Paul, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... Fairview at the highest benefit level. The Financial Clearance Representative (FCR) must be able to effectively articulate payor...necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization … more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: 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 staff, identifying barriers to appointment… 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. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment… 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. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment… more
- University of Rochester (Rochester, NY)
- …patient arrival + Responds in a timely manner to all eRecord messages with prior authorization status, when appropriate. Updates the requesting office of the ... into the patient chart. + Assists in cross-coverage of the Medication Prior Authorization Department when necessary. Other duties as assigned **QUALIFICATIONS:**… more
- University of Rochester (Rochester, NY)
- …case management when medical assessment is needed. + Manage and oversee the prior authorization process for procedures, specialty office visits, VA (Veterans ... procedures and testing, in alignment with department and enterprise standards. Obtains prior authorizations as needed and assists the team with other assistance as… more
- Guthrie (Johnson City, NY)
- …requested that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization Pay range for position is ... Confirms insurance coverage via payer portals and determines necessity for pre- authorization .| Obtains authorization and processes referrals for services ordered… more
