- The Cigna Group (Bloomfield, CT)
- As a **Pharmacy Prior Authorization Senior Representative ** , you will be working on a specialized team focused on high touch programs to assist our ... strong communication skills to handle patient questions, payment method processing, and prior authorization follow up. **What you need to do the job:** + High… more
- Prime Healthcare (Chicago, IL)
- …West Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining ... are required. Preferred qualification: 1. Previous experience in pharmacy, infusion, or prior authorization process is preferred. Pay Transparency Saint Francis… more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
- Covenant Health (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… more
- Arnot Health (Elmira, NY)
- …hospital services. This position will require a degree of complexity and prior anatomy education. DUTIES AND RESPONSIBILITIES: COMMUNICATION: 1. Promptly answers the ... to conference with other departments to bring about conflict resolution to pre- authorization problems. 14. Demonstrates the ability to be cross-trained to other… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of ... timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and courteous when addressing… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of ... timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing… more
- Avera (Pierre, SD)
- …patients. Work where you matter.** **A Brief Overview** Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and ... from insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier +… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... CRS, and private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology, CPT, and ICD-10… more
- Ochsner Health (New Orleans, LA)
- …with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Lake Region Healthcare (Fergus Falls, MN)
- …will facilitate the gathering of information to verify medical necessity to meet prior authorization and insurance referral requirements, as well as gather ... limited to: + Receive and review requests from provider and determine if a prior authorization is required according to the payer's criteria. + Gather, collect… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate of… more
- Henry Ford Health System (Troy, MI)
- …with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the highest rate of… 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...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
- Granville Medical Center (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: *...When needed, will also cross-function as a patient services representative and cashier. QUALIFICATIONS * High school diploma or… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...When needed, will also cross-function as a patient services representative and cashier. # # QUALIFICATIONS# # High school… more
- University of Miami (Medley, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are completed in… more
- Mount Sinai Health System (Greenlawn, NY)
- **Job Description** **Per Diem - Patient Service Representative - Greenlawn, Long Island - OFFS** **Strength Through Diversity** Ground breaking science. Advancing ... medicine. Healing made personal. **Job Title: Patient Service Representative ** The Offsite Patient Service Representative I provides front line contact as a… more
- Catholic Health Services (Melville, NY)
- …through an online system to secure authorizations for scheduled procedures requiring an authorization , prior to the date of service. Responsibilities: + Utilize ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible. +… more
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