- Montrose Memorial Hospital (Montrose, CO)
- …day to day direction from the leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- Valor Health (Emmett, ID)
- PRIOR AUTHORIZATION SPECIALIST WFH Flexible * Emmett, ID (http://maps.google.com/maps?q=OFF-SITE+Emmett+ID+USA) Apply Description Position Title: Prior ... Business Office Supervisor's Title: HIM/Business Office Manager IHA# Position Summary: The Prior Authorization Specialist is responsible for obtaining… more
- Montrose Memorial Hospital (Montrose, CO)
- …Joint Commission meeting the highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- St. Peters Health (Helena, MT)
- JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, ... departments within the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may include, but are not limited… more
- BrightSpring Health Services (Oklahoma City, OK)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities ... authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30AM - 5:30PM Central Time * Medical,… more
- Premier Medical Group of the Hudson Valley (Newburgh, NY)
- JOB DESCRIPTION JOB TITLE: Prior Authorization Specialist - Cardiology JOB STATUS: Full-time, Non-Exempt DIVISION/LOCATION: Cardiology REPORTS TO: Practice ... clinical staff and providers to gather additional information to obtain prior authorization as needed. + Coordinate patients' procedures for both the office,… more
- TEKsystems (Louisville, KY)
- Prior Authorization Specialist Needed Description: - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements ... assignment to ensure all tasks and coordination notes are completed. Skills: Prior Authorization , Insurance Verification, medical billing, insurance follow up,… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... will be required to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of all Managed Care… more
- ManpowerGroup (Tempe, AZ)
- ** Prior Authorization Specialist - $23.50 hourly Pay Rate** **Our client in (Guam) is looking for hardworking, motivated talent to join their team. This is ... NOT entry level-Must have experience (Certified Pharmacy Tech) Don't wait. Apply today!** **Looking for candidates residing in Hawaii Islands ONLY (Remote role)** What's in it for you? *$23.50 Hourly Pay *2 nd Shift *Paid training 4 to 6 weeks (6am-2:30pm… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously ... year Seattle Children's Outpatient Pharmacy experience. + Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Min to Max Hourly Salary:… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …but must live within driving distance of Queensbury, NY. Position Summary The Authorization Specialist ensures that authorization for various services ... for basic administrative/clerical support. Essential Duties and Responsibilities: + Complete Prior Authorizations which include, but are not limited to outpatient… more
- G-TECH Services, Inc. (Detroit, MI)
- Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care ... rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge… more
- Bon Secours Mercy Health (Springfield, OH)
- …are recognized for clinical and operational excellence. Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial ... validation of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling for inpatient and outpatient services, and entering… more
- CVS Health (Pittsburgh, PA)
- …processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or apply ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… more
- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- Hartford HealthCare (Uncasville, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… 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,...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Rochester (Rochester, NY)
- …**TYPICAL DUTIES:** + Serves as back up support for the Referral Coordinator, Prior Authorization Specialist , and frontend support. + Reviews electronic ... queues, coordinates outgoing consult requests in the work queue, obtains prior authorizations when applicable. + Obtains outside medical records. Manage cancelation… more
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