- 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
- 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
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This ... receive insurance coverage for the care and services they need, as a Prior Authorization Specialist .** **Responsibilities** As a ** Prior Authorization… more
- Hospice of the Valley (Phoenix, AZ)
- …Generous Paid Time Off. + Flexible schedules for work/life balance. **Position Profile** The Prior Authorization Specialist will obtain prior ... authorization from non-Medicare insurance companies. **Responsibilities** + Obtains prior authorization from non-Medicare insurance companies. + Contacts… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… 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 ... requested services. This position is responsible for: + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite… more
- BrightSpring Health Services (Englewood, CO)
- …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 9:00am - 5:30pm Mountain Time in Centennial… 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
- Randstad US (Sacramento, CA)
- prior authorization specialist - data entry. + sacramento , california (remote) + posted 9 days ago **job details** summary + $16.50 - $17 per hour + temp to ... with our client, Randstad is currently hiring for a Medical Authorizations Specialist ! We are seeking candidates with a background in the healthcare field… 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 her knowledge and skills to review clinical information and obtain initial and continuing authorizations… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- Position Overview: We are seeking a highly organized and detail-oriented Pre- Authorization Specialist to join our team at Ortho Sport & Spine Physicians. This ... to providing exceptional patient support. Key Responsibilities: Submit and track authorization requests with insurance companies for procedures such as MRI, spine… more
- TEKsystems (Louisville, KY)
- …assignment to ensure all tasks and coordination notes are completed. Skills: Prior Authorization , Insurance Verification, medical billing, insurance follow up, ... epic, Heealhcare, customer service, data entry Top Skills Details: Prior Authorization ,Insurance Verification,medical billing,insurance follow up,epic Additional… 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 ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
- TEKsystems (Jeffersonville, IN)
- …Strong customer service and communication skills. + Experience in benefits administration, prior authorization , and benefit verification. + Ability to handle ... complex, sensitive conversations with professionalism. + Detail-oriented, with strong problem-solving and organizational skills. + Ability to maintain confidentiality and comply with HIPAA and other relevant regulations. Preferred: + Bilingual in Spanish or… more
- TEKsystems (Jeffersonville, IN)
- …+ Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level #PriorityCentral About ... TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America,… more
- TEKsystems (Sellersburg, IN)
- …Identifies and communicates patients' plan benefit coverage including the need for prior auth, appeal, tier exception, and/or formulary exclusions . Uses electronic ... and patient interaction . 6 months of payer benefits experience (reimbursement, prior auth, etc), healthcare industry experience or healthcare related experience is… more
- Hartford HealthCare (Hartford, 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
- 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
- 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
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