- UPMC (Pittsburgh, PA)
- …Pittsburgh Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Authorization Specialist to join their team! This is a Monday ... 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 (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Pittsburgh, PA)
- …Physicians Department of Physical Medicine and Rehabilitation is hiring a full-time Senior Authorization Specialist to join their team! This position will be ... all work is to conform. The expertise of the Authorization Specialist Senior shall include an in...applications and payor/ contracted provider web sites to perform prior authorization , edit, and denial services.4. Provides… more
- UPMC (Steubenville, OH)
- …to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist , you will play a vital...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... clinic, inpatient admission, ancillary services and/or chemotherapy and other infused...documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in… more
- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and...and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct… more
- Lake Region Healthcare (Fergus Falls, MN)
- …Position Type 80 Hours Biweekly Category Billing and Registration Description The Pre- Authorization Specialist will facilitate the gathering of information to ... verify medical necessity to meet prior authorization and insurance referral requirements, as...insurance referral requirements, as well as gather information for inpatient and swing bed stay approvals. Duties and responsibilities… 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...or rendered at UNC Health Wayne for outpatient & inpatient visits. Obtains insurance information that will be verified… more
- Avera (Pierre, SD)
- …will collect patient liability prior to service and attempt to collect prior balances. The Specialist collaborates with various other departments to ensure ... Overview** Responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... therapy (SCT) recipients and/or the family/caregivers of SCT recipients during inpatient hospitalization for cancer, chemotherapy and its complications and all… more
- Northern Light Health (Presque Isle, ME)
- …is complete. + Maintains current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior Authorization Policy. + ... efficiently to assure services needed are received timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to… more
- Logan Health (Kalispell, MT)
- …about helping people navigate the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role in ensuring our patients ... barriers and document accordingly. + Estimate and collect patient liability prior to service, following cash management policies. + Maximize collection of… more
- Henry Ford Health System (Detroit, MI)
- … Support: Efficiently validate insurance coverage and determine when medication prior authorization is required, ensuring accuracy and compliance with ... medications, NDCs, and corresponding HCPCS codes to ensure accurate prior authorization , billing, and reimbursement. Collaborate with...at least two (2) years of experience as an inpatient pharmacy technician (for inpatient setting) OR… more
- ProMedica Health System (Toledo, OH)
- …collection, inpatient reviews, medication stewardship, patient education, prior authorization facilitation, referral procurement, and discharge medication ... Days (United States of America) **Job Summary:** As an ICU Clinical Pharmacy Specialist IV, you provide comprehensive inpatient pharmacy services, including drug… more
- HCA Healthcare (San Antonio, TX)
- …like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist ... Come join our team as a(an) Transplant Clinical Pharmacist Specialist . We care for our community! Just last year,...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more
- University of Miami (Miami, FL)
- …department. + Assists in scheduling images appointments for patients. + Assists in prior authorization paperwork for external imaging. + Contact patients as ... of OBGYN has an exciting opportunity for a full-time Clinical Business Operations Specialist to work in Miami, FL. The Clinical Business Operations Specialist … more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited...telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management *… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... * Clinical Pharmacy Specialist - Hematology * The *Pharmacy Division* is...pharmacy practice on the assigned service(s), actively participates in inpatient rounds and/or outpatient clinic coverage, including on-call and… more
- Penn Medicine (Philadelphia, PA)
- …knowledge of insurance plans and policies in regard to financially clearing inpatient and outpatient based procedures. The Pre-Registration Specialist is ... 3535 Market Street, Philadelphia** **Hours: Full-Time** Summary: + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual… more
- BJC HealthCare (St. Louis, MO)
- …appeal. Ideal candidates will have a background in denial follow up and/or prior authorization . **Overview** **BJC HealthCare** is one of the largest nonprofit ... Information About the Role** BJC HealthCare is seeking a Clinical Appeals Specialist to assist with infusion appeals for both government and commercial plans.… more
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