- Northwestern Medical Center (St. Albans, VT)
- Prior Authorization Specialist Central Registration Northwestern Medical Center, where you can be the difference. Come join the NMC family, where we ... provide exceptional healthcare for our community. NMC is currently recruiting for a Prior Authorization Specialist in Central Registration. This position is… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... a similar healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience. + Previous Medical Assistant experience.… 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 authorization for all obstetrical patients, medication...authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies. This role involves… more
- Select Medical (Columbus, OH)
- …**Select Specialty Hospitals - Columbus** **Critical Illness Recovery Hospital** **Columbus, OH** ** Prior Authorization Specialist / Payor Relations ... **Location** _US-OH-Columbus_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **39493BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible ... OR + High school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access Associate… 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 ... This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30a...8:30a - 5:30p Central Time in Oklahoma City * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- Sanford Health (Fargo, ND)
- …The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... tests, procedures, and other services. Responsible for assuring that prior authorization for medical services, including testing, procedures, surgery,… more
- TEKsystems (Chicago, IL)
- …advancing high-quality, evidence-based cancer care. Job Description: + Will be doing prior authorization for treatment, scans, procedures for cancer treatment ... patients for additional information and completion of the required prior authorization in order to proceed with...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Glens Falls Hospital (Glens Falls, NY)
- …be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:** *NY-Glens ... our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop...benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding… more
- Marshfield Clinic (Marshfield, WI)
- …records to assess if a proposed treatment or medication needs prior authorization based on insurance guidelines and medical necessity criteria. + **Benefit ... data entry and review of medical records to ensure correct prior authorization requests. + **Problem-solving skills:** Ability to identify potential issues… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Job Summary**...world and has been the site of many groundbreaking medical and technological advancements since the opening of the… more
- Glens Falls Hospital (Ballston Spa, NY)
- …coordination of benefit * Prepare and compile necessary documentation to secure prior authorization .Collect clinical information regarding service to be rendered ... patient financial obligations / secure payment arrangements * Contact provider/payer to obtain prior authorization * Gather additional clinical and / or coding… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... parties as needed. **SERVICE ESSENTIAL FUNCTIONS** + Initiate and manage the authorization process for medical services and simple procedures and treatments.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information ... orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care review… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... $24.53 Apply Now External Applicant link Internal Applicant link Job Details: The Authorization Specialist plays an intricate role in procuring payment for… more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations… more
- Centene Corporation (Salem, OR)
- …weekends and/or holidays. **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization ... authorization review process by researching and documenting necessary medical information such as history, diagnosis, and prognosis based... requests for services in accordance with the insurance prior authorization list and routes to the… more
- Lawrence General Hospital (Lawrence, MA)
- …Infusion Operations Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all information for ... for authorizations of various high-cost pharmaceuticals. The Infusion Clinical Authorization Specialist collaborates with insurance companies to proactively… more
- Health First (Melbourne, FL)
- …referrals and submit medical records to insurance carriers to expedite prior authorization processes in accordance to Health First policy and procedures ... and the communities we serve. **Job:** **Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** * Authorization Specialist - Ortho… more
- Penn State Health (Hershey, PA)
- … medical or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient **Location** ... **Penn State Health** - **Hershey Medical Center** **Location:** US:PA: Hershey **Work Type:** PRN...or equivalent required. Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical… more