- Hartford HealthCare (Farmington, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** * Prior Authorizations Specialist - Medical ... Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties... performs all clerical duties required to obtain insurance prior authorizations for all in office procedures,… more
- Bon Secours Mercy Health (Norwood, OH)
- …patients, customers and co-workers. Will work in the Kenwood office location doing prior authorizations for several of the office locations. Required minimum ... for clinical and operational excellence. **Job Title:** Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for investigating and reviewing all claim denials related to missing or invalid prior authorizations in addition to medical necessity denials for ... care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and...op erre imburs e ment. + Responsible for reviewing medical necessity of genetic testing/infusion services in addition to… 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 ... or healthcare setting, preferably in a role involving prior authorizations . + Strong understanding of medical terminology, procedures, and pharmaceuticals.… more
- Select Medical (West Orange, NJ)
- …Experience within a physical rehabilitation setting preferred + Experience submitting prior authorizations and/or utilization review preferred. + Experience ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …degree plus one (1) year of experience directly related to the processing of prior authorizations ; OR + High school diploma or GED plus current certification ... **39407BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:**...registration, patient scheduling, patient billing/collections, and/or the processing of prior authorizations . **Does this position work in… more
- TEKsystems (Tempe, AZ)
- …providers, and internal parties. Necessary Skills and Strengths: Referral Coordinator | Prior Authorizations | Medical Scheduling Appointments | Call ... Company - Join one of the largest employers and medical companies within the Tempe area A day in...| Insurance Verification | EOB Core Experience: + Referral Specialist + Prior Authorization + 2 years… more
- University of Rochester (Rochester, NY)
- …care and follow up. Adheres to approved protocols for working referrals and prior authorizations . Makes decisions that are guided by protocols and practices ... POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of...details to insurance or worker's compensation carrier to obtain prior authorizations for both standard and complex… more
- Select Medical (St. Charles, MO)
- **Overview** **Select Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** ** Prior Authorization Specialist / Payor Relations Specialist ( ... period** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or...by doing what is right. As the Payor Relations Specialist , you will manage the pre-certification and prior… more
- Select Medical (Peoria, AZ)
- …A joint venture with Select Medical & Banner Health Phoenix, Arionza ** Prior Authorization Specialist / Payor Relations Specialist ** **Remote position - ... **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of… 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 join a ... transdisciplinary outpatient clinic serving a diverse pediatric patient population with complex medical needs. This position is responsible for both on and off-site… more
- New England Cancer Specialists (Scarborough, ME)
- …of CPT and IDC-10 Coding preferred. + Call Center Experience a plus. Keyword: Authorizations , Prior Authorizations From: New England Cancer Specialists ... England Cancer Specialists has an opportunity for a full-time Prior Authorization Specialist . This position will...as an additional 6 paid company holidays. We offer medical , dental and vision insurance and eligibility starts the… 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 role ... in ensuring that patients receive timely care by managing insurance pre- authorizations for a variety of services including internal MRI, interventional spine… more
- SUNY Upstate Medical University (Syracuse, NY)
- …the department's work queue. Serves as a resource to patients, staff, and medical providers for prior authorizations . PRINCIPAL DUTIES AND RESPONSIBILITIES: ... authorizations for patients. Assists clinics and patients with understanding prior authorizations and their medical (and possibly the pharmacy) benefits… more
- Blessing Hospital (Crosby, MN)
- POSITION SUMMARY + The Medication Prior Authorization Specialist is responsible for ensuring that medication prior authorization are submitted to payers once ... obtain the medication in a timely manner. The Medication Prior Authorization Specialist contacts payers to request...+ Special Skills and Aptitudes: + + Familiarity with medical terminology and healthcare insurance processes. + Ability to… more
- TEKsystems (Tempe, AZ)
- …medical billing, medical claim, Insurance Verification, EOB, ERB, Medical Records, prior authorization, Schedule appointments Top Skills Details: ... Team. This can include but is not limited to: *Consult Orders ( Specialist Office Visits) *Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)… more
- BrightSpring Health Services (Oklahoma City, OK)
- …relating to the proper initiation, clinical review, submission, and follow up of prior authorizations . This role requires working knowledge of pharmacy benefits ... our growing network of branches and healthcare professionals. The Prior Authorizaton Specialist will be responsible for...Oklahoma City Mon-Fri 8:30a - 5:30p Central Time * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- Randstad US (Sacramento, CA)
- prior authorization specialist - data entry....with our client, Randstad is currently hiring for a Medical Authorizations Specialist ! We are ... Responsibilities + Pulling claim forms via electronic fax + Reviewing and keying medical information directly from the forms + Submitting member information into the… more
- Glens Falls Hospital (Glens Falls, NY)
- …can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:** *NY-Glens ... Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, medical … more
- TEKsystems (Plymouth, IN)
- …patients' cases from initiation to closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for ... 6pm + 10:30am to 7pm Location: + Jeffersonville, IN Skills and Qualification + Medical office experience + Healthcare experience + insurance verification + prior … more