- Saratoga Hospital (Saratoga Springs, NY)
- …Patient Engagement Center (PEC), under the direct supervision of the Manager. The Referral and Authorization Specialist (RAS) is responsible for scheduling ... provider templates, etc.) + Act as a role model for Referral and Authorization Specialist performance standards. + Maintains effective communication within… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The Insurance Authorization / Referral Specialist will perform the following: Obtains authorizations and referrals for ... High School Diploma/GED + Minimum two (2) years experience with the referral / authorization process and interacting with insurance carriers **Preferred** +… more
- Prime Healthcare (Chicago, IL)
- …records for prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate ... required referrals have been processed correctly for medical specialty visits. The Referral specialist is responsible for scheduling referrals for patients at… more
- University of Rochester (Rochester, NY)
- …the individual, and internal equity considerations._ **Responsibilities:** 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, families, clinical and… more
- CenterWell (Helena, MT)
- …of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. + EMR ... strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping how our… 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 ... of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization… 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...ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays… more
- Trinity Health (Livonia, MI)
- …**Monday-Friday 8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the ... processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities...insurance + Work Today Get Paid Tomorrow + Employee Referral Reward Program + Short and long-term disability +… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in procuring payment for… more
- Albany Medical Center (Albany, NY)
- …Salary Range: $46,220.72 - $64,709.01 Salary Range: $18.00 - $28.76 The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for ... Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization . Insurance Verification and Benefit interpretation… more
- Saint Francis Health System (Tulsa, OK)
- …& Sundays (weekdays as needed)** **8:00am - 4:30pm** Job Summary: The Authorization Specialist I directly impacts the billing and collections functions ... assignment and consistently meets daily and weekly productivity goals. Evaluates physician referral and authorization requirements and takes appropriate steps to… more
- University of Washington (Seattle, WA)
- … Authorization Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior Authorization Specialist .** **WORK SCHEDULE** + ... Health System and to process prior authorizations + Process referrals/prior authorization in accordance with UW Medicine standards, ensuring all are processed… 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 well as gather information for inpatient and swing bed stay… more
- Centene Corporation (New York, NY)
- …or CPT._** **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed ... in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate and timely documentation for services… 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 ... obtain the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals and… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected ... financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccines + Employee referral bonus… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless ... access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral … more
- Trinity Health (Mishawaka, IN)
- …the art equipment, unlimited CEU's and supportive team approach **Pre‑Service Authorization Specialist ** **Position Summary:** Join our Pre‑Service ... Authorization team and play a key role in supporting accurate financial clearance, exceptional patient experiences, and organizational success. In this specialized role, you will research and analyze patient and insurance information, verify benefits and… more
- Granville Medical Center (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that ... pre-authorizations are obtained through the patient's insurance company. This GHS associate will coordinate with the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: * Manage incoming and outgoing… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that ... pre-authorizations are obtained through the patient#s insurance company. This GHS associate will coordinate with the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: # Manage incoming and outgoing… more
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