- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the...denials. All About You : + High school diploma or GED; Prior Authorization experience… more
- Trinity Health (Syracuse, NY)
- …order type to ensure proper authorization obtained pre-procedure. * Review authorization denial trends in partnership with supervisor to identify and address ... These responsibilities are subject to change at any time. Qualifications ➢ High School graduate, Associates Degree preferred. ➢ Preferred certification in… more
- AscellaHealth (Berwyn, PA)
- …as defined by departmental and organizational needs. Necessary Skills, Education & Abilities + A high school diploma or equivalent is required. + 2 or more years ... we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn,...support to substantiate the formal response. + Compose technical denial arguments for reconsideration, both written and verbal. +… more
- RWJBarnabas Health (New Brunswick, NJ)
- …to clearly understand and articulate with clinical and non-clinical staff. Qualifications: Required: + High School Diploma + Minimum of 5 years in Patient Access ... and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols… more
- RWJBarnabas Health (Hamilton, NJ)
- …clearly understand and articulate with clinical and non-clinical staff. Qualifications: Required: + High School Diploma required + Minimum of 5 years in Patient ... and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols… more
- UNC Health Care (Smithfield, NC)
- …and billing accuracy. **Other Information** Other information: **Education Requirements:** * High school diploma or general education degree (GED) required. ... timely denial follow up for infusion and radiation therapy authorization and medical necessity denials. Complete accurate and timely documentation, follow-up,… more
- Fairview Health Services (Hibbing, MN)
- …daily duties + Preforming other duties as required/directed **Required Qualifications** + GED/ High School Diploma + Pharmacy technician certification or three ... **Job Overview** **Fairview Range is hiring an Infusion Financial Specialist for our Financial Services Department team in Hibbing, MN.** As an Infusion Financial … more
- Option Care Health (Tukwila, WA)
- …scheduling, performance reviews, discipline, etc.) **Basic Education and/or Experience Requirements** High school diploma or equivalent is required. Minimum of ... and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition… more
- WEG Electric Corp. (Duluth, GA)
- …+ Provides back-up to Field Service Engineer and Repair Lab Engineer Education: + High School /GED - Associate degree in electrical or electronics or equivalent ... Service Engineering Specialist **Department:** Service **Location:** Duluth, GA About the...the use of available WEG resources. + Sends Return Authorization Request Form to customer when requested or when… more
- Beth Israel Lahey Health (Winchester, MA)
- …monitoring processes, contributing to the provision of accurate and high integrity documentation, and streamlined workflows. **Job Description:** **JOB FUNCTIONS** ... LHSS for elements requiring involvement of hospital billing, Admissions, ADT, denial management, and corrections to accounts. + Escalates unresolved or concerning… more
- US Tech Solutions (San Antonio, TX)
- …preferably in healthcare, social services, or a similar service position **Education** * High School Diploma or GED required * Bachelor's degree in related ... conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge… more
- Penn Medicine (Lancaster, PA)
- …staff and department as directed by supervisor/manager. Assists with reviews of authorization denial data. * Provides feedback to supervisor/manager for Annual ... applicable management reports. **JOB REQUIREMENTS MINIMUM REQUIRED QUALIFICATIONS:** * High school diploma or equivalent required. *...* One (1) year experience as a Customer Service Specialist . * One (1) year experience in Revenue Cycle… more
- Spurwink Services (Portland, ME)
- …department leadership, program directors, etc. from the various databases/spreadsheets. QUALIFICATIONS: High School diploma or equivalent required. Two or more ... Portland, ME, USA | Administrative | Full Time The Patient Accounts Benefit Specialist contributes to the mission of Spurwink by ensuring that all clients of… more
- Modivcare (Edison, NJ)
- …duties as assigned. We are interested in speaking with individuals with the following + High School Diploma required. + Zero (0) plus years of experience. + Or ... as benefit utilization issues, verification, waivers, urgent trip requests, pre- authorization , process denials, eligibility, mileage validation, meals & lodging, and… more
- House of Blues (New Orleans, LA)
- …skills* Sense of Urgency* Time Management* Critical thinking and decision making* High School diploma Physical Demands/Working Environment:* Work environment is ... today!Applicants for employment in the US must possess work authorization which does not require sponsorship by the employer...grooming practices), family and medical care leave or the denial of family and medical care leave, mental or… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …schedules for newly added surgeries 25. Other duties as assigned Education & Experience: 1. High school diploma or equivalent. 2. One year of work experience in ... as internal source within LBJI for staff questions and payment or denial trends; 16. Understanding insurance rules and regulations, CPT/ICD10 coding information, and… more
- University of Rochester (Strong, AR)
- …**Responsibilities:** GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to ... to ensure all renewals/approvals are obtained prior to patient arrival. **QUALIFICATIONS** + High School diploma or equivalent and 2 years of relevant… more
- Intermountain Health (Denver, CO)
- …written results to client, prescriber, provider and/or management. **Minimum Qualifications:** + High School Diploma or equivalent + Current Pharmacy Technician ... pharmacist by gathering clinical information on patients. Assist the Clinical Pharmacy Specialist in providing specialty pharmacy services to the patients of the… more
- Indian Health Service (White Earth, MN)
- …experience equivalent to at least the GS-04 grade level and/or 4 years above high school . GS-06: One (1) year of Specialized Experience equivalent to at ... are not required by this standard to have general experience, education above the high school level, or any additional specialized experience to meet the minimum… more
- Federal Aviation Administration (Duty, AR)
- …chemical dependencies or drug abuse that could interfere with job performance; and High school diploma or equivalent. Medical Requirements for All Positions: ... with the Office of General Counsel so that the denial , grant or disposition of petition for rulemaking will...general public, much of which is highly technical and high priority. Provides technical support and conducts research for… more