- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... manages referral work queues. Responds to patient inquires and manages referral and/or prior authorization related issues in a timely manner. Assists with… more
- University of Utah Health (Salt Lake City, UT)
- …verification , obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting,… more
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion and in ... where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and… more
- CVS Health (Phoenix, AZ)
- …clinical research to support request. - Performs non-medical research including eligibility verification , COB, and benefits verification . - Maintains ... and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of healthcare and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Department by accurately verifying insurance information, reviewing patient accounts for prior authorization needs, obtaining needed prior authorizations, ... clients and coworkers to ensure we process our insurance verification and authorization efforts to best care...communication, and other resources to determine insurance eligibility and prior authorization needs for a scheduled patient… more
- Fairview Health Services (St. Paul, MN)
- …responsibilities. The FCR will be responsible for completing the insurance and benefits verification to determine the patient's benefit level. They will ... of and working with multiple insurance payors to secure benefits and increase the likelihood of reimbursement for Fairview...per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary,… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …experience with standard operations of insurance companies; verification of benefits /coverage including prior authorization (PA), claims, approvals, ... CPT coding) . Communicate with patients to discuss procedures, insurance coverage, prior authorization and assisting patients with various questions. . Assist… more
- Surgery Care Affiliates (Phoenix, AZ)
- …for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information. + Enter the patient ... we are going-and the growing career opportunities for YOU. Responsibilities Insurance Verification : + Verify that sufficient information is available for accurate … more
- TEKsystems (Willow Grove, PA)
- …service, benefits administration, data entry, Prior authorization , healthcare customer service, Healthcare Administration, Insurance verification ... Insurance Authorization Specialist Description: primary responsibility is to obtain...home, including reviewing clinical/compliance eligibility criteria, insurance plans, and benefits . + Collaborate with the billing department to ensure… more
- Houston Methodist (Sugar Land, TX)
- …also pre-register patients timely in the electronic health record (EHR) so pre-certification, authorization , and verification of insurance benefits can be ... and insurance information so that the patient's insurance may be verified, authorization obtained, and patient's portion determined prior to the patient's… more
- CVS Health (Phoenix, AZ)
- …will be responsible to verify insurance coverage, perform benefit investigation, and obtain prior authorization for both new and existing patients in order to ... professional to join our national team as a Benefit Verification Specialist! This rewarding opportunity allows you to work...insurance carriers and concepts including drug cards, major medical benefits , and per diem coverage as well as knowledge… more
- TEKsystems (North Chicago, IL)
- …+ Provide subject matter expertise on medical and prescription insurance coverage/ verification , claim billing, medication prior authorization and appeal ... Verification Experience (50+ Daily) (REQUIRED) + 4+ Years of Prior Authorization Experience (50+daily) + Claims resolution experience from beginning… more
- Penn Medicine (Lawrenceville, NJ)
- …of scheduled surgeries, procedures and appointments if authorization is not obtained prior to date of service. + Reviews Verification Work queues to ensure ... up includes but is not limited to verifying eligibility, obtaining benefits , ensuring referrals, pre-determination and/or authorization requirements have been… more
- University of Connecticut (UConn) (Storrs, CT)
- …of contact for the School concerning state licensing requirements. + Assures verification , during the admissions cycle, that the UConn Nursing undergraduate program ... for incoming nursing students. Works with the university admissions office to write verification letters to be included with the admissions package. + Provides … more
- Baylor Scott & White Health (Fort Worth, TX)
- …internal hospital personnel with insurance benefit information. This position ensures timely verification of insurance benefits and financial clearance which has ... financial clearance of patient accounts by verifying insurance eligibility and benefits and ensuring all notifications and authorizations are completed within the… more
- Mount Sinai Health System (New York, NY)
- …EPIC/ EAGLE / HURON-Ontrac & different payer websites to access benefits / authorization , including submissions. Compensation Statement The Mount Sinai Health ... **Job Description** **Patient Access Representative - Patient Access Insurance Verification - Corporate Full-Time- Days (M-F & 1 Saturday Monthly)** Obtains complete… more
- Medtronic (Boston, MA)
- …pelvic region, and the head and neck. **A Day in the Life** As a Software Verification Manager working in the Seaport District of Boston, MA, you will use your broad ... understanding of software verification techniques for medical or other regulated systems. You...or advanced degree with a minimum of 3 years prior relevant experience. **Physical Job Requirements** The above statements… more
- Kennedy Krieger Institute (Baltimore, MD)
- …and other Institute staff. **Responsibilities** 1. Verifies insurance coverage and benefits utilizing all available verification and eligibility tools and ... **Overview** The **Insurance Verification Specialist I (IVS I)** will obtain, clarify,...registration system. 2. Verifies and/or obtains the necessary referral, authorization , or pre-certification prior to services being… more
- Intermountain Health (South Jordan, UT)
- …has provided a complete order. Interfaces with third party payer to determine insurance benefits / authorization at time of intake. + Assists in the processing ... Description:** This position is responsible to assess insurance eligibility and benefits information and obtain required authorizations and medical necessity to… more
- CVS Health (St. Paul, MN)
- …will be responsible to verify insurance coverage, perform benefit investigation, and obtain prior authorization for both new and existing patients in order to ... professional to join our national team as a Benefit Verification Specialist! This rewarding opportunity allows you to work...insurance carriers and concepts including drug cards, major medical benefits , and per diem coverage as well as knowledge… more