• Infusion Clinical Authorization

    Lawrence General Hospital (Lawrence, MA)
    …of the Infusion Operations Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all ... documentation for authorizations of various high-cost pharmaceuticals. The Infusion Clinical Authorization Specialist collaborates with insurance companies… more
    Lawrence General Hospital (01/10/25)
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  • Nurse Practitioner - Clinical

    Cambridge Health Alliance (Cambridge, MA)
    …is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In ... Nurse Practitioner - Clinical Specialist II (APRN), Psychiatry **Date Posted:** 09/24/2024 **Requisition Number:** CHAP-2270 **Cambridge Health Alliance (CHA)**… more
    Cambridge Health Alliance (12/04/24)
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  • Nurse Practitioner - Clinical

    Cambridge Health Alliance (Cambridge, MA)
    …is required authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In ... Nurse Practitioner - Clinical Specialist II (APRN), Adult Outpatient Psychiatry **Date Posted:** 09/15/2024 **Requisition Number:** CHAP-2150 Cambridge Health… more
    Cambridge Health Alliance (12/04/24)
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  • Clinical Specialist II - PACE (Nurse…

    Cambridge Health Alliance (Cambridge, MA)
    …licensure authorizing practice in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. + ... Clinical Specialist II - PACE (Nurse... Clinical Specialist II - PACE (Nurse Practitioner) **Date Posted:**...award-winning public healthcare system is seeking a full time Clinical Specialist II, Nurse Practitioner, to join… more
    Cambridge Health Alliance (12/04/24)
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  • Outpatient Authorization Specialist

    University of Michigan (Ann Arbor, MI)
    Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring ... outpatient insurance authorizations. The Authorization Specialist will be accountable to one...codes for planned outpatient services and provide codes and clinical documentation to payors utilizing payor specific communication protocols.… more
    University of Michigan (01/16/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist * **Location:** *NY-Glens Falls* **Requisition ID:**… more
    Glens Falls Hospital (11/13/24)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... per week, can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:**… more
    Glens Falls Hospital (11/01/24)
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  • Prior Authorization Specialist

    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 for ... with approved or pending authorizations. + Serve as a liaison between clinical providers and insurance payers to address authorization -related issues or… more
    Texas Tech University Health Sciences Center - El Paso (01/17/25)
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  • Authorization Specialist

    WMCHealth (Ardsley, NY)
    Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Ardsley, NY Category: Clerical/Administrative Support Department: ENT Union: No ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28301) Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex… more
    WMCHealth (01/10/25)
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  • Senior Insurance Authorization

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... interactions with patient's, co-workers, insurance companies, physicians, and other clinical and administrative partners. **PEOPLE ESSENTIAL FUNCTIONS** + Promotes a… more
    Houston Methodist (12/16/24)
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  • Authorization Specialist

    WMCHealth (Suffern, NY)
    Authorization Specialist Company: Bon Secours Charity Medical Group City/State: Suffern, NY Category: Clerical/Administrative Support Department: ... Now External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist is responsible for performing complex clerical procedures… more
    WMCHealth (01/16/25)
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  • Prior Authorization Specialist RN…

    Intermountain Health (Columbus, OH)
    …and clinical acumen to verify, prepare and compile necessary clinical documentation required and initiate prior authorization , pre-determination and/or ... authorization , appeals or reconsiderations related to no authorization denials + Perform clinical reviews and...related to no authorization denials + Perform clinical reviews and submission of complex authorization more
    Intermountain Health (01/18/25)
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  • Authorization Specialist

    WMCHealth (Valhalla, NY)
    Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/27845) Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex… more
    WMCHealth (12/13/24)
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  • Medical Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior ... authorization process. + Engages insurance company representatives and provides required clinical information to secure prior authorization , when necessary. +… more
    St. Luke's University Health Network (12/24/24)
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  • Specialist - Authorization Denial

    Baptist Memorial (Memphis, TN)
    Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial… more
    Baptist Memorial (11/09/24)
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  • Prior Authorization Specialist

    BrightSpring Health Services (Oklahoma City, OK)
    …through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating to the ... & Holidays Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for...and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with… more
    BrightSpring Health Services (12/13/24)
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  • Prior Authorization Specialist

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews.… more
    US Tech Solutions (11/07/24)
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  • Central Authorization Specialist II…

    BayCare Health System (Clearwater, FL)
    …of two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II Opportunity is a PRN ( **non-benefit eligible** ) remote ... member will work the hours listed above).** **Responsibilities:** The Central Authorization Specialist II is responsiblefor verifying health insurance… more
    BayCare Health System (12/04/24)
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  • Insurance Authorization Specialist

    Amergis (Fall River, MA)
    …much respected facility in Fall River, MA who is currently seeking an Insurance Authorization Specialist /Patient Access Intake Specialist to assist them on a ... the position include: Location: Fall River, MA Position: Insurance Authorization Specialist /Patient Access Intake Specialist ...payer portal, fax, or phone call . Identify when clinical criteria is required and utilize the ROI tools… more
    Amergis (01/16/25)
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  • Authorization Specialist II

    Centene Corporation (Tallahassee, FL)
    authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer + Remains ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (01/17/25)
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