- 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
- University of Michigan (Ann Arbor, MI)
- …due to no authorization . + Act as a subject matter expert in insurance authorization requirements and timeframes including but not limited to in office ... Specialist is responsible for facilitating and successfully procuring outpatient insurance authorizations. The Authorization Specialist will be accountable to… more
- Catholic Health Services (Melville, NY)
- …record patient demographic and insurance information. The role performs insurance verification, insurance notification and authorization , patient ... years in Revenue Cycle Management or Patient Access Services functions. Insurance Verification and Insurance Pre-Certification/ Authorization experience… more
- University of Washington (Seattle, WA)
- …Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Per Diem * Day Shifts **POSITION ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as a… more
- SUNY Upstate Medical University (Syracuse, NY)
- …orders and insurance claim submission preferred. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed ... necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance… more
- Rochester Regional Health (Rochester, NY)
- …the Finance and Authorization Specialist is to promptly verify patient's insurance , obtain and verify if not provided, provide accurate patient estimate as ... authorization issues * Complete forms and letters to insurance for visit coverage * Monitor daily schedules for...sedentary criteria are met. For disease specific care programs refer to the program specific requirements of the department… more
- Lake Region Healthcare (Fergus Falls, MN)
- …the gathering of information to verify medical necessity to meet prior authorization and insurance referral requirements, as well as gather information ... Pre- Authorization Specialist Job Details Job Location Lake Region...authorizations requests. + Communicate review outcomes to providers. + Refer cases not meeting criteria/guidelines for physician review as… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization Specialist Location: Greece and Medical Office Building (MOB - Irondequoit) Hours Per Week: 40 SUMMARY: This role helps patients' ... access necessary medications by navigating insurance and financial support options while fostering clear communication across the care team. RESPONSIBILITIES: +… more
- R1 RCM (Cedar Park, TX)
- …appropriate scripting to ensure the required level of benefit and pre-certification/ authorization details such as demographics, insurance / coverage and clinical ... this role are empowered to identify additional resources and refer patients who might have difficulty meeting their financial...the hospital's main frame. + Work directly with multiple insurance websites to obtain benefits and authorization … more
- Prime Healthcare (Flower Mound, TX)
- … Insurance Verifier assist patients with payment arrangements and refer eligible individuals to assistance programs or discounts. Additionally, Insurance ... clearly to both patients and hospital staff + Coordinate the pre- authorization and insurance approval process to ensure all necessary approvals are secured… more
- Fallon Health (Worcester, MA)
- …and notifications for FCHP members, screens for member eligibility, additional active insurance coverage and authorization history from the core system. + ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for… more
- Catholic Health Services (Melville, NY)
- …The Financial Clearance Representative works with the various components of the insurance verification, insurance notification and authorization , and ... in Revenue Cycle Management or Patient Access Services functions. + Insurance Verification and Insurance Pre-Certification/ Authorization experience… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …intakes, including interfacing with insurance and managed care companies for authorization . + Refer patients to outpatient services, either within or outside ... under treatment. What Benefits Do We Offer? + Medical, dental, vision & life insurance plans + 403(b) retirement match contribution by Pine Rest + Generous PTO for… more
- Guardian Life (Holmdel, NJ)
- …Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their ... Guardian created the Data Science Lab (DSL) to reimagine insurance in light of emerging technology, evolving consumer needs,...NY, Holmdel, NJ, Bethlehem, PA, or Boston, MA **Work Authorization ** + Guardian Life is not currently or in… more
- Guardian Life (Bethlehem, PA)
- …Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their ... Engineering, Applied mathematics or related field + Experience in Insurance Underwriting + 3+ years of hands-on ML modeling/development...NY, Holmdel, NJ, Bethlehem, PA, or Boston, MA **Work Authorization ** + Guardian Life is not currently or in… more
- Guardian Life (New York, NY)
- …Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company committed to enhancing the wellbeing of its customers and their ... Guardian created the Data Science Lab (DSL) to reimagine insurance in light of emerging technology, evolving consumer needs,...NY, Holmdel, NJ, Bethlehem, PA, or Boston, MA **Work Authorization ** + Guardian Life is not currently or in… more
- OhioHealth (Columbus, OH)
- …of patient care. Primary responsibilities include but are not limited to: insurance verification, obtaining pre- authorization and data entry of patient ... PAYER REQUIREMENTS ARE IN PLACE FOR HOSPITAL PAYMENT. 1. Responsible for insurance verification. When necessary, obtains pre- authorization from insurance … more
- Catholic Health Services (Melville, NY)
- …services. The Representative will ensure the patient has active insurance coverage, collect demographic information, acquire and explain benefit information, ... confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, protocols and instructions… more
- NorthWest Senior & Disability Services (Dallas, OR)
- …Long Term Disability, great culture. Employee paid: Deferred Compensation, Life Insurance , Short Term Disability, Colonial Life Supplemental Plans, Legal Shield. ... EBT card inventory and process EBT card orders + Processing Prior Authorization forms in Medicaid Management Information System (MMIS) including Emergency Response… more
- County of El Dorado (Placerville, CA)
- …to their status in the recruitment process. Please refer to Sheriff's Policy 1000 - Selection Standards ... each candidate's responses based on predetermined criteria. Do not refer to resumes, cover letters, or other documentation as...your Form I-9 will be used to verify your authorization to work in the United States. Learn more:… more