- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... a similar healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience. + Previous Medical Assistant experience.… more
- Atlantic Health System (Morristown, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining ... prior authorization for all obstetrical patients, medication...authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies. This role involves… more
- Hartford HealthCare (West Hartford, CT)
- …**Job:** **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** * Prior Authorization Specialist - Heart Rhythm * ... 30 different specialties. *Job Description* Under the direction of the Manager, Prior Authorization Services for Electrophysiology service line, performs all… more
- Northwestern Medical Center (St. Albans, VT)
- Prior Authorization Specialist Central Registration Northwestern Medical Center, where you can be the difference. Come join the NMC family, where we ... provide exceptional healthcare for our community. NMC is currently recruiting for a Prior Authorization Specialist in Central Registration. This position is… more
- Froedtert South (Kenosha, WI)
- Prior Authorization /Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply Now Job Details + POSITION PURPOSE + A Prior - ... are met for both the facility and professional services. The Prior - Authorization /Referral Specialist provides detailed documentation and communication… more
- Select Medical (Columbus, OH)
- …**Select Specialty Hospitals - Columbus** **Critical Illness Recovery Hospital** **Columbus, OH** ** Prior Authorization Specialist / Payor Relations ... )** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or... Specialist , you will manage the pre-certification and prior authorization of referrals scheduled for admission… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...reviewing all claim denials related to missing or invalid prior authorizations in addition to medical necessity… more
- BrightSpring Health Services (Oklahoma City, OK)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities ... This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30a...8:30a - 5:30p Central Time in Oklahoma City * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- Kelly Services (Appleton, WI)
- …be part of a team that values your expertise, we invite you to apply for the Prior Authorization Specialist As part of our promise to talent, Kelly supports ... providers to gather and submit all necessary information for prior authorization requests. + Verify insurance coverage...**What We're Looking For:** + Proven experience in a medical office setting, especially in roles involving prior… more
- TEKsystems (Kansas City, MO)
- …Patient account, Medical record, ecw Additional Skills & Qualifications Prior Authorization Experience eCw Experience (preferred) Pay and Benefits The ... Completes accurate documentation in both the Auth/Cert and Referral Shells Skills prior authorization , health insurance, Health care, Emr, Medicare, Medicaid,… more
- Glens Falls Hospital (Glens Falls, NY)
- …be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical Records* **Location:** *NY-Glens ... our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop...benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization ... Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular… more
- TEKsystems (Jeffersonville, IN)
- … office experience + Healthcare experience (required) + insurance verification + prior authorization Experience Level + Entry Level #PriorityCentral Pay and ... in pharmacy assistant program. A typical day will include benefit investigations, prior authorizations, denials appeals, and determining if the patient is finically… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for ... prior authorization needs, obtaining needed ...other front-end processes, including scheduling, pre-registration, financial counseling, insurance authorization , medical necessity, and registration. + Superb… more
- UPMC (Pittsburgh, PA)
- …obtain accurate prior authorization . + Prior authorization responsibilities1. Reviews and interprets pertinent medical record documentation for ... **UPMC Mercy is hiring a Full-Time Authorization Specialist to support the Mercy...applications and payor/ contracted provider web sites to perform prior authorization , edit, and denial services.4. Provides… more
- 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, ... coordination of benefit * Prepare and compile necessary documentation to secure prior authorization .Collect clinical information regarding service to be rendered… more
- UPMC (Beaver, PA)
- …exceptional care at Hillman Cancer Center! **Responsibilities:** + Prior authorization responsibilities + 1. Reviews and interprets medical record ... we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center!...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... parties as needed. **SERVICE ESSENTIAL FUNCTIONS** + Initiate and manage the authorization process for medical services and simple procedures and treatments.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information ... orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care review… more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations… more