- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
- Accounting Now (Tampa, FL)
- …to support medical necessity) for a reconsideration, appeal, or retro authorization to the insurance carrier via payer portal, fax, etc Documents and summarizes ... The Denials Specialist performs advanced-level work related to clinical and...and CMS-1500 (HCFA) forms Experience in managing and appealing authorization or medical necessity denials Medical… more
- CornerStone Staffing (Cary, NC)
- …with insurance 1+ years in a patient-facing role/patient care Highly detail-oriented Prior Authorization Submission experience is a plus Benefit investigation ... CornerStone Staffing is hiring for "Reimbursement Specialist " in Cary, NC! Work for one of...8:00am - 5:00pm Job Description: Performs healthcare information & medical claims processing, healthcare billing & collection services, &… more
- Prestige Staffing (Atlanta, GA)
- Onsite Prior Authorization Specialist Job Overview Position requires utilization of clinical knowledge and excellent customer service skills to schedule ... and MRI/X rays/CT scans are forwarded to the facility prior to the surgery date Consult with patient to...with other physicians and vendors Assisting in preop for medical clearance for scheduled procedure Assist as needed with… more
- Blanchard Valley Hospital (Findlay, OH)
- …the extent possible and determined necessary. Duty 1: Analysis of the medical record to identify and assign provider deficiencies present. Knowledgeable of inpatient ... and outpatient medical record analysis policies and procedures. Duty 2: Scans...external customers. Determines the validity of requests, ensures appropriate authorization is obtained, extracts and prepares all relevant information… more
- Compass Health Network (Wentzville, MO)
- …and/or staff meetings as required by Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Sourcing Square US (Farmington Hills, MI)
- …industry or cloud transformation programs as well as having prior technical experience in cloud, technology, and/or software developmentPreferred Qualifications:A ... sales experience in a large matrixed sales organization, with specialist sales experience preferredBuilding collaborative partnerships with companies and selling… more
- Compass Health Network (St. Charles, MO)
- …samples, maintain accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full… more
- Compass Health Network (St. Charles, MO)
- …maintain accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders ... actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of....cleanliness of unit facilities and equipment Monitor supply of medical stock, medical supplies, and laboratory needs… more
- Select Medical (Lakeway, TX)
- …A joint venture with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite only** **This position must work** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! This position is responsible for ... verify patient's insurance eligibility, benefits and requirements. Request, track and obtain prior authorization from insurance carriers within time allotted for… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding...AND EXPERIENCE: One to two years of experience in medical billing, a medical office or insurances… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist - This is an** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- Montrose Memorial Hospital (Montrose, CO)
- …of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as ... patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the...and patient's plan of care as they secure payer authorization for medical services and optimize patient… more
- Premier Medical Group of the Hudson Valley (Kingston, NY)
- The Prior Authorization Specialist will support the Providers while monitoring patient flow, scheduling patient appointments, attaining prior ... authorizations and processing necessary insurance information. The Prior Authorization Specialist uses his/her working knowledge of urology and the health… more
- Premier Medical Group of the Hudson Valley (Newburgh, NY)
- JOB DESCRIPTION JOB TITLE: Prior Authorization Specialist - Cardiology JOB STATUS: Full-time, Non-Exempt DIVISION/LOCATION: Cardiology REPORTS TO: Practice ... staff and providers to gather additional information to obtain prior authorization as needed. + Coordinate patients'...working with EMR systems. + Knowledge of commonly used medical terms and procedures. + Strong organizational skills. +… more
- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The Prior Authorization Specialist is a vital member of the healthcare team. They are responsible for managing the ... setting involving customer service or patient-facing responsibilities is required. Keyword: Prior Authorization Specialist From: Spectrum Health Services,… 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
- Hospice of the Valley (Phoenix, AZ)
- …Generous Paid Time Off. + Flexible schedules for work/life balance. **Position Profile** The Prior Authorization Specialist will obtain prior ... authorization from non-Medicare insurance companies. **Responsibilities** + Obtains prior authorization from non-Medicare insurance companies. + Contacts… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
