- Compass Health Network (St. Charles, MO)
- …to be part of remarkable Compass Health Nursing team with great benefits? An Outpatient Nursing position will interest you, if running a Medication Clinic and acting ... 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)
- …to be part of remarkable Compass Health Nursing team with great benefits? An Outpatient Nursing position will interest you, if running a Medication Clinic and acting ... 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
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …and ResponsibilitiesResponsible for ensuring all scheduled and non-scheduled inpatient and outpatient accounts are pre-authorized either in advance or on the day ... supporting clinical data for the payer in order to obtain a pre- authorization .Obtains complete and accurate insurance information and completes verification of the… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule and organize activities that directly… more
- Careers Integrated Resources Inc (Cary, NC)
- Job Title : Intake Specialist Location : Cary, NC 27511 Contract duration : 5 months with possible extension (contract to hire based on performance) Shift : 8:00Am - ... for scheduled and pre-registered accounts. . Completion of approval (pre- authorization /prior-approval) for scheduled and pre-registered accounts. . Completion of… more
- Blanchard Valley Hospital (Findlay, OH)
- …to identify and assign provider deficiencies present. Knowledgeable of inpatient and outpatient medical record analysis policies and procedures. Duty 2: Scans and ... and external customers. Determines the validity of requests, ensures appropriate authorization is obtained, extracts and prepares all relevant information for… more
- Trinity Health (Des Moines, IA)
- …be supplemented when necessary) + Reviews schedule to identify patients requiring pre- authorization . + Calls or accesses insurance company websites to obtain prior ... authorization . + Logs each authorization within Case Management application of Practice Manager. + Prioritizes and provides timely turnaround on same day/next day… more
- Penn State Health (Hershey, PA)
- …for more detailed steps for assistance._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Pharmacy Outpatient **Location** US:PA: ... Hershey | Clerical and Administrative | PRN **Req ID** null more
- Carle (Urbana, IL)
- Outpatient Denial/Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... accounts where medical necessity, level of care or prior authorization is questioned. Performs outpatient post payment...care or prior authorization is questioned. Performs outpatient post payment reviews where medical necessity is being… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Authorization Specialist to join their Pediatric Endocrinology team at UPMC Children's Hospital! The Pediatric Endocrinology ... part a front facing position with some direct patient care.** As the Authorization Specialist , you will perform authorizations for medication and diabetes… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …obtaining eligibility benefits / authorization information. The Insurance Verification Specialist supports outpatient rehab office staff by researching and ... service, and documenting this information into EMR system. Insurance verification specialist identifies when insurance authorization is required, initiates prior… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization , then… more
- UPMC (Pittsburgh, PA)
- **UPP Psychiatry: Psychiatry Access Clinic is hiring a full-time Authorization Specialist to join their team! This is a Monday-Friday, daylight position with no ... the nation's foremost academic-based psychiatric facilities.** **Responsibilities:** + Prior authorization responsibilities. Reviews and interprets medical record documentation for… more
- UPMC (Pittsburgh, PA)
- **UPP Neurosurgery is hiring a full-time Authorization Specialist . This is a Monday-Friday, daylight position with no nights, weekends, or holidays!** The UPMC ... for those suffering with neurological Conditions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record documentation for… more
- Cambridge Health Alliance (Everett, MA)
- Nurse Practitioner - Clinical Specialist II (APRN) Adult Outpatient Psychiatry/Psychiatric Emergency Services Apply (https://careers.chaproviders.org/clinical- ... public healthcare system is seeking a part time Clinical Specialist II (APRN) to join our Adult Outpatient...in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... necessity as needed, and coordinating new patient referrals for services. The Outpatient Administrative Specialist will work with various computer programs… more
- Cambridge Health Alliance (Cambridge, MA)
- Nurse Practitioner - Clinical Specialist II (APRN), Adult Outpatient Psychiatry Apply (https://careers.chaproviders.org/clinical- specialist -2- outpatient ... and award-winning public healthcare system is seeking a Clinical Specialist II (APRN) to join our Adult Outpatient...in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In… more
- Lancaster General Health (Lancaster, PA)
- …and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and communicating effectively during ... 6:30 am - 5 pm Sat: 8 am - noon **LOCATION:** Parkesburg Outpatient Center- Parkesburg, PA **ESSENTIAL FUNCTIONS:** Qualified individuals must have the ability (with… 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 hospital sch ... + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process...EXPERIENCE: Three years healthcare expe ri ence in an outpatient depa rtme nt or busin e ss of… more
- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests ... authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit… more
