- A-Line Staffing Solutions (Pittsburgh, PA)
- …Billing Specialist I will be responsible for qualifying, preparing and submitting claims to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC ... A-Line Staffing is actively searching for Multiple Program Coordinators/Healthcare Admins for a major healthcare company located in Pittsburgh, PA surrounding area. This is an exciting opportunity with a client that is looking to move fast for the right… more
- 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. ... limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of benefits. Benefit… more
- A-Line Staffing Solutions (Atlanta, GA)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Effectively manage work volume by handling inbound/outbound ... A-Line is now hiring a Clinical Services Representative - (Fully Remote). The Clinical Services Rep - (Fully Remote) would be working for a Fortune 500 company… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …staff within the surgery center including, but not limited to insurance verification, prior authorization , point of service collections, and frontline check in. ... Tasks and ResponsibilitiesResponsible for the scheduling, insurance verification, pre-registration, prior - authorization , collections and check in for patients… more
- ConsultNet (North Kingstown, RI)
- …involving claim, enrollment, and billing problems Provide advice and direction without prior authorization . Bind policies and make sales. Adhere to schedules, ... Customer Care Representative responds to inquiries regarding insurance coverage submitted...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- A-Line Staffing Solutions (San Diego, CA)
- …EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization , reimbursement counselor, Medical customer service, inbound ... Full time Benefits Customer Service Representative openings in the San Diego, CA area...fully remote Job Responsibilities: As a Benefit Customer Service Representative you will have the rewarding opportunity to help… more
- Staffing Now (Jacksonville, FL)
- …are equipped with all relevant tools and resources.Health Care Customer Service Representative Skills:High school diploma or equivalent. Prior experience as a ... will be required to field scheme-related queries from customers, provide pre- authorization for medical treatment, and outline information regarding co-payments. You… more
- A-Line Staffing Solutions (Des Moines, IA)
- …EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization , reimbursement counselor, Medical customer service, inbound ... Full time Call Center / Customer Service Representative openings in the West Des Moines with a major healthcare company! Starting ASAP!! PAY RATE: $17.00 HOURS: 8… more
- Percepta (Melbourne, FL)
- …bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne Florida, you'll be a part of creating and delivering ... * Ability to speak confidently about extended service business products and prior approval process * Ability to utilize web based technical service information… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …areas Education: Associates degree in related field or equivalent experience is preferred. Proficient in Excel. SQL experience a plus Skills: Prior authorization ... normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- STS Technical Services (Philadelphia, PA)
- …System (SMS). Experience with PHL operations and airport challenges a PLUS. Authorization : All candidates must currently be authorized to work in the United ... machines and filing cabinets. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully… more
- Windstream (State College, PA)
- …Manage existing agreements, including renewals, term enforcement, and payment authorization . Establish relationships with government entities to secure permits for ... and risk management teams to execute and manage contracts. Be Kinetics representative to permitting entities, governmental and legislative bodies within the assigned… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Description:** The Rep I, Clinical Services takes in-bound calls from...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion and in ... accordance with practice requirements. Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver. Verifies eligibility, benefits and contractual appropriateness. Responsible for recording referral information… more
- Hart Medical Equipment (Grand Blanc, MI)
- …services. + Maintains accurate records for certification of medical necessity and prior authorization forms. + Follows department policies and work instructions ... Supports the billing department with functions such as insurance changes and prior authorizations to ensure a complete billing transaction. ESSENTIAL DUTIES AND… more
- Fairview Health Services (St. Paul, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... Fairview at the highest benefit level. The Financial Clearance Representative (FCR) must be able to effectively articulate payor...necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization … more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral ... and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral ... and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral ... and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to appointment… more
