• Prior Authorization Rep I

    University of Utah (Salt Lake City, UT)
    …**Job Title** Prior Authorization Representative I **Working Title** Prior Authorization Rep I **Job Grade** UGR **FLSA Code** Nonexempt ... and accountability - attributes a successful candidate will exemplify. The ** Prior Authorization Representative I** is responsible to secure outpatient and… more
    University of Utah (11/08/24)
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  • Prior Authorization Specialist

    Children's Clinics (Tucson, AZ)
    Children's Clinics is seeking a Full-Time Prior Authorization Specialist. As a member of the dynamic Prior Authorization team the individual will join a ... requested services. This position is responsible for: + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite… more
    Children's Clinics (10/31/24)
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  • Prior Authorization Specialist

    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 (11/07/24)
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  • Prior Authorization Specialist

    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
    US Tech Solutions (10/18/24)
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  • Pharmacy Prior Authorization

    The Cigna Group (Tallahassee, FL)
    …and internal/external clients regarding inquiries and or issues related to Prior Authorization eligibility, rejections, and authorizations. + Maintain ... Receives and responds to inquiries regarding Prior Authorizations related to Worker's Compensation pharmacy benefits....employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states… more
    The Cigna Group (11/22/24)
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  • OMFS Prior Authorization Rep

    Truman Medical Centers (Kansas City, MO)
    …log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** OMFS Prior Authorization Rep 101 Truman Medical Center ... **Job Location** University Health 4 (UH4) Kansas City, Missouri **Department** Corporate Professional Billing **Position Type** Full time **Work Schedule** 8:00AM - 4:30PM **Hours Per Week** 40 If you want to work where the action is, University Health (UH)… more
    Truman Medical Centers (10/01/24)
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  • Referral & Prior Auth Rep III

    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 (11/02/24)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    GENERAL PURPOSE: Serves as the prior authorization specialist, with oversight of data and compliance to enterprise standards prior authorization ... letters customized to the denial and will be patient specific. + Prior authorization functionality required for testing and services ordered by referred to… more
    University of Rochester (10/03/24)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. Completes the referral ... so that patients are always cleared for their appointment prior to their arrival. Enters progress notes and other...**Receiving Provider** + Reviews referrals to determine if insurance authorization has been obtained. If no authorization ,… more
    University of Rochester (11/20/24)
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  • Insurance Authorization Rep

    Guthrie (Johnson City, NY)
    …requested that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization Pay range for position is ... Confirms insurance coverage via payer portals and determines necessity for pre- authorization .| Obtains authorization and processes referrals for services ordered… more
    Guthrie (10/01/24)
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  • Referral & Prior Auth Rep IV

    University of Rochester (Rochester, NY)
    …case management when medical assessment is needed. + Manage and oversee the prior authorization process for procedures, specialty office visits, VA (Veterans ... procedures and testing, in alignment with department and enterprise standards. Obtains prior authorizations as needed and assists the team with other assistance as… more
    University of Rochester (10/31/24)
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  • Guest Services Rep II

    University of Rochester (Rochester, NY)
    Responsibilities **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… more
    University of Rochester (10/03/24)
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  • Financial Clearance Rep - Rehab Services

    Fairview Health Services (Minneapolis, MN)
    …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... service departments if medical necessity fails. Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when… more
    Fairview Health Services (11/13/24)
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  • Patient Service Rep I

    Northern Light Health (Hampden, ME)
    …to appropriate depart/office. Documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... on bonus that is paid out incrementally.** (external only) Summary: The Patient Service Representative I is a supporting position and is responsible for a variety of… more
    Northern Light Health (11/18/24)
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  • Patient Service Rep I *Hybrid

    Northern Light Health (Brewer, ME)
    …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. * ... from home 4 out of 5 days of the week. Summary : The Patient Service Representative I is a supporting position and is responsible for a variety of activities related… more
    Northern Light Health (11/18/24)
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  • Patient Service Rep I

    Northern Light Health (Bangor, ME)
    …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. * ... on bonus that is paid out incrementally.** (external only) Summary: The Patient Service Representative I is a supporting position and is responsible for a variety of… more
    Northern Light Health (11/16/24)
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  • Patient Service Rep II

    Northern Light Health (Bangor, ME)
    …appropriate depart/office and documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... is eligible for a $1,000 (minus tax) sign on bonus Summary: The Patient Service Representative II is an advanced support position and is responsible for a variety of… more
    Northern Light Health (11/08/24)
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  • Patient Service Rep III

    Northern Light Health (Bangor, ME)
    …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol + ... after the successful completion of probation period. ** Summary: The Patient Service Representative III is a supporting position and is responsible for a variety of… more
    Northern Light Health (11/02/24)
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  • Pre-Services Representative I- Willbrook…

    Tidelands Health (Pawleys Island, SC)
    …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... least one (1) year of experience in Healthcare Revenue Cycle that includes prior authorization . **ADDITIONAL PREFERRED EXPERIENCE:** + Knowledge of CPT and ICD… more
    Tidelands Health (09/08/24)
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  • Pre-Services Representative I

    Tidelands Health (Myrtle Beach, SC)
    …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Two (2) years of experience in Healthcare Revenue Cycle that includes prior authorization . **KNOWLEDGE/SKILLS/ABILITIES** : * Ability to interact successfully… more
    Tidelands Health (09/08/24)
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