- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
- CVS Health (Columbus, OH)
- …in, or at risk for involvement in, multiple child-serving systems. The Prior Authorization Representative supports comprehensive coordination of medical ... services including intake, screening and referrals to Aetna Medical Services Programs. Promotes/supports quality effectiveness of Healthcare Services. Additional Responsibilities to include but not limited to the following: - Performs intake of calls from… more
- Elevance Health (FL)
- …affordability, and personalized support throughout the consumer's treatment journey._ ** Authorization Representative II** **Location:** This position will work ... days may be required based on operational needs. **The Authorization Representative II** is responsible for the...not limited to: + Reviews accuracy and completeness of prior authorization information requested and ensures supporting… more
- Elevance Health (FL)
- …affordability, and personalized support throughout the consumer's treatment journey._ ** Authorization Representative I** **Location:** This position will work ... days may be required based on operational needs. The ** Authorization Representative I** is responsible for the...a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and experience… more
- Elevance Health (St. Louis, MO)
- **Title: Authorization Representative I** _BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health ... **1831 CHESTNUT ST., ST. LOUIS, MO** Elevance Health PulsePoint location. The ** Authorization Representative . I** is responsible for the completion and… more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… 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 focus on ... provide exceptional healthcare for our community. NMC is currently recruiting for a Prior Authorization Specialist in Central Registration. This position is a… more
- Arnot Health (Elmira, NY)
- …hospital services. This position will require a degree of complexity and prior anatomy education. Reports directly to the Pre- Authorization Supervisor. DUTIES ... to conference with other departments to bring about conflict resolution to pre- authorization problems. 14. Demonstrates the ability to be cross-trained to other… more
- Providence (Spokane Valley, WA)
- …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... responsibilities include entering patient referral data into the database, entering physician information into the database, adding progress notes, responding to billing department requests, calling providers, insurance companies and patients. Providence… more
- Elevance Health (Denver, CO)
- …affordability, and personalized support throughout the consumer's treatment journey._ ** Authorization Representative I** **Location:** This position is on ... days may be required based on operational needs. The ** Authorization Representative I** is responsible for the...not limited to: + Reviews accuracy and completeness of prior authorization information requested and ensures supporting… more
- UNC Health Care (Goldsboro, NC)
- …well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining ... authorizations from insurance payers prior to services been scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
- Mount Sinai Health System (Greenlawn, NY)
- **Job Description** **Patient Service Representative - Greenlawn, Long Island - OFFS** **Strength Through Diversity** Ground breaking science. Advancing medicine. ... Healing made personal. **Job Title: Patient Service Representative ** The Offsite Patient Service Representative I provide front line contact as a patient liaison… more
- Catholic Health Services (Melville, NY)
- …an online system to secure authorizations for scheduled procedures requiring an authorization , prior to the date of service. Responsibilities: Utilize work ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible.… more
- University of Miami (Medley, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... Central Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. T he individual in this position is part… more
- University of Miami (Miami, FL)
- …of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more
- Tidelands Health (Myrtle Beach, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... to move objects. The physical demands described here are representative of those that must be met by an...resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates,… more
- Hartford HealthCare (Enfield, CT)
- …Enfield, Windsor, Granby, Avon, South Windsor, Vernon* The Patient Service Representative is responsible for providing professional customer service to ensure ... Responsible for Patient Scheduling, Pre-Registration, Registration, Insurance Verification, Insurance Authorization , and ensures patients have been cleared for Rehab… more
- Hartford HealthCare (New Britain, CT)
- …commitment to high quality, customer focused outcomes. The Patient Service Representative is responsible for providing professional customer service to ensure ... Responsible for Patient Scheduling, Pre-Registration, Registration, Insurance Verification, Insurance Authorization , and ensures patients have been cleared for Rehab… more
- St. Luke's University Health Network (Reading, PA)
- …their visit. + Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs ... pay for health care. JOB SUMMARY The Patient Access Representative I is responsible for the entire scope of...prior to service to decrease denials for no authorization . + Must obtain Medical license Number, NPI and… more
- Apex Health Solutions (Houston, TX)
- …limited to, formulary information, copay amounts, pharmacy location services and prior authorization outcomes. Collaborate with Pharmacy Operations and Solutions ... Position Summary: The Pharmacy Care Representative performs duties to support the efforts of...to track and trend drug utilization patterns, audit for prior authorizations, analyze cost and determine trending data for… more