- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… 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: ... clinical staff and providers to gather additional information to obtain prior authorization as needed. + Coordinate patients' procedures for both the office,… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- St. Luke's University Health Network (Bethlehem, 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 compliance requirements. Please complete your application using your full legal name and current home address. Be sure… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...re fer red Please complete your application using your full legal name and current home address. Be sure… 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
- BrightSpring Health Services (Duluth, GA)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities ... This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30AM...| US-GA-ATLANTA ID 2024-151808 Line of Business Amerita Position Type Full -Time Pay Min USD $18.50/Hr. Pay Max USD… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- TEKsystems (Oak Park, IL)
- Description: The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, and/or prior authorization ... hospital (inpatient & outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for ... prior authorization needs, obtaining needed prior authorizations, and properly documenting all steps in the process. This position will also serve as a point… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... coordination of benefit * Prepare and compile necessary documentation to secure prior authorization .Collect clinical information regarding service to be rendered… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... & coordination of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be… more
- Kids First (Montvale, NJ)
- Authorization Specialist Montvale, NJ Full Time ABA Operations Mid Level Share (https://kidsfirstservices.applytojob.com/app/share/p6HxPvlzkR) Position ... Summary The Authorization Specialist at Kids First is a full -time...Summary The Authorization Specialist...+ Ensure there are no Coordination of Benefit issues prior to authorization requests + Communicate insurance… more
- Carle (Urbana, IL)
- …a Friend Save Save Apply Now Position Summary: The Pre- Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and ... Pre- Authorization Specialist + Department: Registration Center...Service Area + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ID: 45322 + Experience… 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 ... care for those suffering with neurological Conditions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... FUNCTIONS** + Utilizes multiple online resources to initiate and verify proper insurance authorization is obtained timely and accurately prior to the patient's… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Referral/ Authorization Specialist - Rensselaer - Remote (Must be local to Albany, ... collaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR...complete pre-certification process. + Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
- Northeast Family Services (Lawrence, MA)
- …an experienced professional to join our growing Massachusetts team as an Intake and Authorization Specialist ! The Intake and Authorization Specialist ... Northeast Family Services' five regions in Massachusetts. The Intake Screener and Authorization Specialist manages all aspects of the registration and admissions… more
- UNC Health Care (Goldsboro, NC)
- …and 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...electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for referrals in Epic. 4. Update the… more