- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance… more
- Atlantic Health System (Morristown, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for all obstetrical patients and gynecological… 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
- 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 ... physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless...lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to… more
- Aston Carter (Salem, OR)
- Prior Authorization Specialist - Medical Clinic In Salem Job Description The Prior Authorization Specialist is key to department success because ... processes prior authorizations required for treatment. + Obtains insurance pre- authorization for patients and re- authorization of additional treatment. +… 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
- 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 ...+ Performs other clerical duties as assigned by Patient Access Director and/or manager + Exhibits professionalism in appearance,… 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
- 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 ... departments if medical necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when… 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
- St. Luke's Health System (Boise, ID)
- …place to work. We are seeking a Pharmacy Technician - Medication Authorization Specialist to join our Medication Access team. SIGNING BONUS! **What You Can ... referrals related to prescription medications for various disease states, obtaining prior authorization from intermediaries and payers including managed care… more
- UT Health (Houston, TX)
- Insurance Authorization Verification Specialist II/III **Location:** Houston, Texas **Hot** **Category:** Healthcare Support Services McGovern Medical School at ... more! **Position Summary:** Verifies insurance policy benefit information and obtains Authorization / Precertification, prior to the patient's visit or scheduled… more
- Hartford HealthCare (Hartford, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
- RWJBarnabas Health (Hamilton, NJ)
- … authorization requirements are met prior to service. The Patient Access Specialist provides direct and indirect support to department by analyzing data ... denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization ...other external and internal customers + Strong understanding of prior authorization requirements for various services +… more
- RWJBarnabas Health (New Brunswick, NJ)
- … authorization requirements are met prior to service + The Patient Access Specialist provides direct and indirect support to department by analyzing data ... and improve processes + The Patient Access Specialist has in-depth knowledge of payer authorization ...and other external and internal customers + Ensures appropriate authorization has been issued by the payer prior… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The **Patient Access Specialist ** is responsible for all Inpatient and Outpatient Patient ... **Responsibilities** A day in the life of a **Patient Access Specialist ** at Hackensack Meridian Health includes:...procedure is a covered service under the patients plan prior to receiving services. + Verifies pre- authorization … more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or ... bonus! A Day in the Life as a Patient Access Specialist : This role works directly with...complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps… more
- AdventHealth (Manchester, KY)
- …available * Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers ... partners to ensure open communications between clinical, ancillary, and patient access departments, which enhances the patient experience * Provides timely and… more
- AbbVie (Chicago, IL)
- …Facebook, Instagram, YouTube and LinkedIn. Job Description The National Field Access Specialist (FAS) provides coverage to open/vacant territories throughout ... providers on payer issues, coding changes, and appropriate claims submission and prior authorization processes. + Collaborate with business partners to increase… more