- Select Medical (West Orange, NJ)
- …applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/302428/ prior - authorization - specialist inpatient ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist - This is an**… more
- Select Medical (Frisco, TX)
- …applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/302398/ prior - authorization - specialist inpatient ... with Select Medical & Baylor Scott & White Health ** Prior Authorization Specialist -** **onsite... of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. 1. Follows the Select Workflow Process… more
- St. Luke's University Health Network (Allentown, 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 ... scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding in the coordination… 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...of PG provider to secure reimbursement for Observation and Inpatient Services. + Refe rs a ll self- paypa… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Authorization Specialist to join their Pediatric Endocrinology team at UPMC Children's Hospital! The Pediatric Endocrinology ... part a front facing position with some direct patient care.** As the Authorization Specialist , you will perform authorizations for medication and diabetes… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... clinical pharmacy practice on the assigned service(s), actively participates in inpatient rounds and/or outpatient clinic coverage, including on-call and weekend… more
- UPMC (Pittsburgh, PA)
- **UPP Psychiatry: Psychiatry Access Clinic is hiring a full-time Authorization Specialist to join their team! This is a Monday-Friday, daylight position with no ... of the nation's foremost academic-based psychiatric facilities.** **Responsibilities:** + Prior authorization responsibilities. Reviews and interprets medical… 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 UPMC ... care for those suffering with neurological Conditions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record… 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...or rendered at UNC Health Wayne for outpatient & inpatient visits. Obtains insurance information that will be verified… more
- Omaha Children's Hospital (Omaha, NE)
- …appropriate and timely service. **Essential Functions** + Subject matter expert in prior authorization of Genetic and Complex Laboratory Testing. Coordinates ... patients receiving Genetic Testing. + Primarily responsible for coordinating the authorization for inpatient /outpatient genetic and complex laboratory testing +… more
- Bon Secours Mercy Health (Norwood, OH)
- …of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling the patient for outpatient and inpatient ... for clinical and operational excellence. **Job Title:** Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial… more
- AdventHealth (Hinsdale, IL)
- …made available *Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and ... *Coordinates with case management staff as necessary (eg, when pre- authorization cannot be obtained for an inpatient ...on their insurance coverage or eligibility for government programs prior to service for both inpatient and… more
- Henry Ford Health System (West Bloomfield, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… 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 ... Coordinates with case management staff as necessary (eg, when pre- authorization cannot be obtained for an inpatient ...on their insurance coverage or eligibility for government programs prior to service for both inpatient and… more
- Omaha Children's Hospital (Omaha, NE)
- …disabilities. **A Brief Overview** The Access Training & Quality Assurance Specialist delivers training to Patient Access Specialists, Authorization Specialists ... any other roles enterprise wide that requires Registration or Authorization training. This includes training new members of their...Runs admissions report daily to review insurance coverage on prior day admissions. ▪ Works inpatient with… more
- Billings Clinic (Billings, MT)
- …Starting Wage:$17.00 - 21.25 Responsible for the completion of pre-certification, prior authorization and notification for third party and government ... outpatient examination and procedures requiring preauthorization. May provide back-up pre-certification/ prior authorization resources for other departments as… more
- Hackensack Meridian Health (Neptune, NJ)
- …and much more including a _Generous_ sign on bonus The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions ... to ensure the procedure is a covered service under the patients plan prior to receiving services. + Verifies pre- authorization requirements and follows up… more
- St. Luke's University Health Network (Allentown, PA)
- …to date of service + Ensure all IP only procedures for Medicare cases have an Inpatient order prior to discharge as well as communicate all IP only procedures ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the… more
- Sanford Health (Fargo, ND)
- …Access Specialist reviews and validates insurance eligibility, submits required prior authorization of Specialty medications to insurance, and navigates ... ordered tests, procedures, and other services. Responsible for assuring that prior authorization for medical services, including testing, procedures, surgery,… more
- AdventHealth (La Grange, IL)
- …financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services + ... and during or after care for unscheduled patients. Accurately enters required authorization information in AdventHealth systems to include length of authorization… more