- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **39407BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible ... English and Spanish. **Campus:** HSC - El Paso **Department:** Medical Authorization **Required Attachments:** Resume / CV...school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS),… 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 authorization for all obstetrical patients, medication...authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies. This role involves… more
- Texas Health Action (Austin, TX)
- …accessibility throughout the state. Read more about THA here: http://texashealthaction.org. The Prior Authorization Specialist serves our Kind Clinics and ... Specialist , you will be responsible for managing the prior authorization process for medications + Collaborate...licensure required. Experience - 1+ years experience in a medical setting processing prior authorization .… more
- 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...Acquiring and maintaining basic knowledge of relevant and changing Med D guidance + Effectively manage work volume by… more
- 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 ... requested services. This position is responsible for: + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite… more
- Select Medical (St. Charles, MO)
- **Overview** **Select Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** ** Prior Authorization Specialist / Payor Relations ... period** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or... Specialist , you will manage the pre-certification and prior authorization of referrals scheduled for admission… more
- New England Cancer Specialists (Scarborough, ME)
- Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Prior Authorization Specialist . This position will join a varied team of ... professional care and customer service to our customers. The Prior Authorization Specialist will handle...as an additional 6 paid company holidays. We offer medical , dental and vision insurance and eligibility starts the… more
- Actalent (St. Louis, MO)
- Prior Authorization Specialist Job Description Support a variety of outpatient clinics in a pharmacy prior authorization capacity. You will report to ... Escalate issues to the pharmacist during daily morning huddles. Essential Skills + Prior authorization experience. + Experience with EPIC software. + Clinical… more
- Health First (Rockledge, FL)
- …**Job:** ** Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** * Prior Authorization Nurse Specialist HFHP - Clinical ... associated with a sustainable, measurable, accurate, reliable and timely execution of the Prior Authorization Process. Success in this position will be based on… more
- BrightSpring Health Services (Oklahoma City, OK)
- …prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: On site in Oklahoma City Mon-Fri ... our growing network of branches and healthcare professionals. The Prior Authorizaton Specialist will be responsible for...+ Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply,… more
- Ortho Sport and Spine Physicians (Atlanta, GA)
- Position Overview: We are seeking a highly organized and detail-oriented Pre- Authorization Specialist to join our team at Ortho Sport & Spine Physicians. This ... college degree preferred. Minimum of 2 years of experience in medical billing or authorization processes, preferably in an orthopedic or medical setting.… more
- TEKsystems (Tempe, AZ)
- … medical billing, medical claim, Insurance Verification, EOB, ERB, Medical Records, prior authorization , Schedule appointments Top Skills Details: ... Team. This can include but is not limited to: *Consult Orders ( Specialist Office Visits) *Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.)… more
- 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 ... the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception...Acquiring and maintaining basic knowledge of relevant and changing Med D guidance + Effectively manage work volume by… more
- TEKsystems (Plymouth, IN)
- …Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level #PriorityCentral About ... cases from initiation to closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance… more
- TEKsystems (Jeffersonville, IN)
- …Medical office experience + Healthcare experience + insurance verification + prior authorization Experience Level + Entry Level #PriorityCentral About ... focusing on the accuracy of the details of their medical records and your mastery of the program requirements,...SOP and good manufacturer practices + Communicate with key medical practice accounts, sales representatives regarding the status of… more
- TEKsystems (Minneapolis, MN)
- …promoted while on contract Skills/Qualifications: + 5+ years of Insurance verification and prior authorization + 3+ years of healthcare call center experience + ... limited benefit coverage and or who have high out of pocket prescription and medical expenses which may qualify them into the Patient Assistance Program. The PAC… more
- Hartford HealthCare (Farmington, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** * Prior Authorizations Specialist - Medical Weight Loss… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...reviewing all claim denials related to missing or invalid prior authorizations in addition to medical necessity… more
- 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,...prior insurer decisions and specialty/sub-specialty knowledge of general medical experience and terminology, specialty and sub specialty … more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the prior authorization specialist , with oversight of data and compliance to enterprise standards prior authorization ... to the denial and will be patient specific. + Prior authorization functionality required for testing and...required. + Medical Billing preferred + Certified Medical Billing Specialist preferred + Certified … more