- Prestige Staffing (Atlanta, GA)
- Onsite Prior Authorization Specialist Job Overview Position requires utilization of clinical knowledge and excellent customer service skills to schedule ... and MRI/X rays/CT scans are forwarded to the facility prior to the surgery date Consult with patient to...with other physicians and vendors Assisting in preop for medical clearance for scheduled procedure Assist as needed with… more
- A-Line Staffing Solutions (Pittsburgh, PA)
- …for immediate consideration! Or call at ###. Job Description: Billing Specialist I will be responsible for qualifying, preparing and submitting claims ... to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party… more
- Accounting Now (Tampa, FL)
- …to support medical necessity) for a reconsideration, appeal, or retro authorization to the insurance carrier via payer portal, fax, etc Documents and summarizes ... The Denials Specialist performs advanced-level work related to clinical and...and CMS-1500 (HCFA) forms Experience in managing and appealing authorization or medical necessity denials Medical… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
- Compass Health Network (Wentzville, MO)
- …trainings and/or staff meetings as required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Compass Health Network (Wentzville, MO)
- …and/or staff meetings as required by Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Elite Staffing Inc. (Cary, NC)
- …patients & their insurance companies. Requirements: Candidate must have insurance and prior authorization experience, excellent verbal and written skills, 2+ ... Reimbursement Specialist Job Duties: Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial… more
- Blanchard Valley Hospital (Findlay, OH)
- …the extent possible and determined necessary. Duty 1: Analysis of the medical record to identify and assign provider deficiencies present. Knowledgeable of inpatient ... and outpatient medical record analysis policies and procedures. Duty 2: Scans...external customers. Determines the validity of requests, ensures appropriate authorization is obtained, extracts and prepares all relevant information… more
- A-Line Staffing Solutions (Des Moines, IA)
- …billing, EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization , reimbursement counselor, Medical customer service, ... proof of vaccination Summary: The main function of a call center/customer service specialist is to interact with customers to provide information in response to… more
- Compass Health Network (St. Charles, MO)
- …samples, maintain accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full… more
- Compass Health Network (St. Charles, MO)
- …maintain accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full… more
- Sourcing Square US (Farmington Hills, MI)
- …industry or cloud transformation programs as well as having prior technical experience in cloud, technology, and/or software developmentPreferred Qualifications:A ... sales experience in a large matrixed sales organization, with specialist sales experience preferredBuilding collaborative partnerships with companies and selling… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply...and prior authorizations. + Demonstrated knowledge of Prior Authorization operations and medical ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Montrose Memorial Hospital (Montrose, CO)
- …of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as ... patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the...and patient's plan of care as they secure payer authorization for medical services and optimize patient… more
- Hospice of the Valley (Phoenix, AZ)
- …Generous Paid Time Off. + Flexible schedules for work/life balance. **Position Profile** The Prior Authorization Specialist will obtain prior ... authorization from non-Medicare insurance companies. **Responsibilities** + Obtains prior authorization from non-Medicare insurance companies. + Contacts… more
- Spectrum Health Services (Philadelphia, PA)
- Job Descriptions: Job Summary: The Prior Authorization Specialist is a vital member of the healthcare team. They are responsible for managing the ... setting involving customer service or patient-facing responsibilities is required. Keyword: Prior Authorization Specialist From: Spectrum Health Services,… 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
- General Physicians PC (Buffalo, NY)
- Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a Prior Authorization ... PC, one of Western New York's most esteemed multi-specialty medical groups, is excited to welcome dedicated LPNs to...The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries.… 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...are trained and meeting performance goals and expectations. * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ ** Prior Authorization Specialist /Payor Relations Specialist - This is an** ... independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute… more
