- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Glens Falls*… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Referral / Authorization Specialist - Rensselaer - Remote (Must be local to Albany, ... with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system....complete pre-certification process. + Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... information + Provides insurance company with clinical information necessary to secure prior- authorization or referral + Works in alignment with Central… more
- University of Virginia (Charlottesville, VA)
- …to both referring physicians as well as referred patients. Obtains pre- authorization for all diagnostic tests and performs additional administrative support ... functions. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of carrier contracts/changes and… more
- CommonSpirit Health (Phoenix, AZ)
- …High School Diploma/GED + Minimum two (2) years experience with the referral / authorization process and interacting with insurance carriers **Preferred** + ... Preferred scheduling experience in a Radiology setting + Familiarity with the referral / authorization process and interacting with insurance carriers + Bi-lingual… more
- St. Luke's University Health Network (Allentown, PA)
- …Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital sch… 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...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… 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...functionality required for testing and services ordered by referred-to specialist includes, preparing and providing multiple, complex details to… more
- University of Rochester (Rochester, NY)
- Responsibilities **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...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to the Referral / Authorization Supervisor under direct supervision, the Referral Specialist is responsible for coordinating referral orders for ... School-affiliated hospitals. With direct supervision, the Referral Specialist : + Manages referral and authorization information as assigned through daily… more
- TEKsystems (San Carlos, CA)
- …for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This ... authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient… 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...insurance plans available beginning in January 2024 + Employee Referral Bonus Structure (Up to $1,000 for qualified employees)… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …and clinicians are recognized for clinical and operational excellence. **Insurance Authorization Specialist - Full-Time, Outpatient PT/OT/ST** Position acts as ... in patient treatment and prevent claims denials for missing/invalid pre-certification/ authorization . Duties include monitoring assigned Authorization / Referral… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate **Work Location**… more
- UPMC (Pittsburgh, PA)
- …of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization ... related activities including pre-authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical ... patient's, facilities, physician's, and department to ensure timely and accurate authorization of all services/visits. + Collaborate with internal and external… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre- Authorization Specialist will assist the Patient Engagement Center Liaison, ... appeal process based on internal guidelines. Assists Manager, Pre-Service Operations - Authorization and Referral Management in the education of authorization… 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 ... rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays in treatment… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist ( RN , LPN )** **This is ... **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of… more