- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… 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 ... if medical necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when necessary. **Point… 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 ... **Schedule: FT, Mon - Fri, remote (training on site 1 month)** At Children's,...receiving Genetic Testing. + Primarily responsible for coordinating the authorization for inpatient/outpatient genetic and complex laboratory testing +… more
- Option Care Health (Sacramento, CA)
- …From $21/hour This position is responsible for processing benefit verifications or prior authorizations. Responsibilities are to process all new referrals within the ... **Job Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy. + Assist… more
- Centene Corporation (Tampa, FL)
- …on workplace flexibility. **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization ... requests for services in accordance with the insurance prior authorization list and routes to the...medical terminology and insurance preferred. **Location:** Position is 100% remote . Candidate must live in Florida. Centene offers a… more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- TEKsystems (Atlanta, GA)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... As the Medical Program Specialist If you're ready to explore the next...growth opportunities for you career Standard Hours - 100% remote . Monday-Friday (8:00am-6:00pm) Competitive Pay - $21.00 an hour… more
- TEKsystems (Durham, NC)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... As the Medical Program Specialist If you're ready to explore the next...growth opportunities for you career Standard Hours - 100% remote . Monday-Friday (8:00am-8:00pm - 8 hour shift will be… more
- Medtronic (FL)
- …In this exciting role as a Principal Software and Product Security Compliance/Audit Specialist you will have responsibility to plan, lead, conduct and report on ... sustainable impact. **As a Prin Software and Product Security Compliance Specialist :** + **Must have experience and knowledge working with regulated medical… more
- TEKsystems (Charlotte, NC)
- …care, medical, insurance, patient access, medical terminology, patient registration, prior authorization , inbound call, administrative support, bilingual, ... Description: The Program Specialist is responsible for serving as the customer's...management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that… more
- TEKsystems (Richmond, VA)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... Healthcare Program Specialist Fully remote with equipment provided!!...prescribed therapy is eligible for coverage. . Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- VNS Health (Manhattan, NY)
- …time frames and vendor productivity. + Performs insurance eligibility checks and authorization prior to for care being provided. Communicates with clinicians ... and compliance in the healthcare field? We are seeking a skilled Home Coding Specialist to review and audit claims, ensuring they meet all billing, coding, and… more
- Molina Healthcare (WI)
- **Job Description** **Job Summary** The Sr IRIS Operations Specialist is responsible for leading and executing activities and initiatives to support IRIS program ... of referrals, enrollments, disenrollments, workload assignments, ongoing eligibility, service authorization , and other requirements of Wisconsin's IRIS program. The… more
- TEKsystems (Chicago, IL)
- …+ 1-3 Years: Healthcare Insurance Verification Experience + 1-3 Years: Prior Authorization Experience + 2-3 Years: Patient Access/Patient Registration ... *We are currently seeking experienced pharmacy program specialists for a remote contract opportunity starting October 14th.* Strictly a 6 month contract, but could… more
- Sharecare, Inc. (Richmond, VA)
- …and that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. This position is fully remote , ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... wage requirements** **.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13192/patient-benefit- specialist -- remote /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Syracuse_… more
- Sharecare, Inc. (Austin, TX)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Centers for Independence (Milwaukee, WI)
- …carriers. + 3+ years' experience working with an EHR system. + 3+ years of prior authorization experience. + 3+ years of behavioral health authorization ... **Insurance Verification Specialist ** **Job Details** **Job Location** MCFI Main Campus...Details** **Job Location** MCFI Main Campus - Milwaukee, WI ** Remote Type** Hybrid **Position Type** Full Time **Education Level**… more