- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department:… more
- Glens Falls Hospital (Glens Falls, NY)
- …week, can be found *here*. **Job:** **Administrative/Clerical* **Title:** *Lead Referral, Authorization and Denial Management Specialist * **Location:** ... *The Impact You Can Make* The Denial Management Specialist is responsible for...information to support appeal as necessary. Obtains retro-authorizations when denial is for lack of prior authorization ,… more
- Wood County Hospital (Bowling Green, OH)
- Wood County Hospital is currently seeking a full time Insurance/ Denial Specialist . The Insurance/ Denial Specialist ensures that radiation therapy ... by specific insurance companies. + Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement… more
- CDI (St. Louis Park, MN)
- …Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining ... proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist II, you will investigate and determine the reason for a denied or… more
- UPMC (Williamsport, PA)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider websites to perform prior authorization , edit, and denial services. + Utilize… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... from the leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... the highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Fairview Health Services (St. Paul, MN)
- …possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care ... and determine appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization requests and/or ensure… more
- Robert Half Office Team (Oakland, CA)
- Description We are seeking a highly organized and dedicated Insurance Authorization Specialist for a local healthcare client in the Oakland area. The successful ... to health care providers and patients. . Keeping track of the authorization process using appropriate electronic tools and databases. . Ensuring insurance… more
- Genesis Healthcare (Albuquerque, NM)
- …with the Central Business Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid Authorization .*Provide support to the nursing ... service. Bring your financial savvy to our team as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility… more
- Trinity Health (Farmington Hills, MI)
- …Vision, and Values in behaviors, practices, and decisions. Coordinates denial management processes (Clinical and Administrative/Technical accounts, focusing upon ... key stakeholders across the various impacted departments + Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... Place, Hamilton, NJ 08619 Job Overview: The Patient Access Specialist supports the Patient Access Department by providing key...core function of this position is to ensure that authorization requirements are met prior to service. The Patient… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS) - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of background ... / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more
- Fairview Health Services (Minneapolis, MN)
- …on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... level, scope and complexity of professional billing duties assigned. Medical Billing Specialist III is the advanced-journey level class performing more complex work… more
- Sanford Health (Sioux Falls, SD)
- …guidelines and timelines. Provide information to providers and members in regards to authorization and/or denial of services. Ability to review, analyze and ... provider specialty groups in coordinating care. Responsible for managing the authorization process for participating plan members ensuring that all services are… more
- Amentum (Huntsville, AL)
- …the FOs and / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and service to the ... decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or...or revocation of security clearance and / or access authorization which will ultimately lead to the firing or… more
- Robert Half Accountemps (Moline, IL)
- Description Robert Half is hiring a full-time Insurance Verification Specialist to join our client! This candidate will work closely with the Revenue Cycle Manager ... while performing all components in the Insurance Verification/ Authorization process for existing and new patients, as well as working closely with staff. This person… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... rules. Completes check in and scheduling for Clinician in Epic. Communicates authorization , benefits and limitations to providers and patients; obtaining ABN or… more