- 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
- Trinity Health (Syracuse, NY)
- …order type to ensure proper authorization obtained pre-procedure. * Review authorization denial trends in partnership with supervisor to identify and address ... 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
- Scotland Health Care System (Laurinburg, NC)
- Job Title: Pre- Authorization Specialist Location: Scotland Health Care System Job Description: Scotland Memorial is seeking a dedicated and detail-oriented Pre- ... Authorization Specialist to join our team. The...Authorization Specialist to join our team. The Pre-...of productivity suitable for the department. + Maintains the Denial Goals for the Division. + Provides backup coverage… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to substantiate… more
- Genesis Healthcare (PA)
- …with the Central Business Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid authorization . *Provide support to the nursing ... Responsibilities Bring your financial savvy to our team as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling ... Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests… more
- RWJBarnabas Health (New Brunswick, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... New Brunswick, NJ 08901 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
- 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 ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... / 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
- Robert Half Accountemps (Princeton, NJ)
- Description We are in search of a Medical Reimbursement Specialist to join our team. Stationed in Princeton, New Jersey, you will be instrumental in tackling a ... where you will be tasked with tasks such as claims processing, denial management, payer follow-ups, and appeals. Responsibilities: * Analyze and categorize… more
- UNC Health Care (Smithfield, NC)
- …timely denial follow up for infusion and radiation therapy authorization and medical necessity denials. Complete accurate and timely documentation, follow-up, ... experience in healthcare setting with exposure to patient registration, billing, denial management, or insurance authorization processes required. Requires… 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
- 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
- Fairview Health Services (Hibbing, MN)
- **Job Overview** **Fairview Range is hiring an Infusion Financial Specialist for our Financial Services Department team in Hibbing, MN.** As an Infusion Financial ... Specialist , you will represent Fairview Range Patient Financial Services...complete in-depth payor medical necessity review, and acquire initial authorization as needed to begin patient service or to… more
- Amentum (Washington, DC)
- …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
- Dignity Health (Bakersfield, CA)
- …Policies/procedures & practice guidelines Contact Sheets Biographical and Demographic Sheets Authorization Review detail- memo notes criteria denial letters ... is remote** **within California** **.** **Position Summary:** As a Delegation Management Specialist II, you will play a critical role in managing and monitoring… 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
- State of Maine, Bureau of Human Resources (Bangor, ME)
- -Agency Promotion Only- Environmental Licensing Specialist II - 1367 (Bangor) Bangor , Maine , United States | Environmental & Energy | Full-time | Partially remote ... Apply by: March 20, 2025 Apply with Linkedin Apply ENVIRONMENTAL LICENSING SPECIALIST II -AGENCY PROMOTION ONLY- Opening Date:March 06, 2025Closing Date:March 20,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …for clinical and operational excellence. **Job Title:** Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial ... validation of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling the patient for outpatient and inpatient services,… more
- Sanford Health (SD)
- …**Job Summary** Provides clinical support to the MCHS revenue cycle for denial management and clinical workflows within the patient financial service department. ... appropriate, on medical necessity, level of care, length of stay, and authorization denials for hospitalized patients. Understand and provide insight into evaluating… more