- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... a similar healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience. + Previous Medical Assistant experience.… more
- Atlantic Health System (Morristown, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining ... prior authorization for all obstetrical patients, medication...authorization for all obstetrical patients, medication authorizations, and medical procedure authorizations from insurance companies. This role involves… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...reviewing all claim denials related to missing or invalid prior authorizations in addition to medical necessity… more
- RWJBarnabas Health (Somerville, NJ)
- …function of this position is to ensure that authorization requirements are met prior to service + The Patient Access Specialist provides direct and indirect ... reduce denials and improve processes + The Patient Access Specialist has in-depth knowledge of payer authorization ...and other external and internal customers + Ensures appropriate authorization has been issued by the payer prior… 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
- St. Luke's University Health Network (Allentown, PA)
- …and pharmacies as necessary to address refill requests. + Initiates and completes prior authorization requests as necessary using standardized workflows and ... regardless of a patient's ability to pay for health care. The Rx Specialist will address patient medication refill requests and all associated authorizations using… more
- Zufall Health Center (Hackettstown, NJ)
- …+ Assist with completion of forms, insurance referrals (to be sent to Referral Specialist if patent has insurance and requires pre- authorization ), notes for work ... Certified Medical Assistant Hackettstown, NJ 07840, USA Req #10976...appropriate amount and made ready for verification by provider prior to administration. Administer as per Certification, as per… more
- Atlantic Health System (Morristown, NJ)
- …information including specialty specific instructions and explain any referral or prior authorization requirements. Offer friendly, courteous assistance to every ... pass all required training. Includes, but not limited to: Electronic medical record training, patient experience training, AMG phone etiquette training, MyChart… more
- St. Luke's University Health Network (Allentown, PA)
- …Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion + Obtains knowledge of any ... between the providers and the patients. They are responsible for scheduling specialist and imaging appointments for Star Community Health patients. Collaborates with… more