- Genmab (Berkeley Heights, NJ)
- …including but not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare ... has experience in case management, phone-based support work and the health insurance landscape. Patient Service Specialists are critical in the success and quality… more
- Ochsner Health (Raceland, LA)
- …of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local ... registration and admission process; responsible for the verification of insurance via electronic verification, telephone, or web application; improves patient… more
- City of Canby, OR (Canby, OR)
- …required to complete the US Department of Homeland Security's I-9 verification process confirming authorization to work in the United States. The City of Canby is an ... after the sick leave retirement benefit has been calculated ( refer to Sick Leave). Deferred Compensation : The City...employees are covered by Worker's Compensation. This type of insurance covers employees in case of on-the-job injuries or… more
- HealthCare Support (Houston, TX)
- …any requests for extension of these services and if not meeting criteria, refer to the Medical Director. 3. Participates in Community Nursing Rounds if applicable ... eligibility, benefit coverage and facility contract status prior to processing authorization requests. Accurately enters the required information into the managed… more
- NORTH RANGE BEHAVIORAL HEALTH (Greeley, CO)
- …initiate appropriate action. Screen and evaluate lab reports and inform/ refer abnormalities to prescribers; communicate possible medication problems, side effectsand ... payment of services; align services with payor authorizations and/or request authorization prior to provision of service. Assume responsibility to follow infection… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The Insurance Authorization /Referral Specialist will perform the following: Obtains authorizations and referrals for ... High School Diploma/GED + Minimum two (2) years experience with the referral/ authorization process and interacting with insurance carriers **Preferred** +… 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 ... documentation or address any concerns related to the prior authorization process. + Contacts Insurance Payers to...refer to Patient Advocacy Department to review alternative insurance plans in network with St. Luke's + Upd… more
- Rochester Regional Health (Rochester, NY)
- …scheduling or authorization issues + Complete forms and letters to insurance for visit coverage + Monitor daily schedules for add-on appointments, insurance ... Job Title: Finance and Authorization Specialist - Lead Department: SCHI Location: SCHI...team. This includes the need to promptly verify patient's insurance , obtain and verify if not provided, provide accurate… more
- Catholic Health Services (Melville, NY)
- …record patient demographic and insurance information. The role performs insurance verification, insurance notification and authorization , patient ... years in Revenue Cycle Management or Patient Access Services functions. Insurance Verification and Insurance Pre-Certification/ Authorization experience… more
- SUNY Upstate Medical University (Syracuse, NY)
- …orders and insurance claim submission preferred. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed ... necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue, Rochester, NY 14621 Hours Per Week: 40Schedule: Monday - ... Days SUMMARY:This role helps patients' access necessary medications by navigating insurance and financial support options while fostering clear communication across… more
- Prime Healthcare (Dallas, TX)
- … Insurance Verifier assist patients with payment arrangements and refer eligible individuals to assistance programs or discounts. Additionally, Insurance ... clearly to both patients and hospital staff + Coordinate the pre- authorization and insurance approval process to ensure all necessary approvals are secured… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …intakes, including interfacing with insurance and managed care companies for authorization . + Refer patients to outpatient services, either within or outside ... under treatment. What Benefits Do We Offer? + Medical, dental, vision & life insurance plans + 403(b) retirement match contribution by Pine Rest + Generous PTO for… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …intakes, including interfacing with insurance and managed care companies for authorization . + Refer patients to outpatient services within or outside the ... Satisfactory previous clinical experience. Benefits: + Medical, dental, vision & life insurance plans + 403(b) retirement match contribution by Pine Rest + Generous… more
- Fallon Health (Worcester, MA)
- …and notifications for FCHP members, screens for member eligibility, additional active insurance coverage and authorization history from the core system. + ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for… more
- Catholic Health Services (Melville, NY)
- …The Financial Clearance Representative works with the various components of the insurance verification, insurance notification and authorization , and ... in Revenue Cycle Management or Patient Access Services functions. + Insurance Verification and Insurance Pre-Certification/ Authorization experience… more
- Ventura County (Ventura, CA)
- …of up to $25,558 annually to offset the purchase of medical, dental, and/or vision insurance for you and your dependents. + Employee only - $509 per biweekly pay ... Benefits - Tuition Reimbursement, Disability Plans, Employee Assistance Program, Life Insurance , Wellness Program. POSITION The County Clerk-Recorder & Registrar of… more
- OhioHealth (Columbus, OH)
- …of patient care. Primary responsibilities include but are not limited to: insurance verification, obtaining pre- authorization and data entry of patient ... PAYER REQUIREMENTS ARE IN PLACE FOR HOSPITAL PAYMENT. 1. Responsible for insurance verification. When necessary, obtains pre- authorization from insurance … more
- Catholic Health Services (Melville, NY)
- …services. The Representative will ensure the patient has active insurance coverage, collect demographic information, acquire and explain benefit information, ... confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, protocols and instructions… more
- Catholic Health Services (Melville, NY)
- …services. The Representative will ensure the patient has active insurance coverage, collect demographic information, acquire and explain benefit information, ... confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, protocols and instructions… more
