- St. Luke's University Health Network (Orwigsburg, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... information. + Provides insurance company with clinical information necessary to secure prior - authorization or referral . + Works in alignment with Central… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Saratoga Springs*… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
- Select Medical (West Orange, NJ)
- …Institute for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations Specialist ( RN ... **Job ID** _339844_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccines + Employee referral bonus… more
- Trinity Health (Grand Rapids, MI)
- …**Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue ... cycle. Preferred: 3-5 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle, within an… more
- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Pittsburgh, PA)
- …is crucial? If so, we want you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're committed to providing ... exceptional oncology care to our community. As an Authorization Specialist , you'll play a vital role...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- WesleyLife (Urbandale, IA)
- …and purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist ** As a Insurance Authorization & ... the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist , you will:** +...Ongoing leadership training and development pathways **Extra Perks:** + Referral Bonus Program - bring your friends and earn… more
- UPMC (Pittsburgh, PA)
- …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in...case is assessed for clinical related concerns and resolved prior to patients presenting to the hospital to ensure… more
- CaroMont Health (Gastonia, NC)
- …eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements are met prior to the delivery of ... Job Summary: The Pre- Authorization Specialist is a member of the Utilization Review Department who is responsible for verifying… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Type Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy ... Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccine + Employee referral bonus… more
- UPMC (Lancaster, PA)
- Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area! The ideal candidate is ... in learning more about this exciting opportunity, apply today! Purpose: The Central Insurance Referral Specialist II will be responsible for coordination of the … more
- PeaceHealth (Vancouver, WA)
- …Washington or Alaska.** **JOB SUMMARY:** Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical ... **Description** **PeaceHealth is seeking a Referral /Pre-Auth Specialist for a Full Time,...POSITION:** + Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre- authorization for patients… more
- Praxis Health (Bend, OR)
- …testing performed in house Duties of this position will include obtaining prior authorizations for services that are not customary plan benefits, calling on ... patient file and records maintenance, etc. Essential Job Functions + Obtains prior authorizations and referrals. + Inputs correct data into Intergy. + Performs… more
- Trinity Health (Hartford, CT)
- …services which are essential to the efficient operation of the organization's referral process. Works closely with the clinical department staff as well customer ... completeness of information, urgency, and other designated criteria + Completes pre- authorization workflows as required. Contact insurance companies to ensure … more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the … more