• Saratoga Hospital (Saratoga Springs, NY)
    Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga ... people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
    Upward (07/15/25)
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  • Optum (Milford, MA)
    …patients, co-payment, co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination. Able to ... us to start Caring. Connecting. Growing together. Optum is seeking a Support Specialist to join our growing team. At Optum, we are transforming healthcare nationally… more
    Upward (07/22/25)
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  • Prisma Health (Columbia, SC)
    …provide our patients a seamless entry in to the Prisma Health experience. The Referral Specialist interfaces with patients and physician office team members to ... accurately authorize various consultations, procedures and tests. The Referral Specialist utilizes each patient's preferred method of contact. The Referral more
    Upward (06/29/25)
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  • ssur (Roanoke, VA)
    …support needs based on current clinic work in progress knowledge. May obtain prior authorization as required by payer. May assist in manually pricing ... Summary The Patient Care Specialist (PCS) facilitates an excellent patient experience and...clinical personnel. Schedules appointments, verifies and updates patient demographics, referral source and insurance information in the Electronic Medical… more
    Upward (07/21/25)
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  • Syneos Health Careers (Houston, TX)
    …Healthcare Information (PHI) to support the benefits investigation and prior authorization processes for neuroscience products and administration/observation ... assigned geographic territory.The primary focus of the Patient Access Specialist is to leverage strategic insights within targeted interconnected… more
    Upward (07/13/25)
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  • Texas Children's Hospital (Houston, TX)
    …patients, per practice protocol, who have emergencies or have self-referred without prior authorization . About Us Texas Children's Pediatrics is the nation's ... Job Description We are searching for a Front Office Specialist I - Pediatric Medical Group someone to coordinate and perform the scheduling of patients, receive and… more
    Upward (07/14/25)
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  • Tempus (Plymouth, MA)
    …good time management skills, good writing skills, strong organizational skills and prior Human Services experience, 1-2 years' experience working with youth with ... our employees to develop your career and enhance your experience. Sign on bonus Referral bonus Work/Life Balance - flexible work schedules Paid time off - 25 days… more
    Upward (06/30/25)
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  • Inside Higher Ed (Green Bay, WI)
    …Educational Resources (OER), textbook change, assessment plan, credit for prior learning assessment tools, and employability skills.Utilize engaging instructional ... collaborate with other departments on student recruitment, program marketing, and referral of students as needed for student success strategies including tutoring,… more
    Talent (06/30/25)
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  • Kaiser Permanente (Tacoma, WA)
    …insurance coverage. Perform general patient account management duties, such as, obtain prior authorization for services, process items in the appropriate work ... General Account Management Confirm and set up payor coverage structures Obtain prior authorization for services Process appropriate items in the patient,… more
    Upward (07/18/25)
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  • Regal Medical Group, Inc. (Northridge, CA)
    …of management services. Essential Duties and Responsibilities include the following: Prior Authorization : Understand, promote and manage with the principles ... participate in the pre-service medical necessity review of patient care. Review prior authorization requests for medical necessity with respect to Health… more
    Upward (06/30/25)
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  • Referral & Prior

    Saratoga Hospital (Saratoga Springs, NY)
    Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga ... people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
    Saratoga Hospital (07/11/25)
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  • Referral & Prior

    Saratoga Hospital (Saratoga Springs, NY)
    Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals… more
    Saratoga Hospital (06/24/25)
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  • Prior Authorization

    University of Texas Rio Grande Valley (Edinburg, TX)
    Position Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas ... processing all prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
    University of Texas Rio Grande Valley (07/23/25)
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  • Referral Specialist - Park Ridge GI

    Prime Healthcare (Park Ridge, IL)
    prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of the usual… more
    Prime Healthcare (06/25/25)
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  • Referral & Authorization

    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 (07/02/25)
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  • Referral & Authorization

    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
    Glens Falls Hospital (07/02/25)
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  • Pre- Authorization Specialist 1

    Rush University Medical Center (Chicago, IL)
    Authorization Specialist I is responsible for obtaining and resolving referral , precertification, and/or prior authorization to support insurance ... outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may...that is required for the payer to issue a referral or an authorization . Per referral more
    Rush University Medical Center (07/16/25)
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  • Specialist - Authorization Denial

    Baptist Memorial (Memphis, TN)
    …* Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Overview SPECIALIST - AUTHORIZATION DENIAL - HS REVENUE ENHANCEMENT-ONCOLOGY...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations per payer guidelines prior to services… more
    Baptist Memorial (06/11/25)
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  • Referral Specialist II/Patient…

    Elevance Health (Irving, TX)
    …specialty pharmacies, our infusion centers, and the home setting._ ** Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - ... (5) weeks/30 days at the Plano, TX office. The ** Referral Specialist II** is responsible for providing...additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer… more
    Elevance Health (07/17/25)
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  • Insurance Authorization Specialist

    Granville Medical Center (Oxford, NC)
    The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: *...reason that they are required to make these payments prior to surgery. * Make necessary changes to the… more
    Granville Medical Center (07/09/25)
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