- PharmaCord (Cincinnati, OH)
- …consecutive years of experience in relevant field. Certification examples include PACS ( Prior Authorization Certified Specialist ), CHES (Certified Health ... for a specific patient, and educating HCP offices on Payor processes and procedures. A typical day in the...communicates patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary… more
- Select Medical (Knoxville, TN)
- …- Knoxville** **Select Specialty Hospital - North Knoxville** Critical Illness Recovery Hospitals ** Prior Authorization Specialist / Payor Relations ... **Experience (Years)** _2_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street… more
- Select Medical (West Orange, NJ)
- …Institute for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations Specialist ... **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Relations Specialist ** (PRS), **Acute Rehab** manages the pre-certification and prior authorization of referrals scheduled for admission to the ... ERH workflow process for initiating and completing patient authorizations. The successful Payor Relations Specialist takes full responsibility from taking the… more
- UPMC (Wexford, PA)
- …UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services + .4. Utilize authorization ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- UPMC (Pittsburgh, PA)
- …system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources ... University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Pittsburgh, PA)
- …system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. + Utilize authorization resources ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team...with any other applicable reference material to obtain accurate prior authorization . + Resolves basic authorization… more
- UPMC (Pittsburgh, PA)
- …UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. + 4. Utilize authorization ... you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center!...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- UPMC (Pittsburgh, PA)
- …system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… more
- Hartford HealthCare (Farmington, CT)
- …based on eligibility.* *Job Summary: Under the direction of the Prebilling and Authorization Manager, the Authorization Specialist performs all duties ... on billing and authorization processes.* * *Assists with training of new prior authorization staff and other duties as assigned.* *At Hartford HealthCare, we… more
- Robert Half Accountemps (Houston, TX)
- Description Are you an experienced Patient Financial Authorization Specialist looking to make a direct impact in a clinical setting? We are currently seeking a ... Patient Financial Authorization Specialist to join our in-person team....GED + Previous experience in medical billing and insurance authorization + Proficiency in navigating major payor … more
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** OMFS Prior Authorization Representative - Professional Billing (Hybrid) ... 4:30PM **Hours Per Week** 40 **Job Description** **Medical Billing & Insurance Specialist ** **Your mission: Turning claims into cash, with accuracy and flair!** Are… more
- Stony Brook University (Stony Brook, NY)
- …and document all financial clearance information in the patient's EMR including, prior authorization verification number, effective start and end dates, and ... Financial Clearance Specialist - Cancer Center **Position Summary** The **Financial...the sending of clinical information in support of the authorization to the payor , as assigned. +… more
- Beth Israel Lahey Health (Burlington, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... are seeking a proactive and patient-centered In-Clinic Medication Access Specialist to join our Neurology care team at the...and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for… more
- Ventura County (Ventura, CA)
- …credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/ payor within billing time ... Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing … more
- AdventHealth (Glendale Heights, IL)
- …made available + Delivers excellent customer service by contacting patients to inform them of authorization delays 48 + hours prior to their date of service and ... meetings and promotes positive dialogue within the team + Insurance Verification/ Authorization : + Contacts insurance companies by phone, fax, online portal, and… more
- Adecco US, Inc. (Coos Bay, OR)
- …and ** authorization knowledge** . + Ability to navigate major payor portals efficiently. + Oncology experience preferred (not required). + Business casual ... is assisting a local client recruiting for Medical Billing Specialist opportunities in the Coos Bay, OR.** This is...scheduled patients. + Provide accurate cost estimates to patients prior to the start of treatment. + Scrub the… more
- TEKsystems (Baltimore, MD)
- …into the registration system. 2. Verifies and/or obtains the necessary referral, authorization , or pre-certification prior to services being provided as required ... TekSystems is currently hiring for a Medical Insurance Verification Specialist in the Baltimore area! MUST HAVE: 1- 3 years of strong insurance verification or … more
- Otsuka America Pharmaceutical Inc. (Chicago, IL)
- …providers. + Address key aspects of product access, such as local market payor coverage, co-pay options, prior authorization requirements, formulary ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more
- Independent Health (Buffalo, NY)
- …set up and data entry. + financial arrangements and collecting co-payments. + prior authorization assistance with offices. + coordination of benefits. + promote ... a culture that fosters growth, innovation and collaboration. **Overview** The Billing Specialist assists with the various activities of the pharmacy operations not… more
