- 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
- CaroMont Health (Gastonia, NC)
- Job Summary: The Pre - Authorization Specialist is a member of the Utilization Review Department who is responsible for verifying eligibility, obtaining ... insurance benefits, and ensuring pre -certification, authorization , and referral requirements...for care, via phone, fax, or payer websites. The Pre - Authorization Specialist provides detailed and… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Referral / Pre -Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The ... **DETAILS OF THE POSITION:** + Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre - authorization for patients and… more
- UPMC (Wexford, PA)
- …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in… more
- UPMC (Pittsburgh, PA)
- …activities including pre -authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team...using ICD-9-CM, CPT, and HCPCS Level II. + Provides referral / pre -notification/ authorization services timely to avoid… more
- UPMC (Pittsburgh, PA)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center!...of excellence in all work. + Utilize expertise in authorization -related activities, including pre -authorizations, notifications, edits, and… more
- Select Medical (West Orange, NJ)
- …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )**… 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)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… 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...clinical documentation. . 3-5 years of experience in a pre - authorization specialty preferred. . Consideration of… more
- UPMC (Hanover, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Life Changers! UPMC is hiring a Full-Time, Central Insurance Referral Specialist II to support the office...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- Trinity Health (Grand Rapids, MI)
- …is not a remote position. Responsible for all aspects of authorizations/ pre -certification, or referral processes. Verifies insurance eligibility and contacts ... the payer to initiate pre -certification by providing supporting medical documentation, follow ups with...procedures, and services in attempt to obtain a successful authorization . Determines out of pockets costs for patients prior… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: Oncology Referral Specialist DEPARTMENT: Medical Oncology Hematology LOCATION: Lipson Cancer Institute Clifton Springs - 2 Coulter Road, Clifton ... WEEK: 40 SCHEDULE: Monday through Friday, Standard Business Hours SUMMARY The Oncology Referral Specialist will act as an initial contact for patients, family,… more
- Catholic Health Initiatives (Ooltewah, TN)
- **Responsibilities** The Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure patient's ... needed. + Coordinate flow of information between medical clinic and patients insurance for referral authorization to secure a valid referral for clinic… 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
- Mayo Clinic (Rochester, MN)
- …in the F-1 STEM OPT extension program.** **Qualifications** **Qualifications for Laboratory Referral Specialist I:** You must have a high school diploma/GED ... coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. +...3 years of relevant work experience. **Qualifications for Laboratory Referral Specialist II:** You must have a… more
- Catholic Health Initiatives (Kearney, NE)
- …services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for ... responsible related experience in a healthcare environment required. **Overview** The Referral Specialist works with patients requiring a referral… more
- Trinity Health (Hartford, CT)
- …completeness of information, urgency, and other designated criteria + Completes pre - authorization workflows as required. Contact insurance companies to ensure ... services which are essential to the efficient operation of the organization's referral process. Works closely with the clinical department staff as well customer… more
- LA Care Health Plan (Los Angeles, CA)
- …Technical Support to UM Specialist : Processing of time sensitive authorization and pre -certification requests to meet department timeframes and regulatory ... The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the … more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The Insurance Authorization / Referral Specialist will perform the following: Obtains authorizations and referrals for hospital procedures ... High School Diploma/GED + Minimum two (2) years experience with the referral / authorization process and interacting with insurance carriers **Preferred** +… more