- St. Luke's University Health Network (Allentown, 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
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior -authorizations and referral process for patients being referred for specialty care,...referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: 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
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: 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
- University of Rochester (Rochester, NY)
- Responsibilities **Position Summary:** 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 (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 foundhere. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center *… more
- ProMedica Health System (Toledo, OH)
- POSITION SUMMARY The Care Navigation Resource Coordinator - Prior Authorization Specialist performs insurance submissions for prior authorizations for ... assistance and support to the care navigation team. The prior authorization specialist collaborates with...and determination within the patient's EHR and within the referral management platform. 16. Complete consistent review of individual… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply... work queues. Responds to patient inquires and manages referral and/or prior authorization related ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the ... the authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit… more
- TEKsystems (San Antonio, TX)
- …experience in Medical field can only apply! Description: Position Purpose: Supports the prior authorization request to ensure all authorization requests are ... phone Describe the performance expectations/metrics for this individual and their team: * Referral Specialist are required to enter five minimum of five… more
- CVS Health (Pittsburgh, PA)
- …claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… more
- UPMC (Williamsport, PA)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and all ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...and insurance payor or contracted provider websites to perform prior authorization , edit, and denial services. +… more
- UPMC (Coraopolis, 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...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- Northeast Family Services (Fall River, MA)
- …to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist ! The Intake Screener and Authorization Specialist ... are responsible for working closely and extensively with various referral sources throughout the entirety of the referral...appointments. To be successful in the Intake Screener and Authorization Specialist position, you should be highly… more
- University of Colorado (Aurora, CO)
- …agency (https://www.jobelephant.com/) As a key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at the ... "buy and bill" basis. + Knowledge of EPIC EMR authorization and referral processes. + Previous "front...a key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations per payer guidelines prior to services… more
- Centene Corporation (Oklahoma City, OK)
- …thinkers delivering solutions at the local level. **Position Purpose:** Supports the prior authorization request to ensure all authorization requests ... requests for services in accordance with the insurance prior authorization list + Supports and performs...such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Remains… more
- Health First (Melbourne, FL)
- …eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements are met prior to the delivery of ... * Process referrals and submit medical records to insurance carriers to expedite prior authorization processes in accordance to Health First policy and… more
- UT Health (Houston, TX)
- REMOTE - Insurance Authorization Verification Specialist I (Rev Cycle) **Location:** Houston, Texas **Category:** Professional/Managerial McGovern Medical School ... more! **Position Summary:** Verifies insurance policy benefit information and obtains Authorization / Precertification, prior to the patient's visit or scheduled… more
- LifePoint Health (Wytheville, VA)
- …**Nursing/Medical Assistant* **Organization:** **Wythe County Physician Pract* **Title:** *Pre- Authorization Specialist * **Location:** *Virginia-Wytheville* ... Schedules and obtains prior authorizations for diagnostic tests and surgical procedures as ordered by referring physicians. Prepares appropriate documentation and… more