- 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 ... for care, via phone, fax, or payer websites. The Pre - Authorization Specialist provides detailed and...provides detailed and timely communication to both payers and clinical partners in order to facilitate compliance with payer… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42204BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... Transcript **Travel Required:** Up to 25% **Major/Essential Functions:** + Handle authorization process and obtain pre -certification approvals prior to service.… more
- UPMC (Wexford, PA)
- …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The … 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 unnecessary delays… 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 in ensuring that patients have access to the care they… more
- Omaha Children's Hospital (Omaha, NE)
- …by collaborating with clinical , administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance with ... purpose and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist , with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug ... policies and applies appropriate payer guidelines to all aspects of drug prior authorization work. The Drug Authorization Specialist creates accurate,… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and ... Montrose, CO, USA | Pre - Authorization | Hourly | 18.32-34.57 per...for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient'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... documentation. . 3-5 years of experience in a pre - authorization specialty preferred. . Consideration of… 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 ... rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral/ pre -notification/ authorization services timely to avoid unnecessary delays in treatment… 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:** +...of visits. + Provide payers with verbal or faxed clinical status reports, etc. as needed. + Maintains working… more
- FlexStaff (Garden City, NY)
- …Schedule: Monday-Friday 8am-4:30pm Pay Rate: $20-25/hour dependent upon experience The Authorization Specialist is responsible for managing the insurance ... accurate records to ensure compliance with insurance policies. The Authorization Clerk will collaborate closely with clinical ... issues or discrepancies that arise. + Regularly update clinical staff on the status of pre -authorizations… 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
- BayCare Health System (Clearwater, FL)
- …+ **Shift:** 8:00am - 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require on-site ... team member will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
- UHS (Vestal, NY)
- Position OverviewUnited Health Services (UHS) is seeking a skilled Therapies Authorization and Benefits Specialist to support patients by coordinating insurance ... In this role, you will verify insurance coverage, obtain required pre -authorizations, and communicate directly with providers and insurance companies to ensure… more
- BayCare Health System (Clearwater, FL)
- …of two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non-benefit eligible** ) remote ... (after training, the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... provide up to date and accurate information. + Provides insurance company with clinical information necessary to secure prior- authorization or referral. + Works… more
- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit verification ... + Communicate with physician offices to obtain current prescriptions and clinical documentation. + Ensure documentation meets payer requirements and initiate prior… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity ... + Communicate with physician offices to obtain current prescriptions and clinical documentation. + Ensure documentation meets payer requirements and initiate prior… more
- Select Medical (Hummelstown, PA)
- …joint venture partnership with Select Medical and Penn State Health Hummelstown, PA ** Clinical Assessment Specialist (RN, PT, OT, SLP)** **Full-Time** The ... Clinical Assessment Specialist is a critical member of our hospital business... authorization backup as needed. + Obtain timely authorization of all patients requiring pre -certification and… more