- Family Allergy & Asthma (Louisville, KY)
- Job Type Full-time Description Title: Prior Authorization Coordinator Schedule: Full Time/ Monday - Friday 8:30am-5:00pm Hybrid : TRAINING WILL BE HELD IN OFFICE ... THEN WILL RESUME REMOTE THEREAFTER. The Prior Authorization Coordinator is responsible for demonstrating...necessary documentation to complete timely and accurate submission of prior authorizations, appeals and scheduling physician peer… more
- Jewish Family Services, Inc (Milwaukee, WI)
- …insurance experience, required. Must have previous experience in insurance billing, prior authorization and verification. Being a Certified Medical Biller ... Job Type Full-time Description The Medical Billing Specialist will act as the contact between third party billing company, BillCare, and Jewish Family Services (JFS)… more
- Vinfen (Cambridge, MA)
- …Mon-Fri 9am-5pm Salary: $25.00-$26.50 / hour (DOE) The Reimbursement & Billing Specialist is coordinates the analysis and effective resolution of denied claims with ... of reducing overall denials and increasing revenue. The Reimbursement & Billing Specialist is responsible for prioritizing and managing to resolution denied claims… more
- VCU Health (Richmond, VA)
- …rejections. Completes pharmacy benefits investigation and coordination, initiate and complete prior authorization approval and/or denials ( appeals ), track ... The Medication Access Specialist (MAS) is responsible for completing necessary functions...Skills and Abilities Preferred: Minimum of one (1) year prior experience with prior authorizations, Patient Assistance… more
- Elevance Health (Irving, TX)
- …and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) - Paragon Infusion** **Location:** 3033 W ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based… more
- Elevance Health (Chicago, IL)
- ** Appeals Referral Specialist ** **Location :** **Hybrid** - This role requires associates to be in-office **3 days per week** , fostering collaboration and ... - Friday 10:30 am - 7:00 pm CST The ** Appeals Referral Specialist ** is responsible for providing...an impact:** + Initiates and manages clinical referrals for pre- authorization . + Acts as a liaison between hospital, health… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... as assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients… more
- TEKsystems (Des Moines, IA)
- Description This team is 100% remote and looking for candidates with prior authorization experience, experience working major insurance and web portals, and ... provider locations in the state of Iowa with their prior authorization work. Candidates can sit anywhere...addition, assists patients with billing related inquiries if necessary Appeals denied claims for related services, drugs, treatments and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and ... Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all...+ Root causes claim denials, reprocesses, and submits claim appeals . + Creates drug cost estimates for both on-label… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Cell Therapy Clinical Authorization Specialist is responsible for the comprehensive coordination and management of all prior authorization activities ... experience required. + Case Management, Utilization Review, Oncology, Cellular Therapy and/or Prior Authorization experience is preferred. + Licensed as a… more
- Omaha Children's Hospital (Omaha, NE)
- …purpose and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely ... denials by collaborating with clinical, administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance… more
- Intermountain Health (Phoenix, AZ)
- **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior ... guarantor + Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization ; follow-up on appeals and denials when requested +… more
- University of Washington (Seattle, WA)
- …MEDICAL CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST .** . **WORK SCHEDULE** * Full-Time / 40 hours ... Clearance team to evaluate and further develop systems and processes to track prior authorizations, reauthorizations, and appeals . * Assist in identification of… more
- Rochester Regional Health (Rochester, NY)
- …communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals, ... Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue,...step therapy requirements, and appeals to ensure timely access to treatment. + Collaborate… more
- Trinity Health (Stafford Springs, CT)
- …troubleshooting accounts that are being held in A/R due to lack of prior authorization **Minimum Qualifications** + Education: High School Graduate, some college ... all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained + Responsible for satisfying admission notice… more
- Baptist Memorial (Memphis, TN)
- …order to enhance reimbursement and maximize customer satisfaction. + Submits retro- authorization requests, reconsiderations, and appeals with careful regard to ... Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- City and County of San Francisco (San Francisco, CA)
- …and letters. 4. Determine urgent needs that requires home care service to start prior to IHSS authorization . 5. Evaluate applicant's ability to manage own care ... like in action. Under direction, the 2916 Social Work Specialist performs a variety of specialized duties in support...to change after adoption (eg, as a result of appeals ), as directed by the Human Resources Director or… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more
