• Referral & Prior

    Saratoga Hospital (Saratoga Springs, NY)
    Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga ... people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
    Saratoga Hospital (07/11/25)
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  • Referral & Prior

    Saratoga Hospital (Saratoga Springs, NY)
    Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals… more
    Saratoga Hospital (06/24/25)
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  • Prior Authorization

    University of Texas Rio Grande Valley (Edinburg, TX)
    Position Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas ... processing all prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
    University of Texas Rio Grande Valley (07/23/25)
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  • Referral Specialist - Park Ridge GI

    Prime Healthcare (Park Ridge, IL)
    prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of the usual… more
    Prime Healthcare (06/25/25)
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  • Referral & Authorization

    Glens Falls Hospital (Saratoga Springs, NY)
    …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Saratoga Springs*… more
    Glens Falls Hospital (07/02/25)
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  • Referral & Authorization

    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 found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
    Glens Falls Hospital (07/02/25)
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  • Pre- Authorization Specialist 1

    Rush University Medical Center (Chicago, IL)
    Authorization Specialist I is responsible for obtaining and resolving referral , precertification, and/or prior authorization to support insurance ... outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may...that is required for the payer to issue a referral or an authorization . Per referral more
    Rush University Medical Center (07/16/25)
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  • Authorization Specialist (Children's…

    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 ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
    UPMC (07/24/25)
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  • Referral Specialist II/Patient…

    Elevance Health (Irving, TX)
    …specialty pharmacies, our infusion centers, and the home setting._ ** Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - ... (5) weeks/30 days at the Plano, TX office. The ** Referral Specialist II** is responsible for providing...additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer… more
    Elevance Health (07/17/25)
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  • Insurance Authorization Specialist

    Granville Medical Center (Oxford, NC)
    The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: *...reason that they are required to make these payments prior to surgery. * Make necessary changes to the… more
    Granville Medical Center (07/09/25)
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  • Insurance Authorization Specialist

    Granville Health System (Oxford, NC)
    The Insurance Authorization Specialist will work with the Surgical/ Referral Coordinators at our referring practice locations to ensure that ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...reason that they are required to make these payments prior to surgery. # Make necessary changes to the… more
    Granville Health System (07/08/25)
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  • Referral Specialist , Medical…

    Northwest Florida Community Hospital (Chipley, FL)
    Referral and Authorization Specialist + Receives referral requests from providers and Health Plans representatives. Assist in processing medical services ... process. Including recording the required information from attachments into the authorization fields. + Appropriately forwards all referral requests to the… more
    Northwest Florida Community Hospital (07/23/25)
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  • Appeals Referral Specialist

    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 support...an impact:** + Initiates and manages clinical referrals for pre- authorization . + Acts as a liaison between hospital, health… more
    Elevance Health (07/23/25)
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  • Pharma Support Services Specialist

    Option Care Health (St. Paul, MN)
    …responsibilities. **Basic Qualifications** + Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies preferred. ... of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of… more
    Option Care Health (07/18/25)
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  • Care Coordinator Specialist - Clinics

    Community Health Systems (Las Cruces, NM)
    …follows up with the insurance company until there is resolution of the prior authorization request - an approval, redirection, or denial. All activity ... appointment information (date, time, directions, etc.), and contact information of the referral provider. + Provides and/or obtains required authorization for… more
    Community Health Systems (05/15/25)
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  • Information Systems Security Specialist III

    Cambridge International Systems Inc (Charleston, SC)
    …Control Assessor (SCA) under a Certification & Accreditation (C&A) and/or Assessment & Authorization (A&A) process. + The specialist should demonstrate a working ... Cambridge International Systems, Inc. has a full-time Information Systems Security Specialist III opportunity available based in Charleston, SC. Qualified candidates… more
    Cambridge International Systems Inc (06/27/25)
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  • Intake/Reimbursement Specialist

    Fairview Health Services (Minneapolis, MN)
    …coding. Knowledge of medical benefit investigation and securing or prior authorization securing for medical benefit. + **License/Certification/Registration** ... As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of... uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy… more
    Fairview Health Services (07/01/25)
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  • Family Support Specialist - Days or Nights

    ConnectLife (Williamsville, NY)
    …agency referrals while providing exemplary customer service, ensuring data entry accuracy prior to forwarding the referral to the applicable party. Transfer ... Family Support Specialist - Healthcare Call Center 4444 Bryant and Stratton...donation, providing basic support and education. Accurately completes the authorization & Donor Risk Assessment Interview necessary for donation.… more
    ConnectLife (06/20/25)
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  • Oncology Intake Specialist

    UNC Health Care (Chapel Hill, NC)
    …organizations. Create new medical record in Epic. Ensures patients have necessary authorization for treatment or facilitate referral to Transplant Financial ... of the unique communities we serve. Summary: The Oncology Intake Specialist coordinates and oversees complex scheduling, template management, referrals, project and… more
    UNC Health Care (07/24/25)
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  • Aviation Safety Program Compliance…

    Federal Aviation Administration (Duty, AR)
    Summary The Specialist supports the ODA Office by providing program support and assistance in analyzing and identifying safety compliance issues. As a specialist ... and/or organizational lines. Responsibilities The Aviation Safety Program Compliance Specialist provides program compliance and enforcement support, including extensive… more
    Federal Aviation Administration (05/30/25)
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