- Quad (Spartanburg, SC)
- …commerce, including retail, consumer packaged goods, and direct-to-consumer; financial services; and health . Quad is ranked among the largest agency companies in the ... US by Ad Age, buoyed by its full- service media agency, Rise, and creative agency, Betty. Quad...years of previous supervisory experience in a manufacturing environment. Prior print experience with a focus on die-cutting and… more
- University of Utah Health (Salt Lake City, UT)
- …University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll in URS if they make ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Posting NumberSRGV8223 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center) Number of Vacancies1 LocationMcAllen, ... Scope of Job Responsible for obtaining and processing all diagnostic imaging prior authorizations and referrals and entering the completed referral into the… more
- St. Luke's University Health Network (Allentown, PA)
- …in the communities we serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the ... or in a similar healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience....Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
- Elevance Health (San Antonio, TX)
- …Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health . Through our distinct ... and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. + Obtains… more
- Help at Home (Cincinnati, OH)
- …regulations and standards, health informationmanagement, and Medicaid, Waiver and Home health service lines. + Prior audit experience preferred ... **Physical Requirements:** + Ability to move or traverse about in offices and/or client homes, including ascending and descending stairs. **What We're Offering:** + Attractive base salary + Remote work flexibility + Benefits (Medical/Dental/Vision) + 401(k)… more
- UCLA Health (Los Angeles, CA)
- …career to the next level. You can do all this and more at UCLA Health . You will receive urgent, routine, pre- service , and retro authorization requests, as well ... care environment preferred + Experience processing ambulatory commercial, Medicare Fee for Service , Medicare Advantage prior authorizations a plus + Knowledge of… more
- Cardinal Health (Fresno, CA)
- …business training preferred + Knowledge of computer/telephony support, preferably in a health care environment + Strong customer service background, preferably ... processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and… more
- Dignity Health (Rancho Cordova, CA)
- **Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. ... Dignity Health Medical Foundation is an affiliate of Dignity ...that are vital to maintaining excellence in care and service . One Community. One Mission. One California (https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV) **Responsibilities**… more
- Elevance Health (St. Louis, MO)
- …within 50 miles or 1-hour commute each way of a relevant Elevance Health location. **Schedule:** HYBRID- Monday- Friday with occasional Weekend coverage. + 10:00AM- ... communicates project status. + Assist in configuring and maintaining the prior authorization workflow tool, efficiently resolving support tickets, and coordinating… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- Montrose Memorial Hospital (Montrose, CO)
- …they facilitate the process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports ... $18.32 - $34.57 | Full Time About Montrose Regional Health : + As the leading healthcare in the Uncompahgre...standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- US Tech Solutions (May, OK)
- …medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. ... regarding Prior Authorization + Establishes and maintains communication among, health plan and employer group staff. + Maintain professional and technical… more
- Aston Carter (Salem, OR)
- Prior Authorization Specialist M-F Day Shift! Bi-Lingual in Spanish or Russian offers additional pay! MUST HAVE + Skills as a patient coordinator. + Two years of ... prior authorization or medical billing experience preferred. + Experience...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: Range: UR URCB 205 H Compensation Range: $20.31 - ... internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and Specialists. Trains… more
- Molina Healthcare (Las Cruces, NM)
- …and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff ... cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to ensure optimum outcomes,… more
- State of Georgia (Thomas County, GA)
- New Options Waiver/Comprehensive Supports Waiver Prior Authorization Billing Specialist- Thomasville Georgia - Thomas - Thomasville ... Administrative & Operations Support (https://careers.georgia.gov/landingpages/administrative-operations-support-opportunities-at-team-georgia-16) Behavioral Health and Developmental Disabilities, Georgia Department of -… more
