- Accounting Now (Tampa, FL)
- …medical records to support medical necessity) for a reconsideration, appeal, or retro authorization to the insurance carrier via payer portal, fax, etc Documents ... The Denials Specialist performs advanced-level work related to clinical and...is responsible for conducting a comprehensive review of the insurance denial and working with the Clinical Denials Nurses… more
- Compass Health Network (Union, MO)
- …of, and communicate, any changes to Medicare, Medicaid, and any Private Insurance Carriers regarding covered services and pre- authorization processes as they ... staff, Nurse Care Managers, and administratively supervises the Behavioral Health Specialist . ESSENTIAL FUNCTIONS - JOB SPECIFIC Administration and management of… more
- University of Michigan (Ann Arbor, MI)
- … Specialist is responsible for facilitating and successfully procuring outpatient insurance authorizations. The Authorization Specialist ... Outpatient Authorization Specialist Apply... Outpatient Authorization Specialist Apply Now **Summary** The.... + Act as a subject matter expert in insurance authorization requirements and timeframes including but… more
- St. Luke's University Health Network (Allentown, PA)
- … insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify ... ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for... for specialty care and/or services. + Obtain prior authorization from insurance companies prior to services… more
- Fairview Health Services (Hibbing, MN)
- …Billing Department** **in** **Hibbing, MN** **.** As a Dedicated Authorization Specialist , you will complete all insurance requirements in regards to prior ... we serve: our patients, our communities, and each other.** As a Dedicated Authorization Specialist , you will be responsible for: + Initiating prior… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for ... perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior… 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...analyze data and use independent judgment + Understanding of authorization processes, insurance guidelines, third party payors,… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre- Authorization Specialist will assist the Patient Engagement Center Liaison, ... with physicians, patients, payers, Patient Engagement Center Representatives and Authorization Specialists to obtain missing demographic information, insurance … more
- WMCHealth (Port Jervis, NY)
- …Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist will specialize in insurance verification, ... Authorization Specialist Company: Bon Secours Community...relations experience preferred. Extensive experience, and in-depth knowledge of insurance payor and plans with detail on authorization… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $17.97 - $28.76 The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for financially ... Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization . Insurance Verification and Benefit interpretation to discern … more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... Insurance verification process. Reviews clinical information and supporting documentation for outpatient or Part B services authorization denials to determine… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... + Provides insurance company with clinical information necessary to secure prior- authorization or referral + Works in alignment with Central Scheduling and Pre… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring and ... Complete, timely, and accurate identification and submission of prior and retro authorization requests to payors. Interacts with clients, insurance companies,… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 04/29/2024 **Requisition Number** PRN38406B **Job Title** PS Outpatient Svcs. Specialist **Working Title** PS Outpatient Svcs. ... Range** $16.90-20.45 **Close Date** **Open Until Filled** No **Job Summary** The Outpatient Services Specialist provides exceptional care for our patients and… more
- Health First (Melbourne, FL)
- …**Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** *HFMG Authorization Specialist - Crane Creek* **Location:** *Florida - Brevard ... *POSITION SUMMARY:* Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... necessity as needed, and coordinating new patient referrals for services. The Outpatient Administrative Specialist will work with various computer programs… more
- Lancaster General Health (Lancaster, PA)
- … processes and enters orders for applicable tests. + Understands insurance company coverage and referral/ authorization requirements of payors. Performs ... at multi specialty site. Candidate will work closely with Lead Customer Service Specialist at this location. Hours: Mon-Fri 8:30-5 No Evenings No Weekends No… more
- Bon Secours Mercy Health (Springfield, OH)
- …of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling for inpatient and outpatient services, and ... and insurance information. Enter information into both inpatient and outpatient systems including surgery charge entry within 48 hours. Primary liaison for… more
- Lancaster General Health (Lancaster, PA)
- … processes and enters orders for applicable tests. + Understands insurance company coverage and referral/ authorization requirements of payors. Performs ... **POSITION SUMMARY:** Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable… more
- Lancaster General Health (Lancaster, PA)
- … processes and enters orders for applicable tests. + Understands insurance company coverage and referral/ authorization requirements of payors. Performs ... **POSITION SUMMARY:** Provides complete and accurate patient scheduling, registration, insurance verification, ordering of tests and coordination of applicable… more
