• Prior Authorization

    University of Texas Rio Grande Valley (Mcallen, TX)
    Position Information Posting NumberSRGV8223 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center) Number of ... imaging 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 (04/23/25)
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  • Clinic - Referral Specialist

    Prime Healthcare (Park Ridge, IL)
    prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... referral specialist makes referrals to specialist for the office practices along with prior...polite and friendly manner. Be able to maneuvers through prior authorization with insurance companies and provide… more
    Prime Healthcare (04/22/25)
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  • Referral & Prior Auth Rep III

    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....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (04/15/25)
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  • Referral & Prior Auth Rep III

    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....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (03/07/25)
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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 (04/02/25)
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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 (04/02/25)
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  • Prior Authorization

    Children's Clinics (Tucson, AZ)
    Children's Clinics is seeking a Full-Time Prior Authorization Specialist . This position is responsible for exercising independent judgment to process ... have thorough knowledge of AHCCCS, CRS and third party insurance prior authorization and referral guidelines. Experience in precertification, referrals and… more
    Children's Clinics (05/07/25)
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  • Prior Authorization

    Actalent (Franklin, IN)
    …in the EMR and perform prior authorizations as needed. Notify office referral specialist when insurance referral is required. + Assist providers ... Hiring a Prior Authorization , Certified Medical Assistant! Job Description This position involves working within a podiatry outpatient clinic connected to the… more
    Actalent (04/29/25)
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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 (05/02/25)
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  • Sr. Authorization Specialist

    UPMC (Farrell, PA)
    UPMC Horizon- Shenango Valley, located in Farrell, PA. is seeking a full-time Sr. Authorization Specialist to support UPMC Pain Management. This role will work ... all work is to conform. The expertise of the Authorization Specialist Senior shall include an in-depth...applications and payor/ contracted provider web sites to perform prior authorization , edit, and denial services. Provides… more
    UPMC (05/06/25)
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  • Authorization Specialist - Northern…

    UPMC (Wexford, PA)
    UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Northern Gastroenterology Associates located at 5500 Brooktree ... work Monday through Friday daylight hours (7am-3:30pm/7:30am-4pm). **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
    UPMC (04/09/25)
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  • Guest Services Rep II

    University of Rochester (Rochester, NY)
    …as assigned. Responsibilities Position Summary Serves as the patient referral and prior authorization specialist , with oversight of data and compliance ... to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (03/17/25)
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  • Pre-Arrival Authorization Specialist

    UNC Health Care (Goldsboro, NC)
    **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from ... insurance payers prior to services been scheduled or rendered at UNC...the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals… more
    UNC Health Care (04/01/25)
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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 (04/16/25)
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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 (04/15/25)
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  • Referral Specialist

    Northern Light Health (Presque Isle, ME)
    …timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive ... care that they need. A major role of the Referral Specialist is to communicate progress of...current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior more
    Northern Light Health (05/03/25)
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  • Consultant Referral Specialist

    Chenega Corporation (NM)
    …Services** ' company, is looking for a fully remote ** Referral Specialist ** to ensure accuracy and completion of authorization data from customer ... information, medical records, referral / authorization forms, Military Treatment Facility electronic transmission and other documents into medical management… more
    Chenega Corporation (05/01/25)
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  • Contact Center Referral Specialist I

    Intermountain Health (Wheat Ridge, CO)
    …and patients or other referral sources to submit for insurance authorization for procedures, specialist visits for patients referred by an Intermountain ... **Job Description:** The Referral Specialist is the first connection...provided. + Documents appropriate and complete information within the referral shell to include authorization information, location… more
    Intermountain Health (04/30/25)
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  • Referral Specialist Arcadia…

    Banner Health (Phoenix, AZ)
    …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... holidays.** The preferred candidate for this position will have prior Referral experience. **Location:** 4200 E Camelback...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior more
    Banner Health (05/03/25)
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  • Referral Specialist

    Banner Health (Florence, AZ)
    …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... lives, we want to hear from you. As the Referral Coordinator you will be responsible for coordinating ...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior more
    Banner Health (05/03/25)
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