• Prior Authorization

    University of Utah Health (Salt Lake City, UT)
    …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
    University of Utah Health (04/30/25)
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  • Utilization Management Representative II…

    Elevance Health (San Antonio, TX)
    …personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... location. **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II - Prior Authorization is responsible for… more
    Elevance Health (04/16/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …equity considerations._ **Responsibilities:** GENERAL PURPOSE: Serves as the patient referral and prior authorization representative , with oversight of data ... and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical… more
    University of Rochester (04/22/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
    University of Rochester (04/07/25)
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  • Pharmacy Access Rep III - Community Pharmacy

    University of Rochester (Rochester, NY)
    …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
    University of Rochester (03/19/25)
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  • Patient Authorization Representative

    UCLA Health (Los Angeles, CA)
    Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
    UCLA Health (04/19/25)
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  • Prior Authorization Specialist

    Kelsey-Seybold Clinic (Pearland, TX)
    **Responsibilities** Under the supervision of the Business Services Supervisor, the Prior Authorization Specialist (PAS) is responsible for processing incoming ... referral requests by contacting the Health plans verbally or electronically to obtain prior authorization for services provided and directed by a Kelsey… more
    Kelsey-Seybold Clinic (04/18/25)
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  • Patient Authorization and Referral…

    Providence (Spokane Valley, WA)
    …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... responsibilities include entering patient referral data into the database, entering physician information into the database, adding progress notes, responding to billing department requests, calling providers, insurance companies and patients. Providence… more
    Providence (02/21/25)
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  • Pre-Arrival Authorization Specialist I

    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 EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
    UNC Health Care (04/01/25)
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  • Prior Authorizations Representative

    TEKsystems (Grimes, IA)
    …The Prior Authorizations Coordinator is responsible for processing all prior authorization requests and maintaining all CMN renewals with established ... standards which includes but is not limited to coordination with insurance companies, physicians' offices, and patients. Individual shall clearly identify, analyze and rectify issues while maintaining confidentiality of all protected health information.… more
    TEKsystems (04/30/25)
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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 pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: *...When needed, will also cross-function as a patient services representative and cashier. QUALIFICATIONS * High school diploma or… 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 pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...When needed, will also cross-function as a patient services representative and cashier. # # QUALIFICATIONS# # High school… more
    Granville Health System (04/15/25)
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  • Insurance Verification Representative

    University of Miami (Medley, FL)
    …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are completed in… more
    University of Miami (02/15/25)
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  • Financial Clearance Center Representative

    Catholic Health Services (Melville, NY)
    …an online system to secure authorizations for scheduled procedures requiring an authorization , prior to the date of service. Responsibilities: Utilize work ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible.… more
    Catholic Health Services (04/15/25)
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  • Insurance Verification Representative

    University of Miami (North Miami, FL)
    …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this position… more
    University of Miami (04/26/25)
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  • Clinical Business Operations Representative

    University of Miami (Miami, FL)
    …(https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 2 The University of Miami/UHealth ... Neurology has an exciting opportunity for a Full Time Clinical Business Operations Representative 2 to work at the UHealth Medical Campus. The Clinical Business… more
    University of Miami (04/29/25)
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  • Patient Financial Representative - Full…

    Mohawk Valley Health System (Utica, NY)
    Patient Financial Representative - Full Time - Days Department: PATIENT ACCESS SERVICES Job Summary The Patient Financial Representative is responsible for the ... or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient… more
    Mohawk Valley Health System (03/19/25)
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  • Preauthorization Representative - Nhmp DB…

    Nuvance Health (Danbury, CT)
    …patient flow through the pre-registration process, including scheduling, prior authorization , benefits investigation and financial clearance ... *Description* *Title:* Preauthorization Representative - NHMP DB Endocrinology - Danbury, CT....eligibility verification. *Responsibilities:* 1. Serves as the coordinator for prior authorization of all in office medications… more
    Nuvance Health (04/27/25)
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  • Sr. Patient Accounts Representative (h)…

    University of Miami (Miami, FL)
    …of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more
    University of Miami (02/04/25)
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  • Physician Support Representative III

    University of Rochester (Rochester, NY)
    …information systems. ** Prior Auth Duties 35%** + Performs complex patient prior authorization duties, in a fast-paced environment with minimal direction and ... in the Division of Thoracic /Foregut Surgery. Serves as the patient prior authorization specialist, with oversight of data and compliance to enterprise standards… more
    University of Rochester (04/18/25)
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