• Referral & Prior Authorization

    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 ... exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering… more
    Saratoga Hospital (07/11/25)
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  • Prior Authorization

    Montrose Memorial Hospital (Montrose, CO)
    …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
    Montrose Memorial Hospital (06/09/25)
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  • Payor Relations Specialist / Prior

    Select Medical (Frisco, TX)
    …Frisco** A joint venture with Select Medical & Baylor Scott & White Health Frisco, TX ** Prior Authorization Specialist / Payor Relations Specialist ( RN ... **Job ID** _335336_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
    Select Medical (07/10/25)
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  • Payor Relations Specialist / Prior

    Select Medical (Columbus, OH)
    …Recovery Hospital & Acute Inpatient Rehabilitation Hospitals **Payor Relations Specialist / Prior Authorization Specialist ** **( RN , LPN )** **This ... **Job ID** _335333_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
    Select Medical (07/10/25)
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  • Referral & Prior Authorization

    Saratoga Hospital (Saratoga Springs, NY)
    Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement for ... 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

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
    US Tech Solutions (05/08/25)
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  • Prior Authorization

    General Physicians PC (Buffalo, NY)
    #25-0627 Buffalo, NY, USA Job Description Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you ... a Prior Authorization Specialist looking to take your career to the next level? General Physician, PC, one of Western New York's most esteemed… more
    General Physicians PC (07/02/25)
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  • Prior Authorization and Appeals…

    AscellaHealth (Berwyn, PA)
    What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to… more
    AscellaHealth (06/06/25)
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  • Prior Authorization

    US Tech Solutions (May, OK)
    …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
    US Tech Solutions (04/18/25)
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  • Prior Authorization

    TEKsystems (St. Louis, MO)
    …Medical Terminology Proficiency Insurance Plan Knowledge (Commercial, Medicare, Medicaid) Prior Authorization Process Expertise Familiarity with CPT/HCPCS and ... ICD-10 Codes Electronic Medical Records (EMR/EHR) Experience (eg, Epic, Cerner) Strong Verbal and Written Communication Attention to Detail Time Management and Prioritization Problem-Solving and Critical Thinking Customer Service and Patient Interaction Data… more
    TEKsystems (07/01/25)
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  • Prior Authorization And Referral…

    University of Texas Rio Grande Valley (Mcallen, TX)
    Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation ... FTE1.0 FLSANon-Exempt Scope of Job Responsible for obtaining and processing all prior authorizations and referrals and entering the completed referral into the… more
    University of Texas Rio Grande Valley (06/30/25)
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  • Pharmacy Program Coordinator - Clinical…

    Cedars-Sinai (Beverly Hills, CA)
    …Arizona, Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical ... to the outpatient clinic sites of care and patients. The Clinical Prior Authorization Pharmacist Specialist will also supervise the associated pharmacy… more
    Cedars-Sinai (06/12/25)
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  • Prior Authorizations Spec 1 - Transplant…

    Hartford HealthCare (Hartford, CT)
    …but not limited to chemotherapy, imaging, surgical, etc. in a timely manner. The Prior Authorization Specialist I is responsible for maintaining and managing ... documentation in EPIC to support the obtained insurance authorization . The Prior Authorization Specialist I will communicate changes in payer and or… more
    Hartford HealthCare (07/03/25)
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  • Med Refill Prior Auth Spec I

    Northern Light Health (Brewer, ME)
    …AM to 4:30 PM Summary: This is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the Northern Light ... Health team. The Specialist position supports a centralized service which assists with...assists with all aspects of the medication refill and prior authorization process including, utilizing the electronic… more
    Northern Light Health (07/11/25)
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  • Referral Specialist - Park Ridge GI

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

    Dana-Farber Cancer Institute (Brookline, MA)
    Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization ... Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical ...Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all… more
    Dana-Farber Cancer Institute (07/01/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …patient-related functions. The PSR III also 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,… more
    University of Rochester (07/09/25)
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  • Durable Medical Equipment Coordinator

    University of Colorado (Aurora, CO)
    …+ Assist patient with direction to resolve billing problems + Coordinates with prior authorization specialist to inform patient's about DME benefits ... of professional level experience in healthcare administration and insurance pre- authorization . + Substitution: A combination of education and related… more
    University of Colorado (06/20/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Saratoga Springs, NY)
    …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... coordination of benefit * Prepare and compile necessary documentation to secure prior authorization . Collect clinical information regarding service to be… more
    Glens Falls Hospital (07/02/25)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... & coordination of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be… more
    Glens Falls Hospital (07/02/25)
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