- Select Medical (Scottsdale, AZ)
- …applicable law_ _._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/328222/ prior - authorization - specialist inpatient ... joint venture with Select Medical & HonorHealth Scottsdale, AZ ** Prior Authorization Specialist - LPN... of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. 1. Follows the Select Workflow Process… more
- 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
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for Fertility and ... from home flexibility, after completion of training. **Position Specifics:** The Sr. Authorization Specialist also functions as the IVF Financial counselor for… more
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians Department of Pediatric Rehabilitation is hiring a full-time Authorization Specialist to join their team. This is a Monday ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and ... inpatient & outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for… more
- Catholic Health Services (Melville, NY)
- …was named Long Island's Top Workplace! Job Details The Financial Clearance Authorization Specialist is a highly skilled and productive individual responsible ... Clearance department of the Catholic Health (CH). The Financial Clearance Authorization Specialist will update patient insurance coverage, send notification… more
- 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
- Sharp HealthCare (San Diego, CA)
- …benefit details.Applies specific health plan criteria and/or guidelines to all prior authorization requests. + Professional developmentActively identifies gaps ... Health Plan benefit guidelines to approve referrals designated at the Care Specialist level.Investigate and follow-up on all eligibility issues in accordance with… more
- 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...or rendered at UNC Health Wayne for outpatient & inpatient visits. Obtains insurance information that will be verified… more
- Hackensack Meridian Health (Neptune City, NJ)
- …healthcare and serve as a leader of positive change. The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access functions ... services experience in a professional or hospital setting. + Prior registration/insurance verification experience. + Excellent Analytical, written and verbal… more
- Access Dubuque (Dubuque, IA)
- …assist in obtaining pre-authorizations in a cross functional manner * Develop and implement prior authorization workflow to meet the needs of the customers. * ... Preauthorization Specialist **UnityPoint Health Finley Hospital** 1 Positions ID: 42548515 Posted On 05/14/2025 **Job Overview** + **Area of Interest:** Patient… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN serves in a ... of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received from the… more
- Avera (Pierre, SD)
- …will collect patient liability prior to service and attempt to collect prior balances. The Specialist collaborates with various other departments to ensure ... Overview** Responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance… more
- Billings Clinic (Billings, MT)
- …Wage:$17.15 to $21.44 per hour Responsible for the completion of pre-certification, prior authorization and notification for third party and government payers ... outpatient examination and procedures requiring preauthorization. May provide back-up pre-certification/ prior authorization resources for other departments as… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... therapy (SCT) recipients and/or the family/caregivers of SCT recipients during inpatient hospitalization for cancer, chemotherapy and its complications and all… more
- Sanford Health (Fargo, ND)
- …The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... insurance meets prior authorization criteria. Collects necessary documentation and...appropriate insurance companies when patients have checked in for inpatient services and procedures requiring observation periods. Documents work… more
- Veterans Affairs, Veterans Health Administration (Aurora, CO)
- …compliance with established drug therapy policies, formulary management and criteria or prior authorization requirements that have been approved by national, ... counseling, and medication management clinics in the ambulatory and Inpatient settings. Core activities outlined within the scope of...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- CDPHP (Albany, NY)
- …and professionalism. This position supports timely determination turnaround times on all prior authorization requests and inpatient notifications received ... be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff within...decision making to determine the appropriate action to take prior to logging and routing requests for authorization… more
- HCA Healthcare (San Antonio, TX)
- …like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist ... Come join our team as a(an) Transplant Clinical Pharmacist Specialist . We care for our community! Just last year,...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more