- Option Care Health (Los Angeles, CA)
- …insurance verification information and payer contracts and/or self-pay guidelines.Obtains initial authorization prior to admitting the patient for all services ... patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services and testing and… more
- Option Care Health (Colorado Springs, CO)
- …facing responsibilities. Basic Qualifications Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies ... hiring, developing, and retaining a diverse workforce. Job Description Summary:The Specialist , Pharma Support Services serves as the designated representative on… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... submit appeals or corrected claims in a timely manner. This position applies prior knowledge of denials to assess and ensure services/items billed are reasonable and… more
- Compass Health Network (Wentzville, MO)
- …referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule ... required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as neededObtaining results from… more
- Stellantis Financial (Atlanta, GA)
- …is enhancing our customer's experience. Job Description: Summary: The Recovery Specialist is responsible for reviewing charged-off loans for verification of ... Protection (SCRA), and any Bankruptcy protection requirements are completed prior to assigning to repossession/outsourcing Skip trace accounts utilizing various… more
- Medline Industries, Inc. (Northfield, IL)
- …Review source documents for data input. Maintain PIR records-submit price changes prior to their effective date.Resolve any A/P issues (over bill, duplicate ... shipments, etc.).Resolve complaints regarding shipping discrepancies.Obtain authorization to return surplus items. Once authorization is obtained, prepare debit… more
- Creative Financial Staffing (Stamford, CT)
- …well as IRS regulations. Perform vendor Tax ID Number matching on IRS website prior to setting up vendors. Perform vendor review and cleansing in preparation for ... and audit all wire transfers to ensure accuracy and appropriate sign-off authorization . Coordinate and review offshore T&E expense report audits to ensure compliance… more
- Creative Financial Staffing (Meriden, CT)
- …credit card authorization forms and email them to vendors Requirements of AP Specialist : Prior AP/AR experience or wanting to go into field Positive mindset ... Our Client, is looking for a AP/AR Specialist ! Why Work Here: This organization has a...system to a more integrated version. Responsibilities of AP Specialist : Tracking all payments and expenditures, including invoices and… more
- Stellantis Financial (Houston, TX)
- …which is enhancing our customer's experience. Position Summary: The Resolution Specialist l will be responsible for investigating and resolving complaints, analyzing ... underwriting, collections, titles processing and account services.) Skills Required Prior experience in operations adept in complaint handling, resolving complex… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance… more
- Montrose Memorial Hospital (Montrose, CO)
- …Joint 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
- General Physicians PC (Buffalo, NY)
- Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a Prior Authorization ... be doing : The primary purpose of this position is to: Obtain prior authorization for imaging and testing. Verify insurance and help patients apply for financial… more
- BrightSpring Health Services (Englewood, CO)
- …patients nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist role will be responsible for ... authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. NOTE: Work Schedule: Monday - Friday / 9:00am -… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously ... year Seattle Children's Outpatient Pharmacy experience. + Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Min to Max Hourly Salary:… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding in the coordination of patient care.… more
- Logan Health (Whitefish, MT)
- … authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol. Qualifications: ... of CPT, HCPCS codes and medical records to insurance carriers to expedite prior authorization requests. + Accurately secures patients' demographics and medical… more
- Sharp HealthCare (San Diego, CA)
- …patients, medical providers, insurance companies and pharmacies requesting prior authorizations.Collaborate with ancillary and operational departments to research ... patient's insurance eligibility, benefits and requirements.Request, track and obtain pre- authorization from insurance carriers within time allotted for medical and… more
- Bon Secours Mercy Health (Springfield, OH)
- …are recognized for clinical and operational excellence. Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial ... validation of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling for inpatient and outpatient services, and entering… more
- CVS Health (Pittsburgh, PA)
- …processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or apply ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… more
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