- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior-authorizations and referral process for patients being referred for specialty care,...verification, obtaining pre -authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization ,… more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre - Authorization Specialist will assist the Patient Engagement Center Liaison, ... Financial Services in the appeal process based on internal guidelines. Assists Manager, Pre -Service Operations - Authorization and Referral Management in the… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... 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)
- …Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is ... ability to pay for health care. Responsible for accurate and timely pre -registration, submission of prior authorizations for SLPG Primary Care and Specialty… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate **Work Location**… more
- UPMC (Williamsport, PA)
- …rendered using ICD-9-CM, CPT, and HCPCS Level II. + Provides timely referral / pre -notification/ authorization services to avoid unnecessary delays in treatment ... The Authorization Specialist will perform authorization... shall include working knowledge in the area of authorization -related activities including pre -authorizations, notifications, edits, denials,… more
- Prime Healthcare (Gadsden, AL)
- …Insurance, authorization , verification, medical terminology, insurance company, authorization specialist , insurance carriers, pre -certification process, ... Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Hospital Authorization Specialist reviews databases and other pertinent… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre -certifications/prior-authorizations per payer guidelines prior to services being rendered… more
- UT Health (Houston, TX)
- Insurance Authorization Verification Specialist I, II - Colorectal Surgery (Bellaire) **Location:** Houston, Texas **Hot** **Category:** Healthcare Support ... Department of Surgery - Colorectal Surgery Bellaire Clinic is hiring an Insurance Authorization Verification Specialist to join their team of professionals. … more
- Sanford Health (MN)
- …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 communicates with third...An accepted offer will require a drug screen and pre -employment background screening as a condition of employment. **Req… more
- Health First (Melbourne, FL)
- …SUMMARY:* Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre -certification, authorization , and referral requirements are ... **Clinic Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** * Authorization Specialist - Central Service* **Location:** *Florida -… more
- Health First (Melbourne, FL)
- …SUMMARY:* Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre -certification, authorization , and referral requirements are ... **Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** *HFMG Authorization Specialist - Crane Creek* **Location:** *Florida - Brevard… more
- CVS Health (Moon Township, PA)
- …claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or ... apply appropriate guidelines, coding, member identification process, diagnosis and pre -coding requirements. * May facilitate training when considered topic subject… more
- UPMC (Hanover, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Life Changers! UPMC is hiring a Full-Time, Central Insurance Referral Specialist II to support the office...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- Catholic Health Initiatives (Chattanooga, TN)
- …for eligible full time day shift and night shift opportunities **Responsibilities** The Referral Specialist works with patients requiring a referral for ... to a specialist office, to ensure patient's referral needs are fulfilled for tests and specialty service...of information between medical clinic and patients insurance for referral authorization to secure a valid … more
- University of Michigan (Ann Arbor, MI)
- Pre -Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page ... verify insurance eligibility, collect insurance benefit information and determine insurance referral and authorization requirements based on level of care… more
- Trinity Health (Des Moines, IA)
- …and thrive on providing top notch customer service? Consider joining our team as a Referral Specialist ! The Referral Specialist works with patients ... services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for… more
- Universal Health Services (Richmond, VA)
- …(https://jobs.uhs.com/atlantic-region-cbo) The Atlantic Region CBO is seeking a dynamic and talented Pre -Services Specialist . The Pre -Services Specialist ... -registering patients in the SMS and Cerner systems. The Pre -Services Specialist will also be responsible for...services + Contact physician to resolve issues regarding prior authorization or referral forms + Research patient… more
- Catholic Health Initiatives (Omaha, NE)
- …remote position with the occasional need to go to the office for training._** The Referral Specialist works with patients requiring a referral , to ensure ... services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for… more
- Catholic Health Initiatives (Pendleton, OR)
- …and service. To learn more go to www.sahpendleton.org **Responsibilities** **Job Summary:** The Referral Specialist works with patients requiring a referral ... services specialty care etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for… more
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