• 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 ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...am to 4:00 pm. Responsibilities Include: * Maintain the Referral for Testing/Procedures/ Referral Listo Gather pertinent information… more
    JobGet (09/22/24)
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  • CornerStone Staffing (Dallas, TX)
    …9am-5:30pm (2/3 weeks) Job Description: Obtain infusion Therapy referrals from referral sources Enter member demographic, insurance and authorization information ... We are seeking a dedicated and detail-oriented Medical Infusion Specialist to join our healthcare team. The ideal candidate will oversee and coordinate all aspects… more
    JobGet (09/22/24)
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  • Accounting Now (Tampa, FL)
    The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule and organize activities that directly… more
    JobGet (09/22/24)
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  • Compass Health Network (St. Charles, MO)
    …clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full ... accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders are current,… more
    JobGet (09/22/24)
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  • Compass Health Network (St. Charles, MO)
    …clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full ... accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify orders are current,… more
    JobGet (09/22/24)
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  • Practice Prior Authorization

    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
    St. Luke's University Health Network (08/16/24)
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  • Network Prior Authorization

    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 (07/03/24)
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  • Network Prior Authorization

    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
    St. Luke's University Health Network (09/18/24)
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  • Pre -Arrival Authorization

    UNC Health Care (Goldsboro, NC)
    …improve the health and well-being of the unique communities we serve. Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and ... pre -certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals and financial… more
    UNC Health Care (08/10/24)
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  • Authorization Specialist -Three…

    UPMC (Pittsburgh, PA)
    …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Three Rivers...using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid… more
    UPMC (09/22/24)
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  • Prior Authorization Specialist

    University of Michigan (Ann Arbor, MI)
    Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate **Work Location**… more
    University of Michigan (09/17/24)
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  • Authorization Specialist

    UPMC (Pittsburgh, PA)
    …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... **UPMC is hiring a full-time Authorization Specialist to join their Pediatric...for patient history, diagnosis, and previous treatment plans to pre -authorize insurance plan determined procedures to avoid financial penalties… more
    UPMC (09/13/24)
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  • Authorization Specialist - Oakland

    UPMC (Pittsburgh, PA)
    …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... **UPP Neurosurgery is hiring a full-time Authorization Specialist . This is a Monday-Friday,...for patient history, diagnosis, and previous treatment plans to pre -authorize insurance plan determined procedures to avoid financial penalties… more
    UPMC (08/03/24)
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  • Prior Authorization Specialist

    Select Medical (West Orange, NJ)
    …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist - This is an** **onsite**… more
    Select Medical (09/07/24)
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  • Prior Authorization Specialist

    Select Medical (Frisco, TX)
    …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... joint venture with Select Medical & Baylor Scott & White Health **Prior Authorization Specialist -** **onsite only** **This position must work** **onsite**… more
    Select Medical (09/07/24)
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  • Authorization Specialist I

    Albany Medical Center (Albany, NY)
    …Patient Engagement Center Work Shift: Day (United States of America) The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for ... Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization . Insurance Verification and Benefit interpretation… more
    Albany Medical Center (09/12/24)
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  • Authorization Specialist I

    Albany Medical Center (Albany, NY)
    …Registration Work Shift: Day (United States of America) The Patient Access Authorization Specialist I is responsible for financially securing Apheresis services. ... This includes securing Referral and Authorization . Insurance Verification and Benefit...being rendered, with ability to collect patient financial obligation pre -services. + Proven customer service skill with ability to… more
    Albany Medical Center (09/15/24)
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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 ... on a daily basis. # Utilize insurance company websites to obtain pre -authorizations in the most efficient manner. # Maintain accurate pricing, #separately… more
    Granville Health System (09/19/24)
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  • Central Insurance Referral

    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
    UPMC (09/18/24)
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  • Referral Specialist - Family Health…

    Moore County Hospital District (Dumas, TX)
    …specialty clinics to ensure minimal delay in securing referral appointments or pre -authorizations. The Referral Specialist manages a high volume of ... clinic patients. Performs other duties as assigned. Prepares and processes all referral and pre - authorization paperwork, including gatherings pertinent… more
    Moore County Hospital District (09/18/24)
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