- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department:… more
- UNC Health Care (Smithfield, NC)
- …5:00pm** **EPIC and surgery authorization knowledge highly preferred** Summary: The Denial Specialist is responsible in the timely and appropriate validation ... claims and address them by assigning the appropriate resources with the denial management process. Responsibilities: 1. Analyzes denials and appeals pattern for… more
- CDI (St. Louis Park, MN)
- …Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining ... proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist II, you will investigate and determine the reason for a denied or… more
- Logan Health (Kalispell, MT)
- …to assigned area(s). + Serves as point of contact for quotes, equipment authorization , etc. as applicable to assigned area(s). + The above essential functions are ... representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for… more
- UPMC (Williamsport, PA)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider websites to perform prior authorization , edit, and denial services. + Utilize… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... from the leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... the highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Fairview Health Services (St. Paul, MN)
- …possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care ... and determine appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization requests and/or ensure… more
- Robert Half Office Team (Oakland, CA)
- Description We are seeking a highly organized and dedicated Insurance Authorization Specialist for a local healthcare client in the Oakland area. The successful ... to health care providers and patients. . Keeping track of the authorization process using appropriate electronic tools and databases. . Ensuring insurance… more
- Genesis Healthcare (Philadelphia, PA)
- …with the Central Business Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid Authorization .*Provide support to the nursing ... service. Bring your financial savvy to our team as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility… more
- Baystate Health (Springfield, MA)
- **Summary:** The Referral Authorization Coordinator is responsible for providing a variety of support services that are essential to the efficient operation of the ... regional infusion centralized process for insurance verification and authorization . Demonstrates excellent communication, interpersonal communication, critical thinking, and… more
- Trinity Health (Farmington Hills, MI)
- …Vision, and Values in behaviors, practices, and decisions. Coordinates denial management processes (Clinical and Administrative/Technical accounts, focusing upon ... key stakeholders across the various impacted departments + Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization… more
- Universal Health Services (Wayne, PA)
- …- Independence Physician Management - UHS. Position Overview The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and ... Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... Place, Hamilton, NJ 08619 Job Overview: The Patient Access Specialist supports the Patient Access Department by providing key...core function of this position is to ensure that authorization requirements are met prior to service. The Patient… more
- Trinity Health (Fort Wayne, IN)
- …Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and ... providers as it pertains to the patient's pharmacy benefits. Determines if prior authorization is needed for the claim to be paid. Gathers appropriate documentation,… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS) - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of background ... / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more
- UNC Health Care (Smithfield, NC)
- …timely denial follow up for infusion and radiation therapy authorization and medical necessity denials. Complete accurate and timely documentation, follow-up, ... experience in healthcare setting with exposure to patient registration, billing, denial management, or insurance authorization processes required. Requires… more
- Fairview Health Services (Minneapolis, MN)
- …on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more
- Sanford Health (SD)
- …guidelines and timelines. Provide information to providers and members in regards to authorization and/or denial of services. Ability to review, analyze and ... provider specialty groups in coordinating care. Responsible for managing the authorization process for participating plan members ensuring that all services are… more