- Beth Israel Lahey Health (Beverly, MA)
- …in outpatient departments. Monitors outcomes to ensure medical necessity and authorization requirements are met. Provides feedback to departments on medical ... necessity and authorization processes. **Job Description:** **Essential Responsibilities:** Verifies patient's insurance eligibility for visit, using various online… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... referrals , authorizations, pre-certifications, prescriptions for therapies, and benefit verification...**Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... per week, can be foundhere. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center * **Location:** *NY-Glens Falls*… more
- Children's Hospital Boston (Boston, MA)
- 72876BRJob Posting Title:Senior Financial Insurance Authorization Specialist - Infusion TeamDepartment:Finance-Patient Access ... CenterAutoReqId:72876BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:The Authorization Specialist is the Perfect job for… more
- St. Peters Health (Helena, MT)
- JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, ... departments within the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may include, but are not limited to:… more
- St. Luke's University Health Network (Allentown, PA)
- …insurance verification, obtaining pre-authorizations, scheduling, and referrals . The specialist will secure the necessary prior authorization , then notify ... ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior-authorizations and referral… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... and surgery. Performs scheduling, insurance verification, obtaining pre-authorizations, and referrals . Ensures notification of reimbursement to physicians, nurses, financial… more
- Fairview Health Services (Hibbing, MN)
- **Fairview Range is hiring** **a Dedicated Authorization Specialist ** **for our Billing Department** **in** **Hibbing, MN** **.** As a Dedicated Authorization ... patients, our communities, and each other.** As a Dedicated Authorization Specialist , you will be responsible for:...the provision of initial care and any required insurance referrals for specialty care. + Maintaining current knowledge of… more
- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests ... authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit… more
- Phoenix Home Care and Hospice (Springfield, MO)
- Phoenix Home Care & Hospice is adding an Insurance and Authorization specialist to our Springfield, Mo team! We're looking for a hard working, dynamic and fun ... love to watch you grow personally and professionally! The specialist will work closely with the Healthcare Billing and...Responsibilities: + Verify benefits and coverage for all new referrals with private insurance that is sent to HCP… more
- Health First (Melbourne, FL)
- …**Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** *HFMG Authorization Specialist - Crane Creek* **Location:** *Florida - Brevard ... for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements are met prior to the delivery… more
- Option Care Health (Sacramento, CA)
- …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected ... Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed...benefit verification or authorization for all new referrals with speed and accuracy. + Assist AVA Supervisor… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... as well as insurance requirements and policies for authorizations, notifications and/or referrals . The Specialist position will utilize the system functionality… more
- TEKsystems (Louisville, KY)
- Description: - Verifies insurance eligibility and benefits of prospects/ referrals and determines rate requirements as it relates to in or out of network coverage on ... replies to branch locations urgent requests - Obtains all authorization needed from payer for services ordered or requested...or requested - Documents specific details related to the authorization including effective and end dates - Serves as… more
- Fairview Health Services (St. Paul, MN)
- …Knowledge of computer systems, including Microsoft Office 365 **Preferred** **Experience** + Referrals and/or prior authorization experience + Epic experience + ... and determine appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization requests and/or ensure… more
- Bon Secours Mercy Health (Richmond, VA)
- …an environment where associates want to work and help communities thrive. Insurance Authorization Specialist -Tuckahoe Ortho and Phys Ther - Richmond, VA ... handle all functions of daily operations. Schedule patients, intakes, and manage referrals . Check-in patients, answer phone in polite and timely manner, register… more
- University of Virginia (Charlottesville, VA)
- Assures that all referrals are managed effectively and efficiently. Provides high-level customer service to both referring physicians as well as referred patients. ... Obtains pre- authorization for all diagnostic tests and performs additional administrative...contracts/changes and departmental policies and procedures. + Assures all referrals are handled effectively and efficiently. + Analyzes information… more
- University of Colorado (Aurora, CO)
- …both the HTC AMC and Outreach clinics. + Obtain, review and input insurance authorization and referrals prior to patient services, and throughout treatment to ... and Outreach clinics. + Obtain, review and input insurance authorization and referrals prior to patient services,...key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at… more
- Baystate Health (Springfield, MA)
- …payor specific authorization requirements to key stakeholders. **2)** Ensures all referrals and authorizations are obtained and processed in a timely fashion on ... authorization process utilizing all available systems. **3)** Enters referrals and authorizations in to the system per standardized practice… more
- LA Care Health Plan (Los Angeles, CA)
- …safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling ... Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests… more