- Option Care Health (Denver, CO)
- …of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of ... assigned program(s) and contracted requirements. The Specialist will be accountable for referral service...required.At least 1 years of experience in a health insurance , specialty pharmacy, patient registration, or similar role with… more
- Compass Health Network (Wentzville, MO)
- …to accurately complete referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...and provides case management support to patients with no insurance or commercial insurance who receive services… more
- Compass Health Network (Wentzville, MO)
- …to accurately complete referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...and provides case management support to patients with no insurance or commercial insurance who receive services… more
- ICONMA (Irwindale, CA)
- . Referral Coordination: . Identifies insurance companies requiring prior authorization for services and obtains authorization . . Coordinates ... payors. . Retrieves chemo/surgery orders from chart and requesting authorization through the insurance companies. . Prepares all forms required by third party… more
- Glens Falls Hospital (Glens Falls, NY)
- …Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills ... at least 30 hours per week, can be foundhere. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center *… more
- St. Luke's University Health Network (Bethlehem, 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,...insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization ,… 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 ... + Provides insurance company with clinical information necessary to secure prior- authorization or referral + Works in alignment with Central Scheduling and… more
- TEKsystems (San Antonio, TX)
- …phone Describe the performance expectations/metrics for this individual and their team: * Referral Specialist are required to enter five minimum of five ... guidance via Centene University Understanding of medical terminology and insurance preferred. Supports authorization requests for services...titles or background work well in this role? * Referral Specialist * Medical Biller or Medical… 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)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and all ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...ICD-9-CM, CPT, and HCPCS Level II. + Provides timely referral /pre-notification/ authorization services to avoid unnecessary delays in… more
- UPMC (Coraopolis, PA)
- …is crucial? If so, we want you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're committed to providing ... exceptional oncology care to our community. As an Authorization Specialist , you'll play a vital role...using ICD-9-CM, CPT, and HCPCS Level II. + Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre- Authorization Specialist will assist the Patient Engagement Center Liaison, ... with physicians, patients, payers, Patient Engagement Center Representatives and Authorization Specialists to obtain missing demographic information, insurance … more
- Albany Medical Center (Albany, NY)
- …securing Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization . Insurance Verification and Benefit ... America) Salary Range: $17.97 - $28.76 The Patient Engagement Authorization Specialist I (IAS II) The IAS...be critical to be successful in the compliance of authorization and referral guidelines. Position requires ability… more
- Northeast Family Services (Fall River, MA)
- …to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist ! The Intake Screener and Authorization Specialist ... and scheduling clients' appointments. To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail… 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 (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a Per Diem Authorization Specialist in the Pre-Registration Dept at our Morristown Corporate Office. Essential ... Medical terminology preferred + Applicable experience as Patient Access Representative or Authorization Specialist ABOUT US At Atlantic Health System, our… more
- HonorHealth (Scottsdale, AZ)
- …the authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit ... across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests… more
- Health First (Melbourne, FL)
- …for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements are met prior to the ... **Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** *HFMG Authorization Specialist - Crane Creek* **Location:** *Florida - Brevard… more
- Centene Corporation (Oklahoma City, OK)
- …access. + Supports authorization requests for services in accordance with the insurance prior authorization list + Supports and performs data entry to ... at the local level. **Position Purpose:** Supports the prior authorization request to ensure all authorization requests...such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Remains… more
- UPMC (Lancaster, PA)
- **Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area!** The ideal ... about this exciting opportunity, apply today! **Purpose:** The Central Insurance Referral Specialist II will...by manager. + Utilizes electronic referral and authorization services as available. + Communicates with insurance… more
