- CVS Health (Olympia, WA)
- …You will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination if ... do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc.… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Prior Authorization Representative Senior*to join our**Financial Securing**team. This full-time role will primarily ... work remotely (Days M-F). *Purpose of this position:*The Prior Authorization Specialist plays a key role in the patient financial experience by coordinating… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job...lift and/or move up to 50 pounds + The work environment characteristics described here are representative ... Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE...payer set up, billing, rebilling, and reversal processes + Work as a team to identify, document, communicate, and… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing...lift and/or move up to 30 pounds + The work environment characteristics described here are representative … more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology,...AND WORK ENVIRONMENT The physical demands and work environment described here are representative of… more
- Henry Ford Health System (Troy, MI)
- …with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... with high risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... impacted staff on payor regulations/ requirements, + Coordinating staff work load to ensure referrals and authorizations are secured...denial or with high charges are verified for accuracy prior to claim submission + Managing authorization … more
- University of Miami (Medley, FL)
- …Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are ... support of patient satisfaction and allow for referral and authorization activities prior to the patient's date...of pocket benefits + Meets productivity standards for assigned work queue, QA goal of 95% or greater and… more
- Mount Sinai Health System (Greenlawn, NY)
- **Job Description** **Per Diem - Patient Service Representative - Greenlawn, Long Island - OFFS** **Strength Through Diversity** Ground breaking science. Advancing ... medicine. Healing made personal. **Job Title: Patient Service Representative ** The Offsite Patient Service Representative I provides front line contact as a… more
- Catholic Health Services (Melville, NY)
- …through an online system to secure authorizations for scheduled procedures requiring an authorization , prior to the date of service. Responsibilities: + Utilize ... needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to...problems created as a result of insurance coverage or prior authorizations. + Work closely with various… more
- University of Miami (North Miami, FL)
- …- UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this ... support of patient satisfaction and allow for referral and authorization activities prior to the patient's date...of pocket benefits + Meets productivity standards for assigned work queue, QA goal of 95% or greater and… more
- University of Miami (Miami, FL)
- …Department of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more
- New York State Civil Service (Hicksville, NY)
- …at the Department of Labor is contingent upon the maintenance of a valid work authorization and necessary documentation to work legally in the ... NY HELP Yes Agency Labor, Department of Title Labor Services Representative /Trainee 1/2 (Spanish Language) - Hicksville (NY HELPS) Occupational Category Other… more
- Hartford HealthCare (Westport, CT)
- Work where**every moment matters**. Every day, more than 40,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing ... centers, and in community settings such as senior centers, work sites, and schools and colleges. We offer over...outcomes. **Position Description** *We are seeking a Patient Service Representative for our Outpatient Rehab Clinic in Westport, CT.*… more
- New York State Civil Service (Newburgh, NY)
- …at the Department of Labor is contingent upon the maintenance of a valid work authorization and necessary documentation to work legally in the ... NY HELP Yes Agency Labor, Department of Title Employment Services Representative - Newburgh (NY HELPS) Occupational Category Other Professional Careers Salary Grade… more
- Sanford Health (Fargo, ND)
- …responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization ; track patient/resident visits; health information ... of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**...Family and Grow the Good! As a Patient Access Representative , your primary responsibility will be providing extraordinary customer… more
- Hartford HealthCare (West Hartford, CT)
- Work where*every moment matters*. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing ... homecare, outpatient centers, and in community settings such as senior centers, work sites, and schools and colleges. We offer over 30 outpatient locations… more
- Whidbey General Hospital (Coupeville, WA)
- JOB SUMMARY The Patient Financial Services Representative supports the mission of providing quality healthcare to the patients of WhidbeyHealth by performing a ... support the financial health and well-being of the organization. The PFS Representative may be responsible for coordinating patient referrals and subsequent follow… more
- Tidelands Health (Myrtle Beach, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Employee Type: Regular Work Shift: Day - 8 hour shift (United...years of experience in Healthcare Revenue Cycle that includes prior authorization . **Skills and Abilities** + Ability… more
- Elevance Health (Latham, NY)
- … work . + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization ... Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing… more