- Intermountain Health (St. George, UT)
- **Job Description:** The Prior Authorization Representative I is responsible for accurately verifying and completing insurance eligibility, securing prior ... appeals and denials when requested + Contacts patient/provider when authorization is unsecured prior to scheduled date of service + Effectively escalates issues… more
- Truman Medical Centers (Kansas City, MO)
- …myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** OMFS Prior Authorization Representative - Professional Billing ... (Hybrid) 101 Truman Medical Center **Job Location** University Health 4 (UH4) Kansas City, Missouri **Department** Corporate Professional Billing **Position Type** Full time **Work Schedule** 8:00AM - 4:30PM **Hours Per Week** 40 **Job Description** **Medical… more
- St. Peters Health (Helena, MT)
- …experience to demonstrate ability to accept responsibility as a Hospital and Clinic prior authorization representative . + Knowledge of anatomy and ... The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by… more
- Bon Secours Mercy Health (Greenville, SC)
- …want to work and help communities thrive. **Patient Services Representative ** **- Gastroenterology** **Job Summary:** The Patient Services Representative ... records accurately and efficiently. In addition, the Patient Services Representative responsibilities will include scheduling appointments, transcribing orders, explaining… more
- University of Rochester (Rochester, NY)
- …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
- University of Rochester (Rochester, NY)
- …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
- CVS Health (AZ)
- …do it all with heart, each and every day. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes ... and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes ...physical demands and work environment characteristics described herein are representative of those that must be met by an… more
- CVS Health (OK)
- …and every day. **Position Summary** - Applicants may reside Oklahoma - Processes prior authorization requests received by phone, fax, or electronically and ... and medication guidelines to perform clinical research to support prior authorization reviews - Proactively completes ...physical demands and work environment characteristics described herein are representative of those that must be met by an… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... for career advancement to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... CRS, and private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology, CPT, and ICD-10… 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 ... of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate of… more
- University of Miami (Medley, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are completed in… 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 ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible. +… more
- University of Miami (North Miami, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this position… more
- Catholic Health Services (Melville, NY)
- …explain benefit information, confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, ... Job Details The part-time Scheduling Representative is responsible for managing incoming and outgoing...needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to… more
- Catholic Health Services (Melville, NY)
- …explain benefit information, confirm patient responsibility amounts, and secure authorization for services. Scheduling Representative will communicate policies, ... authorization is needed and understand payer specific criteria to appropriately secure authorization and clear the account prior to service where possible.… more
- University of Miami (Miami, FL)
- …of Neurological Surgery is currently seeking a full time Sr. Patient Accounts Representative to work in Miami, FL. The Senior Patient Accounts Representative ... source is billed and collected appropriately. The Senior Patient Accounts Representative uses advanced knowledge of billing procedures and coding expertise to… more