- ConsultNet (North Kingstown, RI)
- …involving claim, enrollment, and billing problems Provide advice and direction without prior authorization . Bind policies and make sales. Adhere to schedules, ... Customer Care Representative responds to inquiries regarding insurance coverage submitted...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Staffing Now (Norfolk, VA)
- …(8:30-5 EST) Pay: $17/hour Responsible for coordinating cases for precertification and prior authorization review. Primary duties may includes, but are not ... provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests.Refers cases requiring… more
- Staffing Now (Nashville, TN)
- …has immediate jobs openings! Responsible for coordinating cases for precertification and prior authorization review. Primary duties may includes, but are not ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. Refers cases… more
- Percepta (Melbourne, FL)
- …bring first-class service across each market we support. As a Automotive Claims Representative in Melbourne Florida, you'll be a part of creating and delivering ... * Ability to speak confidently about extended service business products and prior approval process * Ability to utilize web based technical service information… more
- Beacon Hill (Robinson Township, PA)
- …patient insurance coverage - Identify any payer coverage restrictions- Document prior authorization and appeals protocols- Communicate regularly with internal ... Investigation Specialists to join their team! Searching for individuals with prior healthcare-based customer service experience. This company offers a variety of… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …staff within the surgery center including, but not limited to insurance verification, prior authorization , point of service collections, and frontline check in. ... Tasks and ResponsibilitiesResponsible for the scheduling, insurance verification, pre-registration, prior - authorization , collections and check in for patients… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of benefits. Benefit… more
- Sourcing Square US (Cleveland, OH)
- …and procedures (eg records of friends, neighbors and relatives without the proper authorization of the client to access those records). SUMMARY: This position is ... and laws. Ensures all documentation is submitted in a timely manner prior to deadlines determined by the Clinical Director.Supervision and Team Meetings: Prepares… more
- Dexian - DISYS (Prairie Village, KS)
- …restrictions and details on how to expedite patient accessDocument and initiate prior authorization process and claims appealsReport any reimbursement trends or ... Title - Customer Service Representative Months- 6 + Months (Temp to hire)...complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps… more
- Windstream (Lexington, KY)
- …Manage existing agreements, including renewals, term enforcement, and payment authorization . Establish relationships with government entities to secure permits for ... and risk management teams to execute and manage contracts. Be Kinetics representative to permitting entities, governmental and legislative bodies within the assigned… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …areas Education: Associates degree in related field or equivalent experience is preferred. Proficient in Excel. SQL experience a plus Skills: Prior authorization ... normal voice sounds. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- STS Technical Services (Philadelphia, PA)
- …System (SMS). Experience with PHL operations and airport challenges a PLUS. Authorization : All candidates must currently be authorized to work in the United ... machines and filing cabinets. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
- CVS Health (Columbus, OH)
- …a full-time teleworker position in Ohio. Candidate must reside in Ohio. The Prior Authorization Representative supports comprehensive coordination of medical ... services including intake, screening and referrals to Aetna Medical Services Programs. Promotes/supports quality effectiveness of Healthcare Services. Additional responsibilities to include but not limited to the following: - Performs intake of calls from… 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
- Weill Cornell Medical College (New York, NY)
- Title: Pre- Authorization Representative Location: Upper East Side Org Unit: Revenue Cycle and Compliance Work Days: Monday-Friday Weekly Hours: 35.00 Exemption ... and filing. + Verifies patient insurance eligibility and obtains necessary pre- authorization numbers, if required, prior to appointment date. Facilitates… more
- Covenant Health (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… more
- Providence (Spokane Valley, WA)
- …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... responsibilities include entering patient referral data into the database, entering physician information into the database, adding progress notes, responding to billing department requests, calling providers, insurance companies and patients. Providence… more
- UNC Health Care (Goldsboro, NC)
- …well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining ... authorizations from insurance payers prior to services been scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...When needed, will also cross-function as a patient services representative and cashier. # # QUALIFICATIONS# # High school… more
