- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… 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 ... referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding...patient insurance information and eligibility / verification to obtain prior authorization for specialty care … more
- Montrose Memorial Hospital (Montrose, CO)
- …payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of ... the leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an... care as they secure payer authorization for medical services and optimize patient health outcomes… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care . The Medication Prior Authorization Specialist is responsible for the coordination of insurance ... , when necessary. + Engages practice operations and incorporates clinical care team when prior authorization attempt is unsuccessful and/or a peer-to-peer… more
- Montrose Memorial Hospital (Montrose, CO)
- …payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of ... highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an... care as they secure payer authorization for medical services and optimize patient health outcomes… more
- Valor Health (Emmett, ID)
- PRIOR AUTHORIZATION SPECIALIST WFH Flexible * Emmett, ID (http://maps.google.com/maps?q=OFF-SITE+Emmett+ID+USA) Apply Description Position Title: Prior ... Business Office Supervisor's Title: HIM/Business Office Manager IHA# Position Summary: The Prior Authorization Specialist is responsible for obtaining… 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, ... required to maintain a working knowledge of all Managed Care Contracts as well as insurance requirements and policies...the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... . Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and...lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to… 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 ... which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses...Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously ... year Seattle Children's Outpatient Pharmacy experience. + Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Min to Max Hourly Salary:… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …but must live within driving distance of Queensbury, NY. Position Summary The Authorization Specialist ensures that authorization for various services ... HHHN Mission To provide the best health care , and access to that care ,...basic administrative/clerical support. Essential Duties and Responsibilities: + Complete Prior Authorizations which include, but are not limited to… more
- Sanford Health (MN)
- …The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... insurance meets prior authorization criteria. Collects necessary documentation and...are in place; may work on outgoing referrals for care outside Sanford Health. May have minimal telephonic patient… 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 ... to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of...required to maintain a working knowledge of all Managed Care Contracts as well as insurance requirements and policies… more
- G-TECH Services, Inc. (Detroit, MI)
- Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into ... embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge plans, Notice of… more
- Bon Secours Mercy Health (Springfield, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... are recognized for clinical and operational excellence. Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial… more
- TEKsystems (Louisville, KY)
- Job Title: Prior Authorizations Representative Location: Onsite in Louisville Pay: $17 per hour (dependent on experience) Responsibilities: + Verify insurance ... eligibility and benefits for prospects/referrals. + Determine LHC (Local Health Care ) rate requirements based on in or out-of-network coverage. + Communicate patient… 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, ... coordination of benefit * Prepare and compile necessary documentation to secure prior authorization .Collect clinical information regarding service to be rendered… 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, ... & coordination of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be… more
- CVS Health (Moon Township, PA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary *...Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine,… more
- Health Advocates Network (Peoria, AZ)
- … Specialist ** Contact medical insurance carriers to ensure eligibility, prior authorization and/or obtain referrals for all clinical services. Identify ... Contract to Hire **Job # 24198 Eligibility and Authorization Specialist ** **Acclivity Healthcare - Your...departments - Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA - Proactively… more