- Select Medical (West Orange, NJ)
- …Employer, including Disabled/Veterans._ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/339844/ prior - authorization - specialist inpatient ... West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations... of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. 1. Follows the Select Workflow Process… 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 ... lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to...of PG provider to secure reimbursement for Observation and Inpatient Services. + Refe rs a ll self- paypa… more
- UPMC (Pittsburgh, PA)
- University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic Surgery. This position is a part-time position with daylight ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities1. Reviews and interprets medical… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Pittsburgh, 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...provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- UPMC (Pittsburgh, PA)
- …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- BayCare Health System (Clearwater, FL)
- …+ **Shift:** 8:00am - 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require on-site ... will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying.../or Managed Care experience + Highly Preferred - Infusion prior authorization + Highly Preferred - Oncology… more
- Billings Clinic (Bozeman, MT)
- …Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Authorization Specialist (Full-time) PRE-ACCESS ... Starting Wage DOE: $17.15 - 21.44 Responsible for the completion of pre-certification, prior authorization and notification for third party and government payers… more
- Highland Hospital (Rochester, NY)
- **16923BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** he Health ... Insurance and Authorization Specialist is responsible to assess and...and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct… more
- AdventHealth (Glendale Heights, IL)
- …made available + Delivers excellent customer service by contacting patients to inform them of authorization delays 48 + hours prior to their date of service and ... Coordinates with case management staff as necessary (eg, when pre- authorization cannot be + obtained for an inpatient...their insurance coverage or eligibility for + government programs prior to service for both inpatient and… more
- Avera (Sioux Falls, SD)
- …will collect patient liability prior to service and attempt to collect prior balances. The Specialist collaborates with various other departments to ensure ... Overview** Responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... therapy (SCT) recipients and/or the family/caregivers of SCT recipients during inpatient hospitalization for cancer, chemotherapy and its complications and all… more
- Northern Light Health (Presque Isle, ME)
- …is complete. + Maintains current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior Authorization Policy. + ... efficiently to assure services needed are received timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to… more
- Elevance Health (Plano, TX)
- …issues concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services ... **Referral Specialist III** is responsible for issues involving the precertification and prior authorization review. This level is expected to be able to… more
- CDPHP (Latham, NY)
- …and professionalism. This position supports timely determination turnaround times on all prior authorization requests and inpatient notifications received ... be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff within...decision making to determine the appropriate action to take prior to logging and routing requests for authorization… more
- HCA Healthcare (San Antonio, TX)
- …like family! Jump-start your career as a(an) Transplant Clinical Pharmacist Specialist today with Methodist Hospital Specialty and Transplant. **Benefits** Methodist ... Come join our team as a(an) Transplant Clinical Pharmacist Specialist . We care for our community! Just last year,...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more
- Penn Medicine (Philadelphia, PA)
- …knowledge of insurance plans and policies in regard to financially clearing inpatient and outpatient based procedures. The Pre-Registration Specialist is ... each day. Are you living your life's work? Job Title: Preregistration Specialist Department: Oral Max Surgery Location: Perelman Center for Advanced Medicine-3400… more
- Community Health Systems (Gadsden, AL)
- …follows up with the insurance company until there is resolution of the prior authorization request - an approval, redirection, or denial. All activity ... on clinic infrastructure.) Scope: Physician practice clinic Care Coordination Specialist responsibilities include all inpatient /outpatient clinic referrals and… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited...telephonically post-discharge and assist with barriers to care * Prior experience with Care Management or Utilization Management *… more
- Mayo Clinic (Phoenix, AZ)
- …We are recruiting for two abdominal solid organ transplant clinical specialist pharmacists to cover the following: + (1) OUTPATIENT abdominal (kidney/pancreas/liver) ... SOT pharmacist that covers outpatient kidney/pancreas/liver services. + (1) Hybrid INPATIENT and OUTPATIENT abdominal SOT pharmacist that would join a rotation that… more