- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... feel like a fit? Then we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist will be the dedicated… more
- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a **Pharmacy Technician Prior Authorization Specialist for a Full Time, 1.00 FTE, Day position.** The salary range for ... seniority, etc. **Job Summary** Responsible for review and verification of prior authorization requests, including referral documentation, for chemotherapy and… more
- Select Medical (Knoxville, TN)
- …**Select Specialty Hospital - North Knoxville** Critical Illness Recovery Hospitals ** Prior Authorization Specialist / Payor Relations Specialist ... **Job ID** _344123_ **Experience (Years)** _2_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
- Select Medical (West Orange, NJ)
- …Institute for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations Specialist ( RN ... **Job ID** _339844_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
- General Physicians PC (Buffalo, NY)
- #25-0819 Buffalo, NY, USA Job Description Prior Authorization Specialist (PAS) Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! ... Are you a Prior Authorization Specialist (PAS) looking to take your career to the next level? General Physician, PC, one of Western New York's most esteemed… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- TEKsystems (Manchester, CT)
- Position Summary: We are seeking a detail-oriented Prior Authorization Specialist to join our Central Authorization Center team. Reporting to the ... insurance data on patient accounts. Qualifications: + Minimum 2 years of prior authorization experience. + Proficient in navigating insurance company websites.… more
- Insight Global (Tucson, AZ)
- …An oncology provider in Tucson, AZ is looking to hire a dynamic, patient-centered Prior Authorization Specialist to join their exceptional team. You will ... be responsible for obtaining and managing prior authorization promptly. You will assist with maintaining accurate records of authorization , follow up on… more
- New England Cancer Specialists (Westbrook, ME)
- Job Descriptions: New England Cancer Specialists has an opportunity for a full-time Remote Prior Authorization Specialist . This position will join a varied ... extraordinary professional care and customer service to our customers. The Prior Authorization Specialist will handle non-clinical administrative aspects of… more
- Actalent (Tampa, FL)
- Job Title: Prior Authorization Specialist Job Description: As a Remote Prior Authorization Specialist , you will play a crucial role in managing ... Preferred Qualifications: + Previous experience in a healthcare/pharmacy setting. + Prior authorization experience. + Familiarity with third-party claims… more
- BrightSpring Health Services (New Hyde Park, NY)
- … authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: (Remote)Monday - Friday8:30am - 5:00pm ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer… 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
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
- US Tech Solutions (May, OK)
- …providers, and others, delivering professional phone support through the criteria-based prior authorization process. Responsibilities include accurate and timely ... **Key Responsibilities** + Handle in-bound calls professionally, providing assistance per prior authorization guidelines + Maintain complete, accurate, and… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** BJC HealthCare is seeking a prior authorization specialist to assist with processing high cost ... assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to...net revenue loss. This position is required to obtain authorization on behalf of some physicians at Washington U… more
- Decatur County Memorial Hospital (Greensburg, IN)
- …POSITION SUMMARY + Reports To: + Authorization Manager + Summary: + The prior authorization specialist is responsible for coordinating all aspects of the ... and communicating with key stakeholders (providers, insurance co., and patients). The prior authorization specialist will contribute to the development of a… 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 ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Type Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio… more
- Hartford HealthCare (Hartford, CT)
- …30 different specialties. *_Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
