- Southeast Health (Dothan, AL)
- …Summary Interviews and obtains all necessary information to register or admit patients. Obtains signatures for permission for treatment and reimbursement for ... services. Obtains billing information, ensures pre-authorizations are obtained for treatment and all other reimbursement requirements are met. Discharges patients upon completion of treatment. Assists with posting and verifying of charges as well as… more
- Urology Clinics of North Texas (Mesquite, TX)
- Radiation/Oncology Verification Specialist Job Details Job Location 1650 Republic Pkwy Ste 150, Mesquite, TX 75150 - Mesquite, TX Description Responsible for ... verifying insurance benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed for both… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Clinical Referral Specialist , Centralized Referrals Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and ... sleep medicine and urology. Position Summary: The Referral and Precertification Specialists manages scheduling for specialty facilities and procedures, creates… more
- Union Hospital (Terre Haute, IN)
- You belong at Union! The PreCertification Specialist plays a key role in providing the highest quality of patient care while the patient is at Union Health. ... grasp of standard written and verbal English. Knowledge of precertification requirements. Knowledge of medical terminology. Courteous, cooperative attitude. Written… more
- Henry Ford Health System (Troy, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures ... providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is… more
- Elevance Health (Plano, TX)
- …The **Referral Specialist III** is responsible for issues involving the precertification and prior authorization review. This level is expected to be able to ... infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location:** TX-PLANO, 3033 W...perform all of the duties the Referral Specialist I and II in addition to the following… more
- Penn Medicine (Cherry Hill, NJ)
- …day. Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Financial Clearance **Location:** Penn Medicine Cherry Hill- 1865 ... Route 70 E **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? Job Title: Preregistration Specialist Department: Oral Max Surgery Location: Perelman Center for Advanced Medicine-3400 ... Civic Center Blvd Hours: Full Time Summary: + The Pre-Registration Specialist reports to the Supervisor of Financial Clearence. This individual possesses an in-depth… more
- Trinity Health (Waterbury, CT)
- …Trinity Health Of New England is looking for an experienced **Behavioral Health Specialist , Social Worker** to come join our team of highly specialized integrated ... behavioral health professionals. The **Behavioral Health Specialist ** is a **L** **i** **censed Social Worker, LCSW** who provides psychiatric evaluations for… more
- Saint Francis Health System (OK)
- …mandatory for the first 3 to 6 months.** Job Summary: The Authorization Specialist II ensures accuracy of insurance information and obtains prior authorization and ... necessity reviews, authorization submissions and follow-up care. The Authorization Specialist II maintains exceptional customer service, promotes the teamwork, and… more
- Brockton Hospital (West Bridgewater, MA)
- …the lives and health of our patients. Position Summary: Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for ... Location: 750 W. Center Street, West Bridgewater, MA Department: Financial Clearance Specialist This is a full-time 40 hour/ week position Responsibilities: +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …40 hours** Using discretion and independent judgment, the **Payor Relations Specialist ** (PRS), **Acute Rehab** manages the pre-certification and prior authorization ... the team as needed. They obtain timely authorization of all patients requiring precertification and is accountable for conversion percentage and results. + The PRS… more
- MyFlorida (La Belle, FL)
- HEALTH SUPPORT SPECIALIST - 64066122 Date: Sep 19, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 858906 Agency: Department of Health Working Title: HEALTH SUPPORT SPECIALIST - 64066122 Pay Plan: Career Service Position Number: 64066122 Salary:… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and serve as a leader of positive change. The **Patient Access Specialist ,** **Oncology** provides assistance to patients, Physicians, caregivers in all areas of ... coordinating all the functions and activities related to patient precertification /authorization for Chemotherapy, Radiation, and Diagnostic Imaging associated with a… more
- Dartmouth Health (White River Junction, VT)
- Care Team Specialist Full Time, Days $10,000 Sign-On for Qualified Candidates! Why work as a Patient Access Representative at the Visiting Nurse and Hospice for ... Patient Access Representative: * Verifies patient insurance and obtains precertification and/or preauthorization as appropriate. * Obtains needed forms/information… more
- Adecco US, Inc. (Hopkinsville, KY)
- Adecco is assisting a local client in filling an Accounting/Billing Specialist position in Hopkinsville, KY. You will obtain, review, and evaluate financial ... of responsible party for payment of patient services rendered including precertification for patients with insurance. Perform follow up interviews and contacts… more
- UHS (Binghamton, NY)
- …OverviewUnited Health Services (UHS) is seeking a proactive and analytical Clinical Denials Specialist to join our Revenue Cycle team. In this vital role, you will ... resolve authorization issues and address denials related to coverage and precertification . + Conduct real-time reviews of medical and surgical administrative denials… more
- MetroHealth (Cleveland, OH)
- **Utilization Review Specialist -Utilization Management** **Location:** **METROHEALTH MEDICAL CENTER** **Biweekly Hours:** **80.00** **Shift:** **10a-6:30p** **The ... from an accredited institution. * 2 years of experience in medical insurance precertification for either a hospital or insurance company will be accepted in lieu… more
- Children's Clinics (Tucson, AZ)
- …of AHCCCS, CRS, and private insurance guidelines + Knowledge of precertification , referrals, and prior authorization + Knowledge of medical terminology, CPT, ... and ICD-10 codes and practices + Skill and proficiency in using Microsoft Office Suite + Ability to maintain confidentiality of patient, personnel, and corporate data + Ability to cross reference data to assure accuracy and completeness + Ability to post… more
- Beth Israel Lahey Health (Cambridge, MA)
- …Analyzed clinical documentation in support of ordered procedure(s) and submitted precertification requests through various insurance fax lines, phone systems, and ... web portals. Follow up on pending accounts and involve ordering provider offices as needed to obtain approvals. + Escalates challenging accounts to provider representative to ensure accounts are approved at least two weeks prior to patient appointment/surgery.… more