- St. Luke's University Health Network (Allentown, 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 ... prior-authorizations and referral process for patients being referred for specialty care,...verification, obtaining pre -authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization ,… more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre - Authorization Specialist will assist the Patient Engagement Center Liaison, ... Financial Services in the appeal process based on internal guidelines. Assists Manager, Pre -Service Operations - Authorization and Referral Management in the… 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 ... information + Provides insurance company with clinical information necessary to secure prior- authorization or referral + Works in alignment with Central… more
- LifePoint Health (Wytheville, VA)
- …**Nursing/Medical Assistant* **Organization:** **Wythe County Physician Pract* **Title:** * Pre - Authorization Specialist * **Location:** *Virginia-Wytheville* ... preferred. Previous experience with medical insurance companies' authorizations and referral processes required. Knowledge/Ability to perform Microsoft applications required.… more
- University of Virginia (Charlottesville, VA)
- …service to both referring physicians as well as referred patients. Obtains pre - authorization for all diagnostic tests and performs additional administrative ... handled effectively and efficiently. + Analyzes information required to complete pre - authorizations with insurance carriers and service area contacts. +… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate **Work Location**… more
- UPMC (Williamsport, PA)
- …rendered using ICD-9-CM, CPT, and HCPCS Level II. + Provides timely referral / pre -notification/ authorization services to avoid unnecessary delays in treatment ... The Authorization Specialist will perform authorization... shall include working knowledge in the area of authorization -related activities including pre -authorizations, notifications, edits, denials,… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Referral / Pre -Auth Specialist (Remote) for a Full Time, 1.00 FTE, Day position. The general salary range for this job ... authorizations. Position Details + Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre - authorization for patients… more
- Rush University Medical Center (Chicago, IL)
- …**Shift 1** **Work Schedule:** 8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Pre - Authorization Specialist Lead is responsible for obtaining and resolving ... referral , precertification, and/or prior authorization to support insurance specific plan requirements for all...& outpatient), ED, and clinic/ambulatory environments. In addition, the Pre - Authorization Specialist II may… more
- Atlantic Health System (Morristown, NJ)
- Atlantic Health System is seeking a Per Diem Authorization Specialist in the Pre -Registration Dept at our Morristown Corporate Office. Essential ... Medical terminology preferred + Applicable experience as Patient Access Representative or Authorization Specialist ABOUT US At Atlantic Health System, our… more
- Albany Medical Center (Albany, NY)
- …Day (United States of America) Salary Range: $17.97 - $28.76 The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for financially ... Ambulatory, Ancillary, Surgical and Procedural services. This includes securing Referral and Authorization . Insurance Verification and Benefit interpretation… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre -certifications/prior-authorizations per payer guidelines prior to services being rendered… more
- Health First (Melbourne, FL)
- …SUMMARY:* Responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre -certification, authorization , and referral requirements are ... **Clerical Support* **Organization:** **Health First Medical Group LLC* **Title:** *HFMG Authorization Specialist - Crane Creek* **Location:** *Florida - Brevard… more
- UPMC (Lancaster, PA)
- …for authorization , if applicable. + Sends appointment request to specialist with appropriate patient records. Processes insurance referral if applicable. ... Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team...other duties as assigned by manager. + Utilizes electronic referral and authorization services as available. +… more
- CVS Health (Pittsburgh, PA)
- …claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or ... apply appropriate guidelines, coding, member identification process, diagnosis and pre -coding requirements. * May facilitate training when considered topic subject… more
- University of Massachusetts Amherst (Amherst, MA)
- …(Patient Benefit & Referral Specialist ) Apply now ... of the region. Job Summary The Patient Benefit and Referral Specialist performs all functions related to...or update information in the practice manager. + Provides pre -determination of benefits and educates and informs patients about… more
- Trinity Health (Des Moines, IA)
- …and thrive on providing top notch customer service? Consider joining our team as a Referral Specialist ! The Referral Specialist works with patients ... services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for… more
- Ascension Health (Pensacola, FL)
- …through their health care needs by assisting with **referrals, obtaining referral approvals/prior authorization from medical insurance payers,** insurance ... questions. + Confirm insurance coverage via payer portals and determine necessity for pre - authorization . + Obtain authorization and process referrals for… more
- Elevance Health (Indianapolis, IN)
- …consumer's treatment journey._ **Build the Possibilities. Make an Extraordinary Impact.** ** Referral Specialist ** **Location:** This is a non-hybrid position, ... the following shift available:** + 10 AM-7 PM The ** Referral specialist ** is responsible for providing support...limited to:** + Initiates and manages clinical referrals for pre - authorization . + Acts as a liaison between… more
- Universal Health Services (Richmond, VA)
- …(https://jobs.uhs.com/atlantic-region-cbo) The Atlantic Region CBO is seeking a dynamic and talented Pre -Services Specialist . The Pre -Services Specialist ... -registering patients in the SMS and Cerner systems. The Pre -Services Specialist will also be responsible for...services + Contact physician to resolve issues regarding prior authorization or referral forms + Research patient… more