- Compass Health Network (Wentzville, MO)
- …to accurately complete referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...am to 4:00 pm. Responsibilities Include: * Maintain the Referral for Testing/Procedures/ Referral Listo Gather pertinent information… more
- CornerStone Staffing (Dallas, TX)
- …9am-5:30pm (2/3 weeks) Job Description: Obtain infusion Therapy referrals from referral sources Enter member demographic, insurance and authorization information ... We are seeking a dedicated and detail-oriented Medical Infusion Specialist to join our healthcare team. The ideal candidate will oversee and coordinate all aspects… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule and organize activities that directly… more
- Compass Health Network (St. Charles, MO)
- …clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full ... accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders are current,… more
- Compass Health Network (St. Charles, MO)
- …clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full ... accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify orders are current,… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Glens Falls*… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… 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
- 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,...Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization ,… more
- CommonSpirit Health (Phoenix, AZ)
- …High School Diploma/GED + Minimum two (2) years experience with the referral / authorization process and interacting with insurance carriers **Preferred** + ... Preferred scheduling experience in a Radiology setting + Familiarity with the referral / authorization process and interacting with insurance carriers + Bi-lingual… more
- St. Luke's University Health Network (Allentown, PA)
- …Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital sch… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines. Communicates regularly...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines. Communicates regularly...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines. Communicates regularly...functionality required for testing and services ordered by referred-to specialist includes, preparing and providing multiple, complex details to… more
- Dana-Farber Cancer Institute (Boston, MA)
- …to the Referral / Authorization Supervisor under direct supervision, the Referral Specialist is responsible for coordinating referral orders for ... School-affiliated hospitals. With direct supervision, the Referral Specialist : + Manages referral and authorization information as assigned through daily… more
- TEKsystems (San Carlos, CA)
- …for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient electronic medical record. This ... authorization is needed for said order. If needed, obtain authorization for test, therapies or referral to specialist and document in the patient… more
- Kids First (Montvale, NJ)
- Authorization Specialist Montvale, NJ Full Time ABA Operations Mid Level Share (https://kidsfirstservices.applytojob.com/app/share/p6HxPvlzkR) Position Summary ... The Authorization Specialist at Kids First is a...insurance plans available beginning in January 2024 + Employee Referral Bonus Structure (Up to $1,000 for qualified employees)… more
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Three Rivers Orthopedics located at 200 Delafield Rd, Suite 1040, ... of excellence to which all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in the area of authorization… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate **Work Location**… more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Authorization Specialist to join their Pediatric Endocrinology team at UPMC Children's Hospital! The Pediatric Endocrinology ... part a front facing position with some direct patient care.** As the Authorization Specialist , you will perform authorizations for medication and diabetes… more
