- Penn State Health (Lancaster, PA)
- …regulations, guidelines, and executive orders that prohibit or outlaw discrimination._ **Position** Referral Pre - Authorization Specialist - Lime Spring ... and obtaining referrals from internal and external customers for authorization to optimize reimbursement and prevent denials. **MINIMUM QUALIFICATION(S):** +… more
- University of Connecticut (UConn) (Storrs, CT)
- …Student Health and Wellness on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and ... provide assistance in carrying out the accurate and timely pre - authorization / authorization of insurance coverage and benefits for students requiring… 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 ... ability to pay for health care. Responsible for accurate and timely pre -registration, submission of prior authorizations for SLPG Primary Care and Specialty… more
- TEKsystems (Phoenix, AZ)
- Description The Referral and Authorization specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining ... environment * Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required. * High… more
- TEKsystems (Phoenix, AZ)
- …environment + Medical terminology, Insurance verification, insurance benefit knowledge, referral processing and authorization experience required. + High ... inbound calls + This role focuses on Primary Care Physicians referring their patients to Specialist + To be successful in this role a new hire would be focusing on… more
- Robert Half Office Team (Miramar, FL)
- Description We are looking for a dedicated Pre - Authorization Specialist to join our team in Miramar, Florida. In this contract-to-hire position, you will ... * Review clinical denials, including cases related to referrals, pre -authorizations, medical necessity, and non-covered services. * Prepare and submit… more
- UPMC (Pittsburgh, PA)
- …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic...using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid… more
- UPMC (Pittsburgh, PA)
- …activities including pre -authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team...using ICD-9-CM, CPT, and HCPCS Level II. + Provides referral / pre -notification/ authorization services timely to avoid… more
- UPMC (Pittsburgh, PA)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center!...of excellence in all work. + Utilize expertise in authorization -related activities, including pre -authorizations, notifications, edits, and… more
- Select Medical (West Orange, NJ)
- …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )**… more
- PeaceHealth (Vancouver, WA)
- …services teams, pharmacy, providers and provider teams, patient financial services, referral and pre - authorization specialists, and medication assistance ... **Description** PeaceHealth is seeking a **Pharmacy Technician Prior Authorization Specialist for a Full Time, 1.00 FTE, Day position.** The salary range for… more
- WesleyLife (Urbandale, IA)
- …and purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist ** As a Insurance Authorization & ... the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist , you will:** +...Ongoing leadership training and development pathways **Extra Perks:** + Referral Bonus Program - bring your friends and earn… more
- UPMC (Pittsburgh, PA)
- …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… more
- Trinity Health (Grand Rapids, MI)
- …is not a remote position. Responsible for all aspects of authorizations/ pre -certification, or referral processes. Verifies insurance eligibility and contacts ... the payer to initiate pre -certification by providing supporting medical documentation, follow ups with...procedures, and services in attempt to obtain a successful authorization . Determines out of pockets costs for patients prior… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: Oncology Referral Specialist DEPARTMENT: Medical Oncology Hematology LOCATION: Lipson Cancer Institute Clifton Springs - 2 Coulter Road, Clifton ... WEEK: 40 SCHEDULE: Monday through Friday, Standard Business Hours SUMMARY The Oncology Referral Specialist will act as an initial contact for patients, family,… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** The Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure ... needed. + Coordinate flow of information between medical clinic and patients insurance for referral authorization to secure a valid referral for clinic… more
- Intermountain Health (Wheat Ridge, CO)
- **Job Description:** The Contact Center Referral Specialist I processes insurance pre - authorization for primary and specialty service office visits and ... in this circumstance. Verifies insurance coverage and obtains required authorization when necessary. Documents referral information, communications, actions… more
- Elevance Health (Plano, TX)
- …our specialty pharmacies, our infusion centers, and the home setting. **Title** : Referral Specialist III - Paragon Healthcare **Location:** TX-PLANO, 3033 W ... for employment, unless an accommodation is granted as required by law._ The ** Referral Specialist III** is responsible for issues involving the precertification… more
- Mayo Clinic (Rochester, MN)
- …in the F-1 STEM OPT extension program.** **Qualifications** **Qualifications for Laboratory Referral Specialist I:** You must have a high school diploma/GED ... coverage. + Vision: Affordable plan with national network. + Pre -Tax Savings: HSA and FSAs for eligible expenses. +...3 years of relevant work experience. **Qualifications for Laboratory Referral Specialist II:** You must have a… more
- Elevance Health (St. Louis, MO)
- ** Referral Specialist I** $1,000 Sign-On Bonus **Location :** This role enables associates to work virtually full-time, with the exception of required in-person ... clinical domains, including radiology, cardiology and oncology. As a ** Referral Specialist I** , you will be...staff as appropriate. + Verifies insurance coverage and completes pre - authorization process for radiology and other imaging… more