- Abbott (Plano, TX)
- …Our 114,000 colleagues serve people in more than 160 countries. **Sr. Appeals Specialist , Patient Therapy Access Team** **Position Location: 6600 Pinecrest ... Our location in **Plano, TX** currently has an opportunity for a **Sr. Appeals Specialist ** . This role is responsible for facilitating and assisting… more
- Trinity Health (Farmington Hills, MI)
- …as part of the payment resolution team that receives, analyzes, and appeals denials received for an assigned PBS location. Reviews, researches and resolves ... knowledge of state/federal laws as they relate to contracts and the appeals process. Investigates and addresses overpayment and underpayment accounts with the… more
- Randstad US (Dallas, TX)
- medical appeals and denials specialist . + dallas , texas + posted 8 days ago **job details** summary + $20 - $20.93 per hour + temp to perm + high school + ... further. Must have at least 2 years of backend appeals and denials experience. salary: $20 - $20.93 per...Will be responsible for outstanding A/R in the TD Authorization work queues. The expected duties are to resolve… more
- Trinity Health (Farmington Hills, MI)
- …Maintains knowledge of state/federal laws as they relate to contracts and the appeals process. Assists in training Payment Resolution Specialist I colleagues ... as to ensure timely follow-up and action for account appeals . + Works with Patient Access and other necessary...Patient Access and other necessary parties to resolve account authorization issues. + Applies knowledge of specific payer payment… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care as… 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
- Logan Health (Whitefish, MT)
- …and resolving authorization denials as needed. Prepares, submits, and tracks appeals as necessary. Accurately documents patient accounts of all actions taken. + ... authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol. Qualifications: + Minimum… 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 opening ... Alaska Responsible for receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …providing all required medical information to insurance companies as necessary to facilitate the authorization process. + File appeals as necessary As a part of ... auth tool and payer websites + Call/navigate insurance websites for authorization requirements and obtain timely authorizations from various insurance companies +… more
- Fairview Health Services (St. Paul, MN)
- …and determine appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization requests and/or ensure ... + Facilitate insurance denial mitigation steps such as peer-to-peer reviews and appeals in conjunction with revenue cycle, care teams, utilization review, and… more
- Bon Secours Mercy Health (Springfield, OH)
- …are recognized for clinical and operational excellence. Patient Services Specialist Responsible for all aspects of scheduling, pre-registration and financial ... validation of accurate patient demographic and insurance information, obtaining pre-certification/ authorization , scheduling for inpatient and outpatient services, and entering… more
- LA Care Health Plan (Los Angeles, CA)
- …dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist .; submit all Grievances and Appeals response letters to ... The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the … more
- LA Care Health Plan (Los Angeles, CA)
- …safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling ... Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests… more
- State of Colorado (Greeley, CO)
- Employee Relations Specialist (Administrator II) - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4488772) Apply Employee Relations ... Specialist (Administrator II) - Greeley Salary $48,396.00 - $55,644.00...Act as the Region 4 representative for unemployment claims, appeals and litigation for employment related matters. + Will… more
- Trinity Health (Fort Wayne, IN)
- …support of activities including but not limited to benefits investigation, prior authorization request and submission, overturning appeals , and enrolling patient ... Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate processes to obtain and… more
- Hartford HealthCare (Hartford, CT)
- …specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance ... Must have consistent documentation in EPIC to support the obtained insurance authorization . Will communicates changes in payer and or federal regulatory guidelines… 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 with patients, families, clinical and...and tracking all assistance provided. Accountable for planning, execution, appeals and efficient follow through on all aspects of… more
- State of Colorado (Greeley, CO)
- Real Estate Specialist III or IV - Greeley Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4500505) Apply Real Estate Specialist III or IV ... position will be filled at either the Real Estate Specialist III or IV level, depending upon candidate qualifications...obtained at any time after receipt of the applicant's authorization . As part of the employment screening an applicant… more
- Carle (Urbana, IL)
- Cancer Services Specialist (Carle Cancer Institute) + Department: Cancer Institute - CPG_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin ... denials and how to prevent denials to reduce losses; works and appropriately appeals the denials from insurance companies. The Cancer Services Specialist … more