- Accounting Now (Tampa, FL)
- …denial and working with the Clinical Denials Nurses and Coding Denials Specialists to compile appropriate documentation and medical records to submit appeals or ... medical records to support medical necessity) for a reconsideration, appeal, or retro authorization to the insurance carrier via payer portal, fax, etc Documents and… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- Ophthalmic Consultants if Boston is currently looking for Authorization Billing Specialists to join our team in Plymouth. These specialists provide ... (SP) medication, as required, and carefully communicates with clinic team the related billing procedures for SP. . Manages and reviews the daily EPIC schedule,… more
- Commonwealth Care Alliance (Boston, MA)
- …Role is Important to Us:** Commonwealth Care Alliance's (CCA) Clinical Effectiveness ( Authorization ) Unit is primarily responsible for the evaluation of the medical ... and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible for providing accurate, prompt, and appropriate entry… more
- COFMC (Ada, OK)
- …prescription audits. + Establish and maintain good working relationships with all billing operations specialists and other pharmacy staff members to maintain ... DEPARTMENT: Pharmacy NATURE OF POSITION: The Pharmacy Billing Specialist is responsible for performing tasks related to the management of third-party billing for… more
- University of Virginia (Charlottesville, VA)
- …angle) + Verify Physician Prescription for Radiation Therapy matches dictation + Email Billing Specialists at all sites for any discrepancies found for ... billing team, and preauthorization team to ensure accurate pre-certification/ authorization information is aligned with accurate billing of services… more
- Rush University Medical Center (Chicago, IL)
- …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...* Knowledge of insurance and governmental programs, regulations, and billing processes eg, Medicare, Medicaid, Social Security Disability, Champus,… more
- University of Colorado (Aurora, CO)
- Orthotics Authorization Specialist - 33415 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: Orthopedics** **Job ... Title: Orthotics Authorization Specialist** **Position #:00803964 - Requisition #:33415** **Job Summary:**...the DME/orthotics to be covered. + This position fields billing questions from internal and external customers. + This… more
- University of Rochester (Rochester, NY)
- …an advance knowledge base in the rules and regulations of third party billing and the complexities of multispecialty (URMFG) etc. and Facility (SMH) billing ... . In addition this position requires experience among the enterprise billing system (Epic) with a proficient competency level in the use of verification, third party… more
- Texas Health Resources (Grapevine, TX)
- …customer service, and organizational skills + Have knowledge of insurance authorization / billing requirements + Have demonstrated strong customer service and ... **Medical Office Receptionist - Surgical Specialists ** _Fast-paced, high-volume clinic is looking for top...8:00am - 5:00pm & Friday, 8:00am - 2:00pm **Surgical Specialists Department Highlights:** + Be a part of our… more
- Swedish Health Services (Tukwila, WA)
- …Capture defined referral information from Swedish Physician Division providers to specialists and facilities. Verify eligibility and benefits for risk patients. ... terminology or Equivalent experience. + 1 year of Clinic setting or medical billing office within the last three years. **Preferred qualifications:** + Medical … more
- Texas Health Resources (Dallas, TX)
- …(preferred) + ACLS or BLS (preferred) + Knowledge of insurance authorization / billing requirements + Demonstrated strong customer service and communication ... **CMA/LVN Medical Office Clinical Receptionist - Surgical Specialists ** _Fast-paced, high-volume clinic is looking for top skilled CMA/LVN Medical Office Clinical… more
- Intermountain Health (Denver, CO)
- … billing registrations. + Works collaboratively with secondary prior authorization companies to obtain appropriate authorizations when necessary. + Appropriately ... targeted populations and individuals. Facilitates communication with payers and authorization of services in accordance with regulatory and contractual requirements,… more
- CommonSpirit Health (Red Bluff, CA)
- …Incentive Preventative Health programs, Referral and Authorization Coordinators, and the Billing and Coding specialists located in the Red Bluff Office. ... committed to Quality Incentive Preventative Health programs, Referral and Authorization Coordinators, on site Billing and Coding specialists . The clinic is a… more
- Avera Marshall (Sioux Falls, SD)
- …contract requirements, and resources to facilitate appropriate insurance verification and authorization . + Financial Clearance Specialists must determine if ... Specialist is responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance… more
- Fallon Health (Worcester, MA)
- …of processes and workflows, network development, contract management, claims, billing , and authorization assistance. This position requires regular ... claims are being processed timely + Responsible for reviewing authorization issues that result in incorrect payment and working...so that office staff is able to complete daily billing and claims responsibilities + Works with FH UM,… more
- McKinstry (Seattle, WA)
- …a key leader within our finance department, you will spearhead billing , cash, and collections activities, ensuring alignment with McKinstry's overarching strategic ... Additional responsibilities include: **Strategic Leadership** + Develop and implement billing , cash, and collections strategy aligned with McKinstry's evolving… more
- Hartford HealthCare (Milford, CT)
- … authorization , and benefits. . Proficiency in healthcare terminology and billing practices, experience with obtaining authorization and benefits . Bilingual ... We offer over 30 outpatient locations with a variety of specialists , including oncology, women's health, sports medicine, physical therapy, occupational therapy… more
- Hartford HealthCare (Hartford, CT)
- …*_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance prior ... Must have consistent documentation in EPIC to support the obtained insurance authorization . Will communicates changes in payer and or federal regulatory guidelines… more
- TEKsystems (Mcgregor, TX)
- Description: Insurance Specialists are responsible for hospital and physician billing . The duties include working with payers to resolve issues and facilitate ... prompt payment of claims. Thorough knowledge and understanding of patient billing , claims submission, and payer specific requirements is a must. This position is… more
- Ascensus (Greensboro, NC)
- …Assign appropriate tasks in Workflow and manage due dates with clients and specialists . + Work with assigned Specialist and/or Compliance Team subgroups (eg, loan ... appropriate. + Provide answers and solutions to problems that Specialists encounter. Address the issues right away, do not...to your administrative assistant to get the work done Billing + Enter consulting time in time keeping system… more
