- Option Care Health (Colorado Springs, CO)
- …facing responsibilities. Basic Qualifications Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies ... of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of… more
- Compass Health Network (Wentzville, MO)
- …requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* Obtaining… more
- Compass Health Network (Wentzville, MO)
- …requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the ... required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as neededObtaining results from… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... submit appeals or corrected claims in a timely manner. This position applies prior knowledge of denials to assess and ensure services/items billed are reasonable and… more
- Health Advocates Network (Phoenix, AZ)
- Contract to Hire **Job # 24125 Prior Authorization / Referral Specialist ** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, ... that recognize the value of better talent. **Compensation and Schedule for the Prior Authorization / Referral Specialist ** Prior Authorization /… 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)
- …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,...referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… 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....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....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....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… 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 foundhere. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center *… more
- TEKsystems (Dallas, TX)
- …experience in Medical field can only apply! Description: Position Purpose: Supports the prior authorization request to ensure all authorization requests are ... phone Describe the performance expectations/metrics for this individual and their team: * Referral Specialist are required to enter five minimum of five… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Summary** The...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… 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 ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… more
- Randstad US (Woodland Hills, CA)
- authorization specialist . + woodland hills ,... requests for services in accordance with the insurance prior authorization list and routes to the ... of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote role,...of this role include: + working weekends Skills + Prior authorization Qualifications + Years of experience:… more
- Northeast Family Services (West Springfield, MA)
- …to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist ! The Intake Screener and Authorization Specialist ... are responsible for working closely and extensively with various referral sources throughout the entirety of the referral...appointments. To be successful in the Intake Screener and Authorization Specialist position, you should be highly… more
- Trinity Health (South Bend, IN)
- …time **Shift:** Day Shift **Description:** **JOB SUMMARY** Obtains accurate authorization and billing information to effectively authorize/pre-certify all patients ... and Case Management/Utilization Review colleagues as necessary. Ensures all authorization information is retrieved from fax server queue, authorization… more
- University of Colorado (Aurora, CO)
- …agency (https://www.jobelephant.com/) As a key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist (PAPR) at the ... "buy and bill" basis. + Knowledge of EPIC EMR authorization and referral processes. + Previous "front...a key member of the Revenue Cycle Team, the Prior Authorization and Payer Reimbursement Specialist… more
- Banner Health (Surprise, AZ)
- …pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position acts as a ... ready to help keep patients moving forward. As a ** Referral Specialist ** on our team, we offer...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior… more
- Northern Light Health (Presque Isle, ME)
- …timely. They assist with insurance prior authorizations. The role of the referral specialist is critical to assure that every patient receives the definitive ... care that they need. A major role of the Referral Specialist is to communicate progress of...current knowledge of various insurance processes necessary to obtain prior authorization ; follows Prior … more