• Compass Health Network (Wentzville, MO)
    …our service areas and need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team and provides case management ... Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the test/procedure and… more
    JobGet (03/25/24)
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  • Exact Sciences (Phoenix, AZ)
    …At Exact Sciences, we're helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make ... skills to product creation; recognized as a content, sub-discipline specialist across the company. Work with project managers and cross-functional… more
    JobGet (03/27/24)
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  • Referral & Authorization Specialist

    Glens Falls Hospital (Glens Falls, NY)
    …hours per week, can be foundhere**. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Treatment Program * ... our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop...you will be a vital member of the cancer treatment program by serving as the point person for… more
    Glens Falls Hospital (03/14/24)
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  • Referral and Prior Authorization

    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...impact (quality, financial, patient satisfaction, etc.) on patient scheduling, treatment , care and follow up. Adheres to approved protocols… more
    University of Rochester (03/08/24)
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  • Authorization Specialist

    WMCHealth (Valhalla, NY)
    Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/25936) Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex… more
    WMCHealth (03/05/24)
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  • Insurance Authorization Specialist

    Bon Secours Mercy Health (Virginia Beach, VA)
    …sites and clinicians are recognized for clinical and operational excellence. Insurance Authorization Specialist - Full-Time in office Virginia Beach, Outpatient ... from all necessary payers to avoid delays in patient treatment and prevent claims denials for missing/invalid pre-certification/ authorization . Duties… more
    Bon Secours Mercy Health (01/29/24)
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  • Prior Authorization Specialist

    Insight Global (Nashville, TN)
    …to sites on status of verification & authorizations for all patients requiring treatment authorization - Communicate with patients, front end staff, physicians & ... coinsurance. - Verify if any prior authorizations are required pre- treatment such as HMO or PCP authorizations initiating ...treatment such as HMO or PCP authorizations initiating authorization request and confirming with the office staff once… more
    Insight Global (03/08/24)
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  • Prior Authorization Nurse Specialist

    Health First (Rockledge, FL)
    …**Medical Management* **Organization:** **HF Administrative Plan Inc* **Title:** *Prior Authorization Nurse Specialist - Clinical Operations* **Location:** ... a sustainable, measurable, accurate, reliable and timely execution of the Prior Authorization Process. Success in this position will be based on the individual's… more
    Health First (03/23/24)
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  • Pre- Authorization Specialist

    Weill Cornell Medical College (New York, NY)
    Title: Pre- Authorization Specialist Location: Midtown Org Unit: Billing Work Days: Monday-Friday Exemption Status: Non-Exempt Salary Range: $32.97 - $39.73 *As ... authorizations for services provided. Serves as liaison between junior pre- Authorization staff and department leadership. **Job Responsibilities** + Verifies… more
    Weill Cornell Medical College (03/26/24)
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  • Specialist - Authorization Denial…

    Baptist Memorial (Memphis, TN)
    Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue… more
    Baptist Memorial (02/24/24)
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  • Intake Screener and Authorization

    Northeast Family Services (Lawrence, MA)
    …to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist ! The Intake Screener and Authorization Specialist ... and scheduling clients' appointments. To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail… more
    Northeast Family Services (03/22/24)
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  • Authorization Specialist

    WMCHealth (Valhalla, NY)
    Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Clinical Care ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/25896) Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex… more
    WMCHealth (02/28/24)
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  • Network Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... + Provides insurance company with clinical information necessary to secure prior- authorization or referral + Works in alignment with Central Scheduling and… more
    St. Luke's University Health Network (03/19/24)
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  • Intake Screener and Authorization

    Northeast Family Services (Bronx, NY)
    …to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist ! The Bilingual Intake Specialist (English / Spanish) manages ... initial treatment plans. To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail oriented,… more
    Northeast Family Services (03/22/24)
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  • Prior Authorization Specialist

    BrightSpring Health Services (Louisville, KY)
    …care come join our team and apply today! Responsibilities + The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy ... claims requiring prior authorization or by coordinating with prescribers and or facility...a preferred alternative due to insurance not covering the treatment in question Essential Job Responsibilities: + Ensure accurate… more
    BrightSpring Health Services (03/19/24)
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  • Insurance Authorization Specialist

    Option Care Health (Harrisburg, PA)
    …range from $18This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and ... Description:** ​ **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy....has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to… more
    Option Care Health (03/27/24)
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  • Recovery Support Specialist - Assertive…

    Carle (Urbana, IL)
    Recovery Support Specialist - Assertive Community Treatment + Department: Assertive Comm Treatment - CTP + Entity: Peoria Service Area + Job Category: Mental ... of the Supervisor, ACT will provide behavioral health assessment and treatment planning, case management, support, education, and consultation for individuals… more
    Carle (02/26/24)
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  • Community Support Specialist - Assertive…

    Carle (Urbana, IL)
    Community Support Specialist - Assertive Community Treatment + Department: Assertive Comm Treatment - CTP + Entity: Peoria Service Area + Job Category: ... of the Supervisor, ACT will provide behavioral health assessment and treatment planning, case management, support, education, and consultation for individuals… more
    Carle (02/03/24)
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  • Juvenile Justice Specialist 1/2/3

    Louisiana Department of State Civil Service (St. Martinville, LA)
    JUVENILE JUSTICE SPECIALIST 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4183661) Apply  JUVENILE JUSTICE SPECIALIST 1/2/3 Salary ... Supplemental Information THIS IS A CONTINUOUS ANNOUNCEMENT. The vacant Juvenile Justice Specialist 1, 2, 3 positions may be utilized for the following secure… more
    Louisiana Department of State Civil Service (03/21/24)
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  • Clinical Utilization Review Specialist

    University of Colorado (Aurora, CO)
    …Director. This position is responsible for managing various aspects of patient Medicaid authorization for residential treatment based on ASAM level of care. ... Clinical Utilization Review Specialist - 32339 University Staff **Description** **University of...audit the medical necessity for each patient behavioral health treatment and documentation Medicaid authorization . **Work Location:**… more
    University of Colorado (01/12/24)
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