- Saratoga Hospital (Saratoga Springs, NY)
- Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga ... people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** 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
- CenterWell (Phoenix, AZ)
- …Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical ... of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. + EMR… more
- Prime Healthcare (Chicago, IL)
- … prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... referral specialist makes referrals to specialist for the office practices along with prior...polite and friendly manner. Be able to maneuvers through prior authorization with insurance companies and provide… 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 diagnostic… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category ... advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccines + Employee referral bonus… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless ... to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding... requests for insurance and guiding patients through the referral process. This position offers the opportunity to be… more
- Rush University Medical Center (Chicago, IL)
- …Authorization Specialist I is responsible for obtaining and resolving referral , precertification, and/or prior authorization to support insurance ... outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may...that is required for the payer to issue a referral or an authorization . Per referral… 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 **How to...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- UPMC (Pittsburgh, PA)
- UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. +… more
- UPMC (Pittsburgh, PA)
- …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking an Inpatient Authorization Review Services Specialist for our team to ensure that we ... family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home...you to apply! **Job Summary and Qualifications** The Impatient Authorization Review Specialist will review post discharge,… 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
- Banner Health (Phoenix, AZ)
- …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... prenatal care, delivery, gynecological care, and more. As a ** Referral Specialis** t at this clinic, you will be...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …FL Remote Type Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris ... we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccine + Employee referral bonus… more
- ConnextCare (Pulaski, NY)
- Referral Specialist , Pulaski Pulaski, NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description + Secure required insurance ... authorization prior to the patients scheduled appointment... referrals and provide notification to patient + Provide specialist with appropriate documentation to support the referral… more
- Intermountain Health (Wheat Ridge, CO)
- …related to upcoming visit with Intermountain providers or scheduled procedures prior authorization requirements. Coordinates provider peer to peer interactions ... **Job Description:** The Referral Representative processes insurance pre- authorization for...company representatives or their contracted review organizations to ensure prior approval requirements are met. Presents necessary medical information… more
- McLaren Health Care (Lansing, MI)
- …practices per provider request. Ensures that patients receive information regarding their referral prior to their scheduled appointment with the external ... provider. Ensures that all new patient records are received prior to the initial scheduled visit to the clinic. Processes proper insurance authorizations prior … more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative, 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
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... source if insufficient information is not available to complete the authorization process. Advises the referral source and requests specific information… more