- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Fairview Health Services (St. Paul, MN)
- …computer systems, including Microsoft Office 365 **Preferred** **Experience** + Referrals and/or prior authorization experience + Epic experience + Knowledge of ... **Overview** This is a remote position under Revenue Cycle Management that is...appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization … more
- TEKsystems (San Antonio, TX)
- …experience in Medical field can only apply! Description: Position Purpose: Supports the prior authorization request to ensure all authorization requests are ... Hiring For Medical Coordinator! 100% REMOTE Note: Candidates from Texas can only apply!... requests for services in accordance with the insurance prior authorization list Responsibilities: Supports and performs… more
- Randstad US (Woodland Hills, CA)
- authorization specialist . + woodland hills , california ( remote ) + posted may 15, 2024 **job details** summary + $22.99 - $23 per hour + temp to perm + high ... of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote...for outpatient and inpatient services in accordance with the prior authorization list. + Route to appropriate… more
- Marshfield Clinic (Marshfield, WI)
- …Specific Responsibilities: + Interpret clinical guideline criteria to make clinical prior authorization and appeal determinations in accordance with medical ... Pharmacy Specialist - Temporary Position from Mid-May to Mid-August ( Remote or Hybrid Option) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:**… more
- TEKsystems (Atlanta, GA)
- …will identify if there are any additional actions needed including copay, prior authorization , appeals, appointments, etc. Skills: call center, benefits, ... Benefits Verification Specialist 100% Remote Pay: $23/hr Schedule:...Medical, insurance, Customer support, Microsoft office, Health care, Prior authorization , Insurance verification, Customer service, Benefit… more
- RTX Corporation (Hartford, CT)
- …Posted: 2024-05-28 Country: United States of America Location: HCT99: Field Office - CT Remote Location, Remote City, CT, 06101 USA Position Role Type: Remote ... on a journey to redefine the future of aerospace technology. As a Principal Specialist in GT Technology Management, you'll play a pivotal role as both a Jurisdiction… more
- Carle (Urbana, IL)
- …a Friend Save Save Apply Now Position Summary: The Pre- Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and ... Pre- Authorization Spec Team A + Department: Registration Center...Education Required: HS Diploma/GED + Shift: Day + Location: Remote + Usual Schedule: 8a-5p + On Call Requirements:… more
- Federal Motor Carrier Safety Administration (IN)
- …enforcement and economic programs. Responsibilities The Supervisory Highway Safety Specialist (Enforcement Program Manager): Plans, monitors, and appraises job ... the Enforcement Program, Trial Attorneys, and Division Federal Programs agency personnel prior to amending or removing a cited violation, or dropping an enforcement… more
- AbbVie (Mettawa, IL)
- …the larger Cyber Security Operations (CSO) function. Join us as Senior Security Specialist , Application Security to support and improve our efforts to identify and ... our business continue to have remarkable impacts on people's lives. The Senior Security Specialist is a key member of the Application Security team and works with… more
- Umpqua Bank (CO)
- Senior Collection Specialist - Financial Pacific Leasing - Remote Asset Based Lending NA, Colorado **Description** In this role, you will be responsible for ... arranged with Lessees. + Collect and resolve ending residuals prior to NPA. + Prepare repossession authorization ...residuals prior to NPA. + Prepare repossession authorization packets as needed. + Meet individual call volume… more
- CDI (Chesterfield, MO)
- …of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as ... formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- CDI (St. Louis Park, MN)
- …diploma or equivalent * 2+ years' experience in a medical billing department, prior authorization department or payer claim processing department, or 9+ months ... and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging...Monday - Friday 8:00am - 4:30pm, and is 100% remote . ESSENTIAL DUTIES AND RESPONSIBILITIES: (90%) Insurance Denial Follow-up… more
- AdventHealth (Altamonte Springs, FL)
- …even better. **Shift** : Monday-Friday ; 930a-6p CST **Job Location** : Remote **The role you'll contribute:** Ensures patients are appropriately registered for all ... department meetings and promotes positive dialogue within the team Insurance Verification/ Authorization : . Contacts insurance companies by phone, fax, online portal,… more
- Sharecare, Inc. (Austin, TX)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- SSM Health (Madison, WI)
- …service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer ... reimbursement and patterns for pharmacy and medical claims with third parties. + Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay… more
- Sharecare, Inc. (Tallahassee, FL)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Health First (Rockledge, FL)
- …determinations for the clinical reviewer; which includes, all Formulary Exception, Prior Authorization and Administrative Authorization requests for ... transitions of care and disease management. *Primary Accountabilities * 1. Apply proper authorization requirements to all prior authorization requests. 2.… more
- CDI (Portland, OR)
- …experience working with a variety of health insurance plans for pre-certification and authorization of benefit coverage * Prior experience with managed care and ... Imaging and Insight Imaging, is looking for an Insurance Specialist to join our team. We are challenging the..., you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients… more