- 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
- Valor Health (Emmett, ID)
- PRIOR AUTHORIZATION SPECIALIST WFH...office work. Positions is flexible to be in suite, remote or hybrid. + General Health care environment exposure ... Flexible * Emmett, ID (http://maps.google.com/maps?q=OFF-SITE+Emmett+ID+USA) Apply Description Position Title: Prior Authorization Specialist Department: Business… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …Friday 8am-5pm. Note: This is a remote position. Position Summary The Authorization Specialist ensures that authorization for various services performed ... for basic administrative/clerical support. Essential Duties and Responsibilities: + Complete Prior Authorizations which include, but are not limited to outpatient… more
- Sanford Health (MN)
- …The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** City - Remote MN,...insurance meets prior authorization criteria. Collects necessary documentation and… 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
- Option Care Health (Seattle, WA)
- …From $21/hour This position is responsible for processing benefit verification or prior authorization responsibilities of all new referrals within the expected ... quality. **Job Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy. + Assist… more
- TEKsystems (Dallas, TX)
- Hiring For Medical Authorization Specialist ! HYBRID/ REMOTE TEXAS! Note: Candidates from Texas can only apply! Candidates who are having 2+yrs of experience ... field can only apply! Description: Position Purpose: Supports the prior authorization request to ensure all ...expectations/metrics for this individual and their team: * Referral Specialist are required to enter five minimum of five… more
- Centene Corporation (Getzville, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Supports the prior authorization request to ensure all authorization requests ... requests for services in accordance with the insurance prior authorization list + Supports and performs...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Actalent (Honolulu, HI)
- …+ Offer drug information support and research clinical literature to support prior authorization decisions. + Prepare materials for Pharmacy and Therapeutics ... Actalent is in search of a Clinical Specialist who is looking to join a nationwide...and utilization reports. + Assist in developing and implementing prior authorization programs, including training and feedback… 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
- University of Washington (Seattle, WA)
- …telephone encounters, faxes, staff messages and eCare messages related to referrals and prior authorization requests and questions. + Partnering with all members ... REFERRAL COORDINATION Job Location Detail: PRIMARY CARE - NORTHGATE CLINIC or REMOTE Posting Date: 06/14/2024 Closing Info: Open Until Filled Salary: $22.46 -… 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
- 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. (Atlanta, GA)
- …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
- Sharecare, Inc. (Cincinnati, OH)
- …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
- 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