- Carle (Urbana, IL)
- …in outpatient clinical documentation review to establish and manage clinical and prior authorization denial appeals for the Carle enterprise. Represents Carle in ... Outpatient Denial /Appeals Specialist - RN + Department: Revenue...outpatient services provided and billed and author effective clinical denial and prior authorization appeal letters. +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist , with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug ... policies and applies appropriate payer guidelines to all aspects of drug prior authorization work. The Drug Authorization Specialist creates accurate,… more
- UPMC (Pittsburgh, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Three Rivers Orthopedics located at 200 Delafield Rd, Suite 1040, ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize … more
- UPMC (Pittsburgh, PA)
- **UPMC is hiring a full-time Authorization Specialist to join their Pediatric Endocrinology team at UPMC Children's Hospital! The Pediatric Endocrinology ... facing position with some direct patient care.** As the Authorization Specialist , you will perform authorizations for...payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize … more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- UPMC (Pittsburgh, PA)
- **UPP Neurosurgery is hiring a full-time Authorization Specialist . This is a Monday-Friday, daylight position with no nights, weekends, or holidays!** The UPMC ... insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources along with any… more
- Select Medical (West Orange, NJ)
- **Overview** **Kessler Institute for Rehabilitation** West Orange, NJ **Prior Authorization Specialist /Payor Relations Specialist - This is an** **onsite** ... **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of… more
- Select Medical (Lakeway, TX)
- …joint venture with Select Medical & Baylor Scott & White Health **Prior Authorization Specialist -** **onsite only** **This position must work** **onsite** **at ... **Job Responsibilities** Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of… more
- Insight Global (Charlottesville, VA)
- …and reliable high speed internet. * Insight Global is seeking a Pre- Authorization specialist for a large hospital system in Virginia. Obtains pre-certification ... for all inpatient admission and pre- authorization for all outpatient diagnostic tests and performs an...is to achieve the goals and to meet the denial rates set by Patient Access the Medical Center… more
- Fairview Health Services (St. Paul, MN)
- …if medical necessity fails. + Follow up with insurance payors on prior authorization denials. Process authorization denial appeals, when necessary. **Point ... meets medical necessity guidelines, submit, and manage referral and authorization requests/requirements when necessary, and/or ensure that pre-certification and… more
- United Musculoskeletal Partners (Frisco, CO)
- …communication to solve challenges and enhance the patient experience. **Summary:** The Authorization Specialist will ensure that insurance benefits are verified, ... spans a new month. Assist patients with questions or concerns regarding their authorization , paperwork or payments as needed. Obtain authorization on all… more
- Tufts Medicine (Lawrence, MA)
- …including providing documentation records to assist with insurance appeals if a denial is received. 15. Maintains collaborative, team relationships with peers and ... colleagues to effectively contribute to the working group's achievement of goals, and to help foster a positive work environment. 16. Works closely with Case Management and Admitting colleagues to confirm level of care changes, particularly for unplanned or… more
- University of Colorado (Aurora, CO)
- …authorization to providers. + Process insurance/patient correspondence, including denial follow-up. Maintain reimbursement correspondence and filing systems. + ... authorization to providers._ + _Process insurance/patient correspondence, including denial follow-up. Maintain reimbursement correspondence and filing systems._ +… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... Place, Hamilton, NJ 08619 Job Overview: The Patient Access Specialist supports the Patient Access Department by providing key...core function of this position is to ensure that authorization requirements are met prior to service. The Patient… more
- RWJBarnabas Health (New Brunswick, NJ)
- …and opportunities, reduce denials and improve processes + The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols for ... Specialist , Patient Access ServicesReq #:0000165824 Category:Billing/Collections/Registration Status:Full-Time Shift:Day...in Patient Access role + Extensive knowledge of payer authorization requirements + Knowledge in all aspects of Patient… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS) - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of background ... / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more
- Fairview Health Services (Minneapolis, MN)
- …on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... level, scope and complexity of professional billing duties assigned. Medical Billing Specialist III is the advanced-journey level class performing more complex work… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4658466) Apply Medical Billing Specialist I/II Salary ... and complexity of professional billing duties assigned. Medical Billing Specialist I ($19.98 - $25.34 per hour): is the...of receipt only; + Reviews and follows up on denial codes transmitted to providers for potential reimbursement on… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our PAS Support Specialist , you will help our team by researching the root causes of ... be able to perform a detailed review of patient medical records and payer denial information. **Here's** **what you will experience working as a** **PAS Support … more