- University of Utah (Salt Lake City, UT)
- Details **Open Date** 05/29/2024 **Requisition Number** PRN38698B **Job Title** Prior Authorization Representative I **Working Title** Prior ... verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
- St. Peters Health (Helena, MT)
- …experience to demonstrate ability to accept responsibility as a Hospital and Clinic prior authorization representative . + Knowledge of anatomy and ... JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient,… more
- CVS Health (Austin, TX)
- … Representative I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities include assisting supervisors with ... plan participants, account managers and partners; manage escalated and more advanced Prior Authorization issues when needed; answer questions and recommend… more
- The Cigna Group (Bloomfield, CT)
- Prior Authorization Representative - Remote Department- SUMMARY The Cigna Group is a global Health Service company dedicated to helping people improve their ... Our Coverage Review Department (CRD) team seek dedicated, compassionate, and empathetic Prior Authorization Representatives to join our team. We seek individuals… more
- HonorHealth (Phoenix, AZ)
- …in general and PN specifically. Obtains referral request documentation Completes referral authorization / prior authorization in a timely fashion and in ... accordance with practice requirements. Compiles all pertinent medical data and supporting documentation and faxes or mails to appropriate receiver. Verifies eligibility, benefits and contractual appropriateness. Responsible for recording referral information… more
- Bon Secours Mercy Health (Greenville, SC)
- …where associates want to work and help communities thrive. **Patient Services Representative , Prior Authorization ** **-** **_BS Gastroenterology_** **Job ... Summary:** The Patient Services Representative will serve as the main point of contact...**Education:** + High School Degree or GED **Experience:** + Prior experience in the healthcare field or a related… more
- ManpowerGroup (Tempe, AZ)
- ** Prior Authorization Representative - $23.50 hourly** Our client in **(Tempe, Arizona - Hybrid)** is looking for hardworking, motivated talent to join their ... team. **(Pharmacy Benefit** **Management** **Company** **)** Don't wait. Apply today! What's in it for you? + **$23.50 Hourly** + Monday through Friday 930am to 6pm with a weekend rotation. + Paid training + Full time hours/Hybrid schedule + **(CPHT currently… more
- CVS Health (Austin, TX)
- …care more personal, convenient and affordable. Position Summary As a Customer Service Rep II, Operations you will work closely with healthcare providers to process ... Prior Authorizations (PA) and drug benefit exception requests in...in accordance with Medicare Part D guidelines. As a Rep II, Operations, you'll show a high level of… more
- 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 non-clinical staff, identifying barriers to appointment… more
- 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 non-clinical staff, identifying barriers to appointment… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to ... enterprise standards of referral and prior authorization guidelines. Accountable for planning, execution, and efficient follow through on all aspects of the… more
- University of Rochester (Rochester, NY)
- …for referrals and prior authorizations. + Provides monthly referral and prior authorization reports to Administrators and Pediatric Practice Leadership team ... non- routine administrative duties to monitor and process department's referrals & prior authorizations. Is accountable for completing all referrals in a manner… more
- University of Rochester (Rochester, NY)
- …party payer systems. + Obtains benefits and pre-certification requirements. + Obtains prior authorization for surgery on behalf of designated departments and ... day basis by making sure missing registration items are complete and authorization obtained. **_Quality Management- 1_** **5%:** + Observes workqueue daily for… more
- Covenant Health (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… more
- Northern Light Health (Bangor, ME)
- …appropriate depart/office and documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. * ... Week: 24.00 Work Schedule: 7:30 AM to 5:00 PM Summary: The Patient Service Representative II is an advanced supporting position and is responsible for a variety of… more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol + ... Week: Variable Hours Work Schedule: No Hours Assigned Summary: The Patient Service Representative III is a supporting position and is responsible for a variety of… more
- Northern Light Health (Hampden, ME)
- …to appropriate depart/office. Documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... successful completion of probation period. ** (external only) Summary: The Patient Service Representative I is a supporting position and is responsible for a variety… more
- Tidelands Health (Pawleys Island, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... Five (5) year of experience in Healthcare Revenue Cycle that includes prior authorization . **KNOWLEDGE/SKILLS/ABILITIES** : * Ability to interact successfully… more
- Tidelands Health (Pawleys Island, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... least one (1) year of experience in Healthcare Revenue Cycle that includes prior authorization . **ADDITIONAL PREFERRED EXPERIENCE:** + Knowledge of CPT and ICD… more