- CVS Health (Phoenix, AZ)
- …with heart, each and every day. **Position Summary** - Processes prior authorization requests received by phone, fax, or electronically and utilizes various computer ... and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals and… more
- Omaha Children's Hospital (Omaha, NE)
- …and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and ... by collaborating with clinical, administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance with payer… more
- UPMC (Pittsburgh, PA)
- …crucial? If so, we want you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're committed to providing exceptional ... oncology care to our community. As an Authorization Specialist, you'll play a vital role in ensuring that patients have access to the care they deserve. Our team is… more
- LA Care Health Plan (Los Angeles, CA)
- Authorization Technician II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... the safety net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all… more
- BrightSpring Health Services (Murfreesboro, TN)
- …BrightSpring Health Services Overview Responsible for overseeing the agency's Authorization Department by supervising the Authorization Specialists. Oversees ... and assists in the process of obtaining and tracking authorization for all patients for whom their insurance requires... for all patients for whom their insurance requires pre- authorization , and ensures the agency has the authorization… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42204BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... Transcript **Travel Required:** Up to 25% **Major/Essential Functions:** + Handle authorization process and obtain pre-certification approvals prior to service. +… more
- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... Authorization team is a team of 5 that helps...opportunity for a hybrid work schedule. Purpose: To perform authorization activities of inpatient, outpatient and emergency department patients,… 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 will ... record documentation for patient history and diagnosis, submitting and obtaining authorization , scheduling testing and imaging for patients, and other office duties… 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 ... appropriate payer guidelines to all aspects of drug prior authorization work. The Drug Authorization Specialist creates...of drug prior authorization work. The Drug Authorization Specialist creates accurate, thorough, and concise prior … 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 Hospital ... of this role include completing surgery authorizations, genetic Testing authorization , out of state authorizations, radiology authorizations (and other duties… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This position can further develop your skills in compliance, medical ... of benefit * Prepare and compile necessary documentation to secure prior authorization . Collect clinical information regarding service to be rendered as applicable… more
- Glens Falls Hospital (Glens Falls, NY)
- …Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This position can further develop your skills in compliance, medical ... of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be rendered as applicable… more
- US Tech Solutions (PA)
- …possible extension** **Job Description:** + Reports directly to the Supervisor, Prior Authorization Technicians + The Prior Authorization Technician I assists in ... the prior authorization process. + Processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and… more
- FlexStaff (Garden City, NY)
- **Req Number** 163105 FlexStaff is hiring a temporary Insurance Authorization Clerk to work with our client. Schedule: Monday-Friday 8am-4:30pm Pay Rate: $20-25/hour ... dependent upon experience The Authorization Specialist is responsible for managing the insurance ...Authorization Specialist is responsible for managing the insurance authorization process for medical procedures. This role involves verifying… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for ... to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior… more
- WesleyLife (Urbandale, IA)
- …purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist** As a Insurance Authorization & Verification ... daily experience of the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist, you will:** + Contacts client insurance companies to… more
- CVS Health (Tallahassee, FL)
- …CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization team ... the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and… more
- Montrose Memorial Hospital (Montrose, CO)
- Montrose, CO, USA | Pre- Authorization | Hourly | 18.32-34.57 per hour $18.32 - $34.57 | Full Time | Medical, vision, dental, 401k retirement services. Annual leave ... the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- UHS (Vestal, NY)
- Position OverviewUnited Health Services (UHS) is seeking a skilled Therapies Authorization and Benefits Specialist to support patients by coordinating insurance ... coordinate therapy appointments and related services + Manage the insurance authorization process by utilizing knowledge of health plan resources and contacts… more
- University of Miami (Miami, FL)
- …RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial chart reviews for ... medical necessity and identify the need for authorization . The nurse coordinates with the healthcare team for optimal and efficient patient outcomes, while avoiding… more
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