- Compass Health Network (St. Charles, MO)
- …to be part of remarkable Compass Health Nursing team with great benefits? An Outpatient Nursing position will interest you, if running a Medication Clinic and acting ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full… more
- Compass Health Network (St. Charles, MO)
- …to be part of remarkable Compass Health Nursing team with great benefits? An Outpatient Nursing position will interest you, if running a Medication Clinic and acting ... clientele. This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This is a full… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... anticipates and responds to a wide variety of issues/concernsThe Denials Specialist works independently to plan, schedule and organize activities that directly… more
- Careers Integrated Resources Inc (Cary, NC)
- Job Title : Intake Specialist Location : Cary, NC 27511 Contract duration : 5 months with possible extension (contract to hire based on performance) Shift : 8:00Am - ... for scheduled and pre-registered accounts. . Completion of approval (pre- authorization /prior-approval) for scheduled and pre-registered accounts. . Completion of… more
- Blanchard Valley Hospital (Findlay, OH)
- …to identify and assign provider deficiencies present. Knowledgeable of inpatient and outpatient medical record analysis policies and procedures. Duty 2: Scans and ... and external customers. Determines the validity of requests, ensures appropriate authorization is obtained, extracts and prepares all relevant information for… more
- Penn State Health (Hershey, PA)
- …for more detailed steps for assistance._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Pharmacy Outpatient **Location** US:PA: ... Hershey | Clerical and Administrative | PRN **Req ID** null 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, ... when necessary (other duties as assigned) **Purpose:** To perform authorization activities of inpatient, outpatient and emergency...all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services Intermediate **Work Location**… more
- Carle (Urbana, IL)
- Outpatient Denial/Appeals Specialist - RN + Department: Revenue Cycle - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + ... accounts where medical necessity, level of care or prior authorization is questioned. Performs outpatient post payment...care or prior authorization is questioned. Performs outpatient post payment reviews where medical necessity is being… 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 ... part a front facing position with some direct patient care.** As the Authorization Specialist , you will perform authorizations for medication and diabetes… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... Performs insurance verification, obtaining pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization , then… 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 ... for those suffering with neurological Conditions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record documentation for… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reporting to the Business Manager, the Outpatient Administrative Specialist is responsible for obtaining insurance referrals and authorizations for ... necessity as needed, and coordinating new patient referrals for services. The Outpatient Administrative Specialist will work with various computer programs… more
- Cambridge Health Alliance (Cambridge, MA)
- Nurse Practitioner - Clinical Specialist II (APRN), Adult Outpatient Psychiatry Apply (https://careers.chaproviders.org/clinical- specialist -2- outpatient ... and award-winning public healthcare system is seeking a Clinical Specialist II (APRN) to join our Adult Outpatient...in an expanded role as a Psychiatric Nurse Clinical Specialist and authorization including prescriptive authority. _In… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital sch ... + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process...EXPERIENCE: Three years healthcare expe ri ence in an outpatient depa rtme nt or busin e ss of… more
- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests ... authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit… more
- Lancaster General Health (Lancaster, PA)
- …and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and communicating effectively during ... 6:30 am - 5 pm Sat: 8 am - noon **LOCATION:** Parkesburg Outpatient Center- Parkesburg, PA **ESSENTIAL FUNCTIONS:** Qualified individuals must have the ability (with… 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 administrative support function. This job requires the… more
- Intermountain Health (Broomfield, CO)
- …and clinical information from the patient or representative. Details: As an Insurance Authorization Specialist you need to know how to: Verify the ordering ... clinician credentials for add on outpatient encounters. Work daily reports to ensure all payer...reports to ensure all payer specific billing requirements and authorization requirements are met. Obtain and verify necessary demographic… more
- Stanford Health Care (Redwood City, CA)
- …patient coordination, surgery scheduling, and other front office functions in the outpatient clinical setting. A Patient Administrative Specialist supports any ... Functions: + Master Scheduling, + New Patient Coordination, + Authorization Coordination, + Surgery/Procedure Scheduling, + Specialized data collection/coordination.… more
