- BroadPath Healthcare Solutions (Tucson, AZ)
- …is excited to announce that we are hiring for work-at-home positions! ** Prior Authorization Representatives** will receive inbound phone calls and faxes ... medications prior authorizations only. The representatives will manage the prior authorization process for medications and provide updates on approval… more
- Tidelands Health (Myrtle Beach, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... least two (2) years of experience in Healthcare Revenue Cycle that includes prior authorization . **Skills and Abilities** + Ability to interact successfully with… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... and help people live better lives through better health!** **Patient Services Representative III** Are you passionate about quality and committed to excellence?… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... and help people live better lives through better health!** **Patient Services Representative II** Are you passionate about quality and committed to excellence?… more
- US Physical Therapy (Houston, TX)
- …time of growth for USPh, and we are hiring a **Patient Account Representative ** with strong technical ability and business acumen to join our expanding Houston ... to facilitate procedural requirements, including data elements, insurance verification, authorization for services, and collections for all patient portions,… more
- Commonwealth Care Alliance (Boston, MA)
- …of member appointments, transportation, translation, and interpretation services. - Initiates prior authorization intake process. - Assist in resolving member ... those involved in CCA members' care. The Member Service Representative (MSR) is responsible to provide a best-in-class service..., health plan, insurance or government is preferred. - Prior experience working in the health care industry front… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... identifying deductibles, co-payments, coinsurance, and policy limitations. Obtains referral, authorization and pre-certification information if needed; documents this information… more
- Astronics (East Aurora, NY)
- …attitude to help us build the best in aerospace manufacturing. Whether you have prior production experience or are eager to get started, you'll be trained to: + ... real time off, **apply today** and start designing what's next. **Work Authorization /Security Clearance** Due to federal contract obligations, must be a US Citizen… more
- Tidelands Health (Pawleys Island, SC)
- …multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... with procedures. + Preparing and administering medications with physician's authorization , + Performing EKGs. + Using CPR skills when...intent of this job description is to provide a representative and level of the types of duties and… more
- DESC (Seattle, WA)
- …certified peer counselor (CPC) with relevant work history and preferably prior supervisory experience. The supervisor will also have personal experience, knowledge, ... 515 Clinical spaces including scheduling of team member coverage, review and authorization of timesheets and submission. + Provide direct oversight and weekly… more
- Ally (Austin, TX)
- …risk management framework and independently oversees risk-taking activities, sets parameters representative of a strong risk culture that encourages an informed, ... Ally will not sponsor a new applicant for employment authorization for this position. **The Work Itself** * Support...in auto lending or an Internal Audit role * Prior experience using SAS/SQL to pull and analyze data,… more
- Luke Staffing (Yigo, GU)
- …TRICARE benefit for approval. + Ensures Line of Duty paperwork is on file prior to authorization . + Verify eligibility of beneficiaries using Defense Eligibility ... executive staff, newcomers, as appropriate. + Ensures self or nurse representative is available for all provider/nurse orientation briefings. + Establishes and… more
- Seattle Children's (Seattle, WA)
- …to patient financial counseling, patient customer service, or scheduling, or prior authorization . **Required Credentials** n/a. **Preferred** Experience with ... creating estimates in EPIC Two or more years in a Family Service Representative , Scheduling, or related Insurance Processing role with emphasis on DSHS eligibility… more
- Bon Secours Mercy Health (Greenville, SC)
- …where associates want to work and help communities thrive. **Patient Services Representative ** - **_St. Francis Eastside_** **Job Summary:** The Patient Services ... Representative is the first line of quality service to...GED (required) **Required Licensing & Certifications:** None **Experience:** + Prior experience in patient registration/healthcare (preferred) **Skills & Abilities:**… more
- University of Rochester (Rochester, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative , with oversight of data ... and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical… more
- University of Rochester (Rochester, NY)
- …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
- University of Rochester (Rochester, NY)
- …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes ... and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes ...physical demands and work environment characteristics described herein are representative of those that must be met by an… more
- Covenant Health (Lubbock, TX)
- …+ 2 years 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
