- Truman Medical Centers (Kansas City, MO)
- …log into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Prior Authorization Representative 101 Truman Medical ... Center **Job Location** University Health 4 (UH4) Kansas City, Missouri **Department** Corporate Professional Billing **Position Type** Full time **Work Schedule** 8:00AM - 4:30PM **Hours Per Week** 40 **Job Description** **Medical Billing & Insurance… 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
- Elevance Health (San Antonio, TX)
- …personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... support. **Build the Possibilities. Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is responsible for… 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 utilizies ... 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
- Children's Clinics (Tucson, AZ)
- Children's Clinics is seeking a Full-Time Prior Authorization Specialist. This position is responsible for exercising independent judgment to process "provider ... Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite… more
- Essentia Health (Superior, WI)
- … + Gather necessary insurance information to conduct benefits investigation on prior authorization (PA) requests via a patient's pharmacy benefits + ... third-party payers for medications ordered by Essentia providers requiring prior authorization + Understand Medicare Part B...year experience as a pharmacy technician, medical assistant, claims representative in a managed care role or in a… more
- Avera (Pierre, SD)
- …patients. Work where you matter.** **A Brief Overview** Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and ... from insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier +… more
- Commonwealth Care Alliance (Boston, MA)
- …requests from CCA Clinicians, Members, Vendors and Providers for services needing prior authorization . The Service Authorizations Specialist reports to the ... Mgmt **Position Summary** Commonwealth Care Alliance's (CCA) Clinical Effectiveness ( Authorization ) Unit is primarily responsible for the evaluation of the… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... payers prior to services been scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
- Granville Medical Center (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: *...When needed, will also cross-function as a patient services representative and cashier. QUALIFICATIONS * High school diploma or… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...When needed, will also cross-function as a patient services representative and cashier. # # QUALIFICATIONS# # High school… more
- University of Miami (Medley, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... Business Office has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE RESPONSIBILITIES + Accounts are completed in… more
- Leidos (Alexandria, VA)
- …at Leidos has an exciting opportunity as a **Security Control** **Assessor- Representative ** **(SCA-R) Manager** on our GSM-O II IDIQ contract's Risk Management ... and be responsible for leading the implementation of DISA RME's assessment and authorization activities in addition to managing other direct reports. **This is a… more
- University of Miami (North Miami, FL)
- …a timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... UHealth SoLe Mia has an exciting opportunity for a full-time Insurance Verification Representative to work remotely. CORE JOB SUMMARY The individual in this position… more
- University of Miami (Miami, FL)
- …Eye Institute, has an exciting opportunity for a full time Patient Access Representative 1 (On-Site) in Miami, Florida. The Patient Access Representative 1 ... CPT codes, service description, reason for visit, etc.) needed to obtain authorization /pre-cert in order to avoid denials and ensure financial reimbursement. +… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 2 Remote Option Available The ... Neurology has an exciting opportunity for a Full Time Clinical Business Operations Representative 2 to work at the UHealth Medical Campus. The Clinical Business… more
- Mohawk Valley Health System (Utica, NY)
- Patient Financial Representative - Full Time - Days Department: PATIENT ACCESS SERVICES Job Summary The Patient Financial Representative is responsible for the ... or ensuring that insurance authorizations or pre-authorizations are on file and accurate prior to the service being rendered. This position must also ensure patient… more