- Stanford Health Care (Pleasanton, CA)
- …Proficiency In At Least ONE of the Following Specialized Functions:- Medication Prior Authorization - Specialized Data Collection & Coordination- Cross-trained to ... **A Brief Overview** The primary responsibility of the Patient Administrative Specialist (PAS) is to handle new patient coordination, surgery scheduling, and… more
- Tidelands Health (Myrtle Beach, SC)
- …coordinating multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, ... reschedule appointments as needed. May assist with identifying and initiating necessary referrals for specialist appointments, procedures and tests. + Organizes,… more
- Tidelands Health (Murrells Inlet, SC)
- …coordinating multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, ... reschedule appointments as needed. May assist with identifying and initiating necessary referrals for specialist appointments, procedures and tests. + Organizes,… 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, ... Peer Counselor Training and be classified as a Certified Peer Specialist . **MAJOR DUTIES AND RESPONSIBILITIES** **Supervisory:** Client Engagement Specialists +… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have ... seamless access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the… more
- Select Medical (West Orange, NJ)
- …independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the ... West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations...that increase and stabilize conversion as well as generates referrals both locally and regionally. This may include identifying… more
- University of Connecticut (UConn) (Storrs, CT)
- …on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the ... accurate and timely pre- authorization / authorization of insurance coverage and benefits for...position reports to the Student Health and Wellness Insurance Specialist Manager. SHaW is committed to diversity and inclusion,… more
- BayCare Health System (Clearwater, FL)
- …+ **Shift:** 8:00am - 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require on-site ... will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying.../or Managed Care experience + Highly Preferred - Infusion prior authorization + Highly Preferred - Oncology… more
- BJC HealthCare (St. Louis, MO)
- …- Friday 8:00-4:30 Pm + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals , EPIC, Patient registration, and Insurance Verification ... About the Role** BJC is looking to hire a Authorization Specialist ! **Additional Preferred Requirements** + Remote...assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to… more
- Trinity Health (Syracuse, NY)
- …focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT… more
- Hartford HealthCare (North Haven, CT)
- …30 different specialties. *_Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the … more
- Banner Health (Scottsdale, AZ)
- …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... tracking and managing all referrals with the intention and outcome to close any...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior… more
- Community Health Systems (Laredo, TX)
- …follows up with the insurance company until there is resolution of the prior authorization request - an approval, redirection, or denial. All activity ... on clinic infrastructure.) Scope: Physician practice clinic Care Coordination Specialist responsibilities include all inpatient/outpatient clinic referrals and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …retrieval (SIR) queues throughout day for messages, potential care management referrals , authorization requests and clinical documentation + Coordinates with ... Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization… more
- Banner Health (Florence, AZ)
- …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... tracking and managing all referrals with the intention and outcome to close any...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior… more
- Rochester Institute of Technology (Rochester, NY)
- …from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as required. + Clinical referral process + Use the ... + Prior authorization + Using information...+ Experience with NYS Immunization law + Experience with referrals and prior authorizations + Medical terminology… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Operating Procedures, and Policies and Procedures, as defined by CHC Agreement ( Prior Authorization , Concurrent Review) + Assessing and applying Medical ... Verifies and documents Participant eligibility for services. + Receives Home Adaptation referrals for authorization of Long Term Services and Supports available… more
- Logan Health (Kalispell, MT)
- …and resolve accounts on hold to ensure timely billing. + Partner with the Authorization team to obtain payer authorizations and referrals . + Ensure compliance ... the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role...Partners with Authorization team members to obtain authorization and referrals from payer. Completes documentation… more
- Brockton Hospital (West Bridgewater, MA)
- …the lives and health of our patients. Position Summary: Financial Clearance Specialist ensures all necessary information is proactively obtained and verified for ... W. Center Street, West Bridgewater, MA Department: Financial Clearance Specialist This is a full-time 40 hour/ week position...Primary Care Physician (PCP) information and ensures appropriate PCP referrals are in place for the provider and service… more
