- Gentiva (Mooresville, NC)
- **Overview** **Ensure Access. Support Care. Strengthen Outcomes.** We are hiring a Revenue Cycle Authorization Specialist who will be responsible for ... coverage, authorizations, and recertifications. + Submit initial and follow-up authorization requests, ensuring all required documentation is included. + Review… more
- Trinity Health (Fort Wayne, IN)
- **Employment Type:** Full time **Shift:** **Description:** The Specialty Pharmacy Revenue Cycle Specialist is responsible for performing the appropriate ... providers as it pertains to the patient's pharmacy benefits. Determines if prior authorization is needed for the claim to be paid. Gathers appropriate documentation,… more
- Philips (Malvern, PA)
- …the right fit if:** + You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services. + Your ... along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility of benefits, to determine claim… more
- CVS Health (Monroeville, PA)
- …Summary** Follows processes to assist with processing, insurance verification and authorization , revenue cycle management, compliance and documentation, ... revenue flow, and compliance with regulations. **What you will do** + Monitors the revenue cycle process to ensure efficient and effective revenue capture… more
- Trinity Health (Livonia, MI)
- …**Monday-Friday 8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the ... processing of all THAH authorization documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities...authorizations report and collaborates with both the clinical and revenue cycle team to review and resolve… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... action plans related to billing compliance. + Collaborate with revenue cycle team via weekly, biweekly, and/or...diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access… more
- Henry Ford Health System (Detroit, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered ... providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying...and managed care reimbursement, preferred. + General understanding of revenue cycle with an emphasis on billing,… more
- Northwell Health (Lake Success, NY)
- …is seeking a Senior Medical Office Administrator with experience in _Healthcare Insurance Authorization and Revenue Cycle Operations_ for our Client, a ... Requirements: * Advanced knowledge of medical insurance verification, prior authorization processes, and reimbursement methodologies. * Strong understanding of… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …specifically in Orthopedics.** JOB SUMMARY: Under general supervision, the Healthcare Authorization Specialist I is responsible for ensuring that insurance ... Healthcare Authorization Experience or 2 years of Experience in Healthcare Revenue Cycle PREFERRED QUALIFICATIONS: Bachelor's Degree Experience with Epic or… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! Reporting to the Director of Revenue ... insurance eligibility, benefits and requirements. Request, track and obtain prior authorization from insurance carriers within time allotted for medical and… more
- Catholic Health (Buffalo, NY)
- …compassionate and timely manner, and is well versed in multiple aspects of the revenue cycle process to ensure accurate responses. The Patient Experience ... to perform all job junctions. Additionally, continuous collaboration with Clinical Teams, Revenue Cycle Teams, and IT associates is an ongoing priority.… more
- Spectrum Billing Solutions (Skokie, IL)
- …Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle Specialist | Insurance Specialist | UR Specialist ... of utilization review guidelines. + Obtain initial and continuing authorization for treatment services. + Manage authorization ...| Revenue Cycle Utilization Review Specialist | ABA Utilization Review Specialist |… more
- Catholic Health Services (Melville, NY)
- …and other patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, ... closely with Utilization Management, Patient Accounts, and other key stakeholders in the revenue cycle to ensure all pertinent patient and insurance information… more
- Carle Health (Champaign, IL)
- Overview Proficient in Revenue Cycle Account Billing Specialist 2 responsibilities. Additionally, serves as an expert resource for escalated account ... Must be able to perform essential job functions of Revenue Cycle Account Billing Specialist ...from each new employee's Form I-9 to confirm work authorization . | For more information: ###@carle.com._ Compensation and Benefits… more
- Henry Ford Health System (Detroit, MI)
- …patient experience. * Support for Infusion Patient Access Hub Pharmacist and Pharmacy Revenue Cycle team: Collaborate with pharmacy Hub Team and Revenue ... and/or processing prior authorizations is highly desirable * Certification in pharmacy revenue cycle management by American Society of Health-System Pharmacists… more
- First National Bank of Omaha (Overland Park, KS)
- …our organization's success.** **Summary of the Job:** The FNBO Commercial Card Specialist role is responsible for partnering with FNBO Payment Advisors, Relationship ... manage the accounts post-implementation. The role of a FNBO Commercial Card Specialist is pivotal in fostering strong and lasting relationships between the company… more
- Copeland (Atlanta, GA)
- …team and start your journey today! **Job Description** The Field Service Specialist II is an experienced field professional responsible for the commissioning, ... Field work will be required with extensive overnight travel. The Field Services Specialist II is required to establish, promote and maintain excellent rapport and… more
- HCA Healthcare (Arlington, TX)
- …meaningful as we do. We want you to apply now. preferred experience with revenue cycle -denials and authorizations **DUTIES INCLUDE BUT NOT LIMITED TO:** . Work ... vary by location._** We are seeking a(an) Medical Office Specialist for our team to ensure that we continue...duties. . Collecting co-pays and cash from patients, getting authorization on credit cards. . Entering charges, payments, and… more
- BJC HealthCare (St. Louis, MO)
- …rights. Works in EPIC to identify correct patient status order. + Understands Revenue Cycle Management and hospital partner's processes. Provides education for ... the Role** BJC HealthCare is seeking a Clinical Appeals Specialist to assist with infusion appeals for both government...have a background in denial follow up and/or prior authorization . **Overview** **BJC HealthCare** is one of the largest… more
- Beth Israel Lahey Health (Beverly, MA)
- …issues timely and appropriately for resolution and communicates and coordinates with revenue cycle peers, leadership and clinical stakeholders. Documents interim ... just taking a job, you're making a difference in people's lives.** Referral Authorization position Monday through Friday 7:30-4pm. On site at 133 Brimbal Ave.,… more