- Baptist Memorial (Memphis, TN)
- Overview Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical ... and documentation to appropriate staff. . Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for Fertility and ... from home flexibility, after completion of training. **Position Specifics:** The Sr. Authorization Specialist also functions as the IVF Financial counselor for… more
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians Department of Pediatric Rehabilitation is hiring a full-time Authorization Specialist to join their team. This is a Monday ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize … more
- Montrose Memorial Hospital (Montrose, CO)
- …proactively advising the provider and patient of any authorization delay or denial . The Prior Authorization Specialist also decreased the Hospital ... highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Trinity Health (Syracuse, NY)
- …order type to ensure proper authorization obtained pre-procedure. * Review authorization denial trends in partnership with supervisor to identify and address ... 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Northern Gastroenterology Associates located at 5500 Brooktree ... insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources along with any… more
- Select Medical (Scottsdale, AZ)
- …Hospital** A joint venture with Select Medical & HonorHealth Scottsdale, AZ **Prior Authorization Specialist - LPN or RN license** Fully Remote Position - ... _328222_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations Specialist_ **Street… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. This is a ... licensure by examination or reciprocity is required. The Clinical Pharmacy Specialist provides clinical pharmacy expertise to the development, implementation, and… more
- Genesis Healthcare (NM)
- …with the Central Business Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid authorization . *Provide support to the nursing ... savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to substantiate… more
- Fairview Health Services (St. Paul, MN)
- …possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care ... including Microsoft Office 365 Preferred Qualifications + Referrals and/or prior authorization experience + Epic experience + Knowledge of medical terminology and… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... Place, Hamilton, NJ 08619 Job Overview: The Patient Access Specialist supports the Patient Access Department by providing key...core function of this position is to ensure that authorization requirements are met prior to service. The Patient… more
- RWJBarnabas Health (New Brunswick, NJ)
- …and opportunities, reduce denials and improve processes + The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols for ... New Brunswick, NJ 08901 Job Summary: The Patient Access Specialist supports the Patient Access Department by providing key...a Patient Access role + Extensive knowledge of payer authorization requirements + Knowledge of all aspects of Patient… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more
- Fairview Health Services (Minneapolis, MN)
- …on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong customer service skills and knowledge of authorization and ... fast, easy and appropriate access to pharmacy services. The Reimbursement Specialist accepts and processes referrals, identifies payer sources, verifies benefit… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...days of receipt; + Reviews and follows up on denial codes transmitted to the billing department, analyzes reasons… more
- Amentum (Washington, DC)
- …the FOs and / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and service to the ... decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or...or revocation of security clearance and / or access authorization which will ultimately lead to the firing or… more
- Fairview Health Services (Minneapolis, MN)
- …flexibility to help clients across different timezones. The Intake Reimbursement Specialist uses strong customer service skills and knowledge of authorization ... identifies payer sources, verifies benefit information and acquires initial authorization as needed to begin patient service or to...as needed to begin patient service or to determine denial of patient service. This position also follows up… more