- Compass Health Network (Wentzville, MO)
- …requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the ... required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as neededObtaining results from… more
- Compass Health Network (Wentzville, MO)
- …requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule the ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* Obtaining… more
- Option Care Health (Chicago, IL)
- …facing responsibilities. Basic Qualifications Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies ... of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of… more
- Accounting Now (Tampa, FL)
- The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-up. The individual is responsible for ... submit appeals or corrected claims in a timely manner. This position applies prior knowledge of denials to assess and ensure services/items billed are reasonable and… more
- Banner Health (Phoenix, AZ)
- …clinical information needed for the payor authorization and the facility or specialist prior to the services being rendered. The position is responsible for ... support and guidance when health symptoms arise. As a Referral Specialist you will be responsible completing...Provides all pertinent clinical information needed for the payor authorization , the facility or specialist prior… more
- Froedtert South (Kenosha, WI)
- Prior Authorization / Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply on company site Job Details + POSITION PURPOSE + A Prior ... ) requirements are met for both the facility and professional services The Prior - Authorization / Referral Specialist provides detailed documentation and… more
- Health Advocates Network (Phoenix, AZ)
- Contract to Hire **Job # 24125 Prior Authorization / Referral Specialist ** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, ... that recognize the value of better talent. **Compensation and Schedule for the Prior Authorization / Referral Specialist ** Prior Authorization /… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... prior -authorizations and referral process for patients being referred for specialty care,...referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Texas Rio Grande Valley (Edinburg, TX)
- Position Information Posting NumberSRGV7496 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center) Number of ... processing all prior authorizations and referrals and entering the completed referral into the electronic medical record system for claims adjudication to ensure… more
- University of Rochester (Rochester, NY)
- Responsibilities **Position Summary:** Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards and ... referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be foundhere. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center *… more
- Helping Hands Home Care Service (Hermitage, PA)
- …Hands Home Care Service is seeking a reliable and highly organized Office Generalist / Prior Authorization Specialist to join our team in Hermitage, ... Pennsylvania. The primary purpose of the Office Generalist/ Prior Authorization Specialist is to communicate with administrative staff and insurance companies… more
- TEKsystems (Dallas, TX)
- …experience in Medical field can only apply! Description: Position Purpose: Supports the prior authorization request to ensure all authorization requests are ... phone Describe the performance expectations/metrics for this individual and their team: * Referral Specialist are required to enter five minimum of five… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Summary** The...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- CVS Health (Pittsburgh, PA)
- …claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… more
- Northeast Family Services (West Springfield, MA)
- …to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist ! The Intake Screener and Authorization Specialist ... are responsible for working closely and extensively with various referral sources throughout the entirety of the referral...appointments. To be successful in the Intake Screener and Authorization Specialist position, you should be highly… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations per payer guidelines prior to services… more
