- 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 (Denver, CO)
- …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
- University of New Mexico (Edgewood, NM)
- …area assigned; verify insurance coverage eligibility and benefits; verify required referrals and/or prior authorization are in place prior to visit; contact ... procedures. Create Pre Admits in Cerner as appropriate * PRIOR AUTHORIZATION - Complete pre-screening process for...- Complete pre-screening process for specialty clinic appointments for referral and/or prior auth* FINANCIAL ASSISTANCE -… 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
- 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 (Allentown, 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 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 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
- 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
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply... work queues. Responds to patient inquires and manages referral and/or prior authorization related ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the ... the authorization process for Utilization Management Department. The PA Specialist will review referral and admission requests, verify eligibility, benefit… 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
- UPMC (Williamsport, PA)
- The Authorization Specialist will perform authorization activities of inpatient, outpatient, and emergency department patients, denial management, and all ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...and insurance payor or contracted provider websites to perform prior authorization , edit, and denial services. +… more
- Randstad US (Woodland Hills, CA)
- authorization specialist . + woodland hills ,... requests for services in accordance with the insurance prior authorization list and routes to the ... of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote role,...of this role include: + working weekends Skills + Prior authorization Qualifications + Years of experience:… more
- Northeast Family Services (Fall River, 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
- Centene Corporation (Olympia, WA)
- …on workplace flexibility. **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization ... such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Verifies... requests for services in accordance with the insurance prior authorization list and routes to the… 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
