- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- UT Health (Houston, TX)
- REMOTE - Insurance Authorization Verification Specialist II (Rev Cycle) **Location:** Houston, Texas **Category:** Professional/Managerial McGovern Medical ... more! **Position Summary:** Verifies insurance policy benefit information and obtains Authorization / Precertification, prior to the patient's visit or scheduled… more
- Option Care Health (Los Angeles, CA)
- …insurance verification information and payer contracts and/or self-pay guidelines. Obtains initial authorization prior to admitting the patient for all services ... patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services and testing and… more
- Fairview Health Services (St. Paul, MN)
- …computer systems, including Microsoft Office 365 **Preferred** **Experience** + Referrals and/or prior authorization experience + Epic experience + Knowledge of ... **Overview** This is a remote position under Revenue Cycle Management that is...appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization … more
- Randstad US (Overland Park, KS)
- prior authorization specialist (healthcare). + overland park , kansas ( remote ) + posted 1 day ago **job details** summary + $19 - $20 per hour + temp to ... perm + high school + category office and administrative support occupations + referenceAB_4530696 job details Do you currently have experience processing pre-authorizations for the healthcare industry? Would you say you have experience providing world class… 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
- Randstad US (Woodland Hills, CA)
- …job details A trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote role, but the right ... authorization specialist . + woodland hills ,... authorization specialist . + woodland hills , california + posted... requests for services in accordance with the insurance prior authorization list and routes to the… more
- Commonwealth Care Alliance (Boston, MA)
- …and requests from CCA Clinicians, Members, Vendors and Providers for services needing prior authorization . The Service Authorizations Specialist reports to ... and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible for providing accurate, prompt, and appropriate… more
- Option Care Health (Denver, CO)
- …responsibilities. **Basic Qualifications** + Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies preferred. ... developing, and retaining a diverse workforce. **Job Description Summary:** The Specialist , Pharma Support Services serves as the designated representative on their… more
- Marshfield Clinic (Marshfield, WI)
- …Specific Responsibilities: + Interpret clinical guideline criteria to make clinical prior authorization and appeal determinations in accordance with medical ... Pharmacy Specialist - Temporary Position from Mid-May to Mid-August ( Remote or Hybrid Option) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:**… more
- AbbVie (Mettawa, IL)
- …the larger Cyber Security Operations (CSO) function. Join us as Senior Security Specialist , Application Security to support and improve our efforts to identify and ... our business continue to have remarkable impacts on people's lives. The Senior Security Specialist is a key member of the Application Security team and works with… more
- Prime Therapeutics (Columbus, OH)
- …may be in use in a Pharmacy Benefit Management setting (Claims Processing, Prior Authorization , Telephony, Membership, etc.) + Related industry experience. + ... every decision we make. **Job Posting Title** Sr. BI Specialist - BI and Reporting - Remote ...of individuals with 4+ years of work experience. + Prior experience as a Business Intelligence Developer or Data… more
- Umpqua Bank (OR)
- Senior Collection Specialist - Financial Pacific Leasing - Remote Asset Based Lending United States NA, Arizona NA, Nevada NA, CA NA, Colorado NA, Washington NA, ... arranged with Lessees. + Collect and resolve ending residuals prior to NPA. + Prepare repossession authorization ...residuals prior to NPA. + Prepare repossession authorization packets as needed. + Meet individual call volume… more
- CDI (Chesterfield, MO)
- …of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as ... formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- TEKsystems (Minneapolis, MN)
- …Quality Assurance Analysts, Network Pricing Data Specialists, Network Pricing Data Analysts, Prior Authorization Analysts, Supervisors, and Managers * Have a ... is a great foot in the door! The knowledge gained in the Quality Assurance Specialist role can be applied to a full-time position within Benefits and beyond. Skills:… more
- AdventHealth (Altamonte Springs, FL)
- …: Full-time; 8:30am- 5pm CST and 9:30-6pm CST **Job Location** : Remote **The role you'll contribute:** Ensures patients are appropriately registered for all ... meetings and promotes positive dialogue within the team . Insurance Verification/ Authorization : . Contacts insurance companies by phone, fax, online portal, and… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Remote Workers - MUST reside in one of these states: * Arizona * Florida * Idaho * Illinois * Indiana * Kansas * Louisiana * Missouri * ... + Proficient with basic accounting and ten-key by touch preferred. Prior experience with business mathematical tasks and correspondence preferred. + Excellent… more
- Sharecare, Inc. (Austin, TX)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... and accurate manner. **Qualifications:** + High School Diploma (GED) required + 1 year prior experience in a medical records department or like setting + Must have… more
- Sharecare, Inc. (Nashville, TN)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more