- Rush University Medical Center (Chicago, IL)
- …Authorization Specialist I is responsible for obtaining and resolving referral , precertification, and/or prior authorization to support insurance ... outpatient), ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Elevance Health (Springfield, IL)
- ** Referral Specialist I** **Location:** Virtual (IN, IL, TN, TX, NV, PA, or VA), this role enables associates to work virtually full-time, with the exception of ... Friday from 8:30 am - 5:00 pm CST The ** Referral Specialist ** is responsible for providing support...Assigns escalated referrals to staff as appropriate. + Verifies insurance coverage and completes pre- authorization process for… more
- UnityPoint Health (Moline, IL)
- …procedures or specialist visits. * Maintain up-to-date knowledge of insurance coverage and authorization processes, staying informed about any changes ... and Prior Auth Mgmt + Shift: 8-5 Mon - Friday + Job ID: 175362 Overview Referral Specialist Monday-Friday 8:00AM-5:00PM Full Time Benefits As a Referral … more
- Spectrum Billing Solutions (Skokie, IL)
- … | Utilization Management Specialist | UR Specialist | Revenue Cycle Specialist | Insurance Specialist | UR Specialist | Revenue Cycle ... are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR ...continuing authorization for treatment services. + Manage authorization denials including referral for peer review.… more
- CenterWell (Springfield, IL)
- …of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement. + EMR ... to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to shaping how… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …been requested for AristaCare Health to provide. + Effectively communicates with insurance companies and their representatives, agency staff, referral source, ... **Overview** **Scope of Responsibilities:** The Intake Specialist is an experienced individual who is able...home health care field. + Basic knowledge of the Insurance approval/ authorization process. **Special Conditions of Employment:**… more
- Option Care Health (Chicago, IL)
- …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to… more
- Otsuka America Pharmaceutical Inc. (Chicago, IL)
- …of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital ... regarding products and the approved conditions they treat. The Neuroscience LTC Specialist will report directly to the respective Area Business Lead coordinating… more
- ChenMed (Oak Lawn, IL)
- …role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel ... to ensure the referral process runs smoothly. He/She operates in a dynamic...(when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date,… more