- US Tech Solutions (May, OK)
- …clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each prior ... authorization . + * Train and mentor representatives on the PA team. + * Complete other PA assignments as delegated by the PA leadership team. **Education:** **The… more
- CenterWell (Annapolis, MD)
- …+ Bachelor's Degree preferred + A minimum of five years healthcare related authorization experience + At least three years in a management role generally required ... + Strong knowledge of accounts receivables procedures and general accounting principles preferred + Excellent organizational and verbal/written communication skills **Additional Information:** To ensure Home or Hybrid Home/Office employees' ability to work… more
- Northwell Health (Lake Success, NY)
- …level of customer service. Obtain accurate insurance information, verification, and pre- authorization via appropriate method. Verify that all billing is processed ... daily and that it is accurate, timely, and fully documented. Review clinician charts for completeness, accuracy, and compliance with regulations. Provide or oversee timely reporting of key statistics to management for sales, revenue, cash, and patient flow.… more
- Kansas Surgery & Recovery Center (Wichita, KS)
- …Applicant should have one year experience in medical prior authorization /precertification's, additional experience in third party reimbursement is preferred. ... Benefits Full and part-time employees are eligible for a variety of benefits, including health, dental, vision and 401(k). FROM OFFICE OF HUMAN RESOURCES Thank you for your interest in Kansas Surgery & Recovery Center. We are an equal opportunity employer that… more
- Elevance Health (Seven Hills, OH)
- …Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist (Prior Authorization ) **Location(s):** + Indianapolis, IN + Mason, OH + Cincinnati, OH ... + Louisville, KY **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration,… more
- Granville Medical Center (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... obtained through the patient's insurance company. This GHS associate will coordinate with the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: * Manage incoming and outgoing calls on a daily basis. *… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by obtaining ... facility authorizations for patients scheduled at SPH. This position will be required to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of all Managed Care Contracts as well as… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations are ... obtained through the patient#s insurance company. This GHS associate will coordinate with the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: # Manage incoming and outgoing calls on a daily basis. #… more
- Providence (Santa Rosa, CA)
- …place for current or future interested applicants to apply for Patient Authorization and Referral Representative at Providence Medical Foundation in Santa Rosa, CA. ... We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day, evening, night, or variable shifts. The Referral Coordinator prepares clinical data for physician/IPP/CBO approval… more
- SSM Health (St. Louis, MO)
- …experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and ... patterns for pharmacy and medical claims with third parties. + Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay issues, patient… more