- Penn Medicine (Lancaster, PA)
- …with or without reasonable accommodation to perform the following duties: Coordinate pre- authorization process + Serve as the primary SME for the Financial Clearance ... periodic staff updates to the Supervisor. + Verify eligibility and obtain authorization through telephonic interaction or using online insurance portals. + Obtains… more
- TEKsystems (Phoenix, AZ)
- …inbound calls + This role focuses on Primary Care Physicians referring their patients to Specialist + To be successful in this role a new hire would be focusing on ... verifying benefits and scheduling patients with Specialist Doctors + The position requires excellent listening skills, the ability to research member and provider… more
- Trinity Health (Syracuse, NY)
- …referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes. **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND ... LICENSURE:** Certified Coding Specialist , Accredited Record Technician (or eligible), Registered Record Administrator (or eligible) or Licensed Practical Nurse (LPN)… more
- Option Care Health (Seattle, WA)
- …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and ... **Job Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy. + Assist… more
- Children's Clinics (Tucson, AZ)
- …and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite appointments, outpatient ... patient information including diagnosis ICD10 codes, CPT codes and submits authorization request and all required documentation to the appropriate insurance… more
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, Infusion Authorization Specialists are a pivotal role that involves extensive interaction with various internal and external ... to guide providers, patients, and insurance companies through the authorization process. This includes multitasking and communicating via Microsoft Teams,… more
- US Tech Solutions (May, OK)
- …phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or lines of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …carriers via web, phone, and fax to obtain benefit and authorization requirements. Processing pre-service authorizations. Communicate with physician offices and ... facilities to notify of authorization status. Minimum Qualifications: Two years clerical support in a medical billing setting. Will consider equivalent combination… 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
- FlexStaff (New York, 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