- Select Medical (West Orange, NJ)
- …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )**… more
- BayCare Health System (Clearwater, FL)
- …+ **Shift:** 8:00am - 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require on-site ... team member will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
- UHS (Vestal, NY)
- Position OverviewUnited Health Services (UHS) is seeking a skilled Therapies Authorization and Benefits Specialist to support patients by coordinating insurance ... In this role, you will verify insurance coverage, obtain required pre -authorizations, and communicate directly with providers and insurance companies to ensure… more
- BayCare Health System (Clearwater, FL)
- …of two 8 hour shifts weekly) + **Days:** Monday through Friday This Central Authorization Specialist II opportunity is a PRN ( **non-benefit eligible** ) remote ... (after training, the team member will work PRN).** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying health insurance… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... provide up to date and accurate information. + Provides insurance company with clinical information necessary to secure prior- authorization or referral. + Works… more
- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit verification ... + Communicate with physician offices to obtain current prescriptions and clinical documentation. + Ensure documentation meets payer requirements and initiate prior… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity ... + Communicate with physician offices to obtain current prescriptions and clinical documentation. + Ensure documentation meets payer requirements and initiate prior… more
- TEKsystems (San Antonio, TX)
- …We focus on qualifying orders by verifying insurance coverage and clinical eligibility, enabling seamless coordination with patients and clinicians throughout the ... orders for device delivery + Verifying insurance coverage and clinical status to ensure: + Therapy is appropriate for...school diploma or GED + 3+ years in insurance authorization , verification, or medical billing OR a bachelor's degree… more
- Select Medical (Hummelstown, PA)
- …joint venture partnership with Select Medical and Penn State Health Hummelstown, PA ** Clinical Assessment Specialist (RN, PT, OT, SLP)** **Full-Time** The ... Clinical Assessment Specialist is a critical member of our hospital business... authorization backup as needed. + Obtain timely authorization of all patients requiring pre -certification and… more
- State of Massachusetts (Worcester, MA)
- …mental health nursing within the scope of practice of the expanded role of the clinical specialist in psychiatric and mental health nursing. * Knowledge of the ... Board of Registration in Nursing. 2. Current and valid certification as a Clinical Specialist in Psychiatric and Mental Health Nursing by a national… more