• Prior Auth Service Coordinator - Hybrid

    Fallon Health (Worcester, MA)
    …inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of ... and when applicable, benefit information. Work in conjunction with other Fallon Health departments to assist in processing authorization information in order… more
    Fallon Health (11/21/25)
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  • Financial Clearance Center Representative

    Catholic Health Services (Melville, NY)
    …as assigned by management, to complete daily tasks. + Confirm that a patient's health insurance (s) is active and covers the patient's procedure; may be completed ... times before, during, and after a patient's visit/stay. + Document a patient's health insurance benefits and coverage for their visit including effective date… more
    Catholic Health Services (12/09/25)
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  • Insurance Verification Representative…

    Huron Consulting Group (Boston, MA)
    …of the modern revenue cycle + Broad Knowledge of Government Programs and Insurance Regulations + US Work Authorization required **Knowledge, Skill & Ability** ... sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to… more
    Huron Consulting Group (11/15/25)
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  • Pharmacy Benefits Specialist - St. Luke's…

    St. Luke's Health System (Boise, ID)
    …interdisciplinary team of pharmacy staff, patient financial advocates, the pharmacy authorization team, clinic staff, and providers. Issues insurance overrides ... pharmacy benefits management (PBM) and third-party issues such as prior authorization , step therapy, reviewing denied claims, and processing overrides. Works with… more
    St. Luke's Health System (09/27/25)
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  • Insurance Specialist

    Kaleida Health (Cheektowaga, NY)
    …1** **Job Description** **Provides support for the Agency facilitating the insurance and authorization process, communications among internal and external ... contacts, maintenance of tracking systems and other insurance and authorization related information. Provides support...bargaining agreement. _The VNA's mission is to advance the health of our community, and we believe our diversity,… more
    Kaleida Health (12/06/25)
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  • Insurance Verification Specialist - Days…

    Baylor Scott & White Health (Dallas, TX)
    **JOB SUMMARY** The Insurance Verification Specialist 1, under general supervision, provides patients, physicians and internal hospital personnel with insurance ... benefit information. This position ensures timely verification of insurance benefits and financial clearance which has a direct impact to the organization?s… more
    Baylor Scott & White Health (12/10/25)
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  • Senior Insurance Verifier - Full Time…

    Houston Methodist (The Woodlands, TX)
    …notification and authorization process in a timely manner. The Senior Insurance Verifier communicates to resolve patient access and quality service matters and ... demonstrates an ability to perform more complex processes related to insurance verification, authorization , and financial clearance. This position will also… more
    Houston Methodist (12/12/25)
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  • Referral Specialist Womens Health Clinic

    Banner Health (Phoenix, AZ)
    …Medicine is patient care, research, and teaching. Join a nationally recognized health care leader and experience the future of medicine today. The Obstetrics ... Medicine Women's Institute, offers a comprehensive range of services for women's health , including prenatal care, delivery, gynecological care, and more. As a… more
    Banner Health (12/13/25)
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  • Patient Access Coordinator I - North Fayette…

    Highmark Health (Pittsburgh, PA)
    …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... **Company :** Allegheny Health Network **Job Description :** **$1,000 Sign-on Bonus** **Sign-on bonus is for external hires only** **Recipients must stay with AHN… more
    Highmark Health (12/09/25)
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  • Behavioral Health Managed Care…

    WellSpan Health (York, PA)
    …or uncompensated care. Provides support to multiple provider types in behavioral health authorization process. Performs a variety of functions including, but ... a resource to practice staff and providers in this area. + Verifies mental health and/or substance abuse benefits, obtains initial authorization as determined by… more
    WellSpan Health (12/10/25)
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