• Network Prior Authorization and Referral…

    St. Luke's University Health Network (Allentown, PA)
    …+ Submit prior authorizations for all STAT imaging orders for PCP and Specialty prior to date of service . + Submit for insurance referrals for all PG ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in... plan to complete site of care interview needed prior to date of service . + Perfor… more
    St. Luke's University Health Network (08/01/25)
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  • Prior Authorization Rep II

    University of Utah Health (Salt Lake City, UT)
    …University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll in URS if they make ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research… more
    University of Utah Health (07/31/25)
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  • System Manager-Pharmacy, Infusion Prior…

    SSM Health (St. Louis, MO)
    …and Requirements:** PRIMARY RESPONSIBILITIES + Leads and develops the infusion prior authorization processes and systems to maximize service , data ... in the future. + Resolves problems and rectifies inefficiencies related to infusion prior authorizations and denials. + Prepares service level metrics and… more
    SSM Health (07/23/25)
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  • Prior Authorization Specialist

    Fairview Health Services (Minneapolis, MN)
    …Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to secure prior ... any issues with authorization and escalates complicated issues to appropriate manager. Prior Authorization Specialist acts as a liaison between patients, their … more
    Fairview Health Services (07/18/25)
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  • Clinic Prior Authorization Coordinator- LPN

    LifePoint Health (Wilson, NC)
    …** . Comprehensive medical, dental, and vision plans, plus flexible-spending and health - savings accounts . Competitive paid time off and extended illness bank ... * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient testing, scheduling… more
    LifePoint Health (06/14/25)
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  • Prior Authorization Coordinator

    Cardinal Health (Fresno, CA)
    …business training preferred + Knowledge of computer/telephony support, preferably in a health care environment + Strong customer service background, preferably ... processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and… more
    Cardinal Health (07/16/25)
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  • Manager I Medical Management ( Prior…

    Elevance Health (Tampa, FL)
    **Manager I Medical Management ( Prior Authorizations) - Florida Medicare** **Office Locations:** This role is based in Florida at either our Tampa or Miami ... as required by law._ The **Manager I Medical Management ( Prior Authorizations)** is responsible for managing a team of...adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost… more
    Elevance Health (07/25/25)
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  • Scheduler - Prior Auth

    Dartmouth Health (Bennington, VT)
    The Prior Authorization Staff is responsible for filing requests for prior authorization for all insurances that require based upon plan or insurance contract. ... Request, obtain, and document (within current software) all prior authorizations (or denials of same) appropriately and in a timely manner. Ensures all necessary… more
    Dartmouth Health (07/28/25)
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  • Mgr Health Insurance & Prior…

    University of Rochester (Rochester, NY)
    …hospital services and to ensure that the appropriate referrals are received prior to service . **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America)… more
    University of Rochester (07/02/25)
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  • Prior Authorization Representative I

    Intermountain Health (Provo, UT)
    **Job Description:** A Prior Authorization Representative is a critical link in the healthcare chain that balances the needs of patients, healthcare providers, and ... on patient care. Facilitates the authorization process for 1-2 lines of service by gathering and submitting all required clinical documentation, medical records, and… more
    Intermountain Health (07/29/25)
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