- TEKsystems (Fresno, CA)
- …and clinical documentation to determine prior authorization requirements. + Submit authorization requests to insurance carriers via portals, fax, or phone. + ... Description The Prior Authorization Specialist is responsible for obtaining and verifying...This role requires strong attention to detail, knowledge of insurance guidelines, and effective communication with providers, patients, and… more
- 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
- University of Rochester (Rochester, NY)
- …requested by patient. Participates as an active member of the care team. Acquire insurance authorization for the visit and, if applicable, any testing; ... insurance authorization information will be entered in the Epic referral record for the patient, and attaches referral records to any visits in which they are… more
- Decatur County Memorial Hospital (Greensburg, IN)
- … specialist is responsible for coordinating all aspects of the prior authorization process, including insurance and benefit verification, gathering necessary ... reimbursement requirements are met, and communicating with key stakeholders (providers, insurance co., and patients). The prior authorization specialist will… more
- LaSante Health Center (Brooklyn, NY)
- …access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral ... care with compassion and respect. Key Responsibilities + Manage prior authorization requests from insurance companies for medications, diagnostic imaging,… more
- Avera (Pierre, SD)
- …insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier + Appropriately ... where you matter.** **A Brief Overview** Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and specialty… more
- Covenant Health (Lubbock, TX)
- …patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking ... Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical record system.… more
- HCA Healthcare (Gainesville, FL)
- …who require additional testing for continued authorization , communication about authorization , and case closures with the insurance company. + Assists ... and physicians to ensure transplant-related cases are reviewed for financial clearance, insurance selection, and authorization . + Demonstrates proficiency in all… more
- Beth Israel Lahey Health (Burlington, MA)
- … and identification of formulary alternatives. 3. Obtains initial and renewal insurance authorization for infusion medications as required by insurance ... may benefit from pharmacy support. You will work closely with our Medication Authorization and Access team to triage patient cases efficiently and support the… more
- HCA Healthcare (San Antonio, TX)
- …vendor to screen in-house or referred patients. 5. Accurately and timely obtains insurance authorization and referrals for all services and/or visits ordered by ... School or GED Experience: Minimum two years experience in the field of insurance authorization and clearance for medical services Minimum License, Certificates,… more