• Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's ... rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral /pre-notification/ authorization services timely to avoid unnecessary delays in treatment… more
    UPMC (07/24/25)
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  • Lead Prior Authorization Specialist

    Polaris Pharmacy Services, LLC (Covina, CA)
    Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
    Polaris Pharmacy Services, LLC (08/23/25)
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  • Authorization Specialist

    WMCHealth (Port Jervis, NY)
    Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in procuring payment for… more
    WMCHealth (09/12/25)
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  • Case Management Authorization

    Emory Healthcare/Emory University (Atlanta, GA)
    …in order to secure reimbursement for services provided. + The Case Management Authorization Specialist functions with minimal oversight and guidance with a ... general understanding of payor requirements as it relates to insurance verification, notification, and authorization . + Assists with providing technical and… more
    Emory Healthcare/Emory University (09/13/25)
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  • Central Insurance Referral

    UPMC (Lancaster, PA)
    Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area! The ideal candidate ... in learning more about this exciting opportunity, apply today! Purpose: The Central Insurance Referral Specialist II will be responsible for coordination… more
    UPMC (09/10/25)
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  • Pre- Authorization Specialist

    CaroMont Health (Gastonia, NC)
    …for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization , and referral requirements are met prior to the ... Job Summary: The Pre- Authorization Specialist is a member of the Utilization Review Department who is responsible… more
    CaroMont Health (09/13/25)
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  • Prior Authorization Specialist

    Trinity Health (Grand Rapids, MI)
    …a remote position. Responsible for all aspects of authorizations/pre-certification, or referral processes. Verifies insurance eligibility and contacts the payer ... Degree preferred **Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or… more
    Trinity Health (08/29/25)
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  • Oncology Referral Specialist

    Rochester Regional Health (Rochester, NY)
    JOB TITLE: Oncology Referral Specialist DEPARTMENT: Medical Oncology Hematology LOCATION: Lipson Cancer Institute Clifton Springs - 2 Coulter Road, Clifton ... WEEK: 40 SCHEDULE: Monday through Friday, Standard Business Hours SUMMARY The Oncology Referral Specialist will act as an initial contact for patients, family,… more
    Rochester Regional Health (08/12/25)
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  • Referral Specialist

    Catholic Health Initiatives (Ooltewah, TN)
    …to review if needed. + Coordinate flow of information between medical clinic and patients insurance for referral authorization to secure a valid referral ... **Responsibilities** The Referral Specialist works with patients requiring...and AEHR for outmigration reporting. + Knowledge of clinic referral and scheduling processes and billing/ authorization requirements.… more
    Catholic Health Initiatives (09/04/25)
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  • Patient Authorization and Referral

    Providence (Liberty Lake, WA)
    **Description** Referral Specialist initiates a variety of external and internal referral processing and skilled clerical duties in support of the PMG ... physician offices. Communicate with internal and external medical offices and insurance companies to ensure provider referral requests are processed timely and… more
    Providence (08/22/25)
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