• Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight ... to any visits in which they are missing. Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the… more
    University of Rochester (08/07/25)
    - Related Jobs
  • Insurance Verification Specialist

    AssistRx (Orlando, FL)
    … and the coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing ... This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's...to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement… more
    AssistRx (09/05/25)
    - Related Jobs
  • ABA Utilization Review (UR) Specialist

    Spectrum Billing Solutions (Skokie, IL)
    … | Utilization Management Specialist | UR Specialist | Revenue Cycle Specialist | Insurance Specialist | UR Specialist | Revenue Cycle ... are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR ...continuing authorization for treatment services. + Manage authorization denials including referral for peer review.… more
    Spectrum Billing Solutions (09/01/25)
    - Related Jobs
  • Insurance Verification Specialist

    Urology Clinics of North Texas (Mesquite, TX)
    Insurance Verification Specialist Job Details Job Location 1650 Republic Pkwy Ste 150, Mesquite, TX 75150 - Mesquite, TX Position Type Full Time Education Level ... Office is seeking to fill the position of Medical Insurance Verification Specialist four our Oncology business....clearly and accurately into medical billing system + Obtains referral and or authorization prior to scheduled… more
    Urology Clinics of North Texas (08/16/25)
    - Related Jobs
  • Assessment and Referral Coord

    UnityPoint Health (Moline, IL)
    …procedures or specialist visits. * Maintain up-to-date knowledge of insurance coverage and authorization processes, staying informed about any changes ... and Prior Auth Mgmt + Shift: Monday-Friday + Job ID: 170579 Overview Referral Specialist Monday-Friday 8:00AM-5:00PM Full Time Benefits As a Referral more
    UnityPoint Health (09/05/25)
    - Related Jobs
  • Insurance Verification Specialist

    Kennedy Krieger Institute (Baltimore, MD)
    **Overview** The ** Insurance Verification Specialist I (IVS I)** will obtain, clarify, and confirm outpatient benefits, ensuring maximum and prompt payment of ... information into the registration system. 2. Verifies and/or obtains the necessary referral , authorization , or pre-certification prior to services being provided… more
    Kennedy Krieger Institute (08/08/25)
    - Related Jobs
  • Insurance Verification Specialist

    Robert Half Office Team (Long Beach, CA)
    …for Medi-Cal and other insurance providers. + Obtain and validate pre- authorization and referral requirements for medical services. + Accurately input ... Description We are seeking a detail-oriented Insurance Verification Specialist with Medi-Cal experience to join our team. This role is critical to ensuring that… more
    Robert Half Office Team (09/07/25)
    - Related Jobs
  • Intake Specialist

    KPH Healthcare Services, Inc. (Hoffman Estates, IL)
    …been requested for AristaCare Health to provide. + Effectively communicates with insurance companies and their representatives, agency staff, referral source, ... **Overview** **Scope of Responsibilities:** The Intake Specialist is an experienced individual who is able...home health care field. + Basic knowledge of the Insurance approval/ authorization process. **Special Conditions of Employment:**… more
    KPH Healthcare Services, Inc. (08/13/25)
    - Related Jobs
  • Program Operations Specialist 1 / Trainee…

    New York State Civil Service (Queens Village, NY)
    …Yes Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 / Trainee - EOA #2025-501 - DDRO4-SPS-Waiver & Enrollment ... Description POSITION DESCRIPTION: This position will serve as a Program Operation Specialist 1 (POS1) for a division of the Service Access Program Implementation… more
    New York State Civil Service (08/28/25)
    - Related Jobs
  • Insurance Verification Specialist

    TEKsystems (Baltimore, MD)
    …Diploma or GED required. 2+ years related experience in a benefits/ referral coordinator/ insurance verification/ authorization job/AR/medical billing in ... information into the registration system. 2. Verifies and/or obtains the necessary referral , authorization , or pre-certification prior to services being provided… more
    TEKsystems (09/03/25)
    - Related Jobs