- Baylor Scott & White Health (Dallas, TX)
- …on a regular schedule. **ESSENTIAL FUNCTIONS OF THE ROLE** Completing prior authorizations Accurately and rapidly prepares a variety of routine communications, ... reports, forms and correspondence. Coordinates production (formatting, copying, etc.) and dissemination of materials, such as presentations, course handouts, grant proposals, conference and seminar materials, complex reports, brochures, and displays. Manages… more
- CVS Health (Baton Rouge, LA)
- …The Team Lead is accountable to leadership to support the day to day operations of the team. This position has no supervisory oversight of staff, but requires a solid ... understanding of the workflows, policies and procedures to ensure the team is producing at a successful level. The Team Lead supports the onboarding of new staff as well as quality monitoring and assignment triage. The Team Lead is a single point and first… more
- Hartford HealthCare (Farmington, CT)
- …on billing and authorization processes.* * *Assists with training of new prior authorization staff and other duties as assigned.* *At Hartford HealthCare, we ... based on eligibility.* *Job Summary: Under the direction of the Prebilling and Authorization Manager, the Authorization Specialist performs all duties related to… more
- UPMC (Steubenville, OH)
- …mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Prior authorization responsibilities: + 1. Reviews and interprets medical ... system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. + 4. Utilize authorization resources… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving ... referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government and other payors across… more
- UPMC (Pittsburgh, PA)
- …18+ UPMC system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services. + Utilize authorization ... resources along with any other applicable reference material to obtain accurate prior authorization . + Resolves basic authorization edits to ensure timely… more
- Catholic Health Services (Melville, NY)
- …whether authorization is required and utilize payer-specific requirements to secure authorization . + Submit prior authorization requests to payers on ... behalf of the hospital or physician. + Ensure the required prior authorization clinical documents are complete and timely to ensure submissions are complete. +… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... Authorization Technician II (ALD) Job Category: Clinical Department:...net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist… more
- BJC HealthCare (St. Louis, MO)
- …- Friday 8:00-4:30 Pm + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals, EPIC, Patient registration, and Insurance Verification + ... experience) **Additional Information About the Role** BJC is looking to hire a Authorization Specialist! **Additional Preferred Requirements** + Remote Role Monday… more
- Saint Francis Health System (Tulsa, OK)
- …the revenue cycle by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments as well ... & Sundays (weekdays as needed)** **8:00am - 4:30pm** Job Summary: The Authorization Specialist I directly impacts the billing and collections functions of… more
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