- Parkview Health (Fort Wayne, IN)
- …ensuring seamless communication and coordination among these teams to facilitate efficient prior authorization and financial processes. This position will have ... Patient Intake & Authorization : + Initiate, complete, and document prior authorization (PA) of applicable services, supplies, and drugs based on patient need… more
- Decatur County Memorial Hospital (Greensburg, IN)
- …POSITION SUMMARY + Reports To: + Authorization Manager + Summary: + The prior authorization specialist is responsible for coordinating all aspects of the ... prior authorization process, including insurance and benefit verification, gathering necessary clinical information to ensure reimbursement requirements are met,… more
- Rochester Regional Health (Rochester, NY)
- …to patient via phone call, email, or MyCare channels * Obtain prior - authorization on both internal and external department orders for procedures/treatments ... system * Complete other duties as assigned Oncology Specific * Obtain prior - authorization on internal department orders for medications administered at oncology… more
- Lake Region Healthcare (Fergus Falls, MN)
- …will facilitate the gathering of information to verify medical necessity to meet prior authorization and insurance referral requirements, as well as gather ... to: + Receive and review requests from provider and determine if a prior authorization is required according to the payer's criteria. + Gather, collect and… more
- Trinity Health (Hartford, CT)
- …Center, responsible for ensuring appropriate and accurate submission of insurance prior authorization requests for outpatient hospital infusion services. The ... outpatient hospital insurance benefits and reviewing clinical documentation for prior authorization submission. Other responsibilities include assisting patients… more
- Highland Hospital (Rochester, NY)
- …insurance eligibility and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct level of care, ... **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business...inquires on prior auth denials and works with the Provider's office… more
- Caris Life Sciences (Irving, TX)
- …are in place prior to services being rendered. + Responsible for prior authorization submissions and management. + Maintains compliance with HIPAA and other ... is where your impact begins.** **Position Summary** Our Verification/ Authorization Associates are responsible for verifying active insurance coverage, obtaining… more
- Trinity Health (Boise, ID)
- …authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan. Verify patient's insurance ... plan based on patient deductible and co-insurance responsibility. Communicates authorization and patient financial responsibility to clinic. **SKILLS, KNOWLEDGE,… more
- Sutter Health (Goleta, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- SSM Health (St. Louis, MO)
- …service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer ... reimbursement and patterns for pharmacy and medical claims with third parties. + Serves as primary ambulatory pharmacy resource to facilitate access to prescription and medical benefit medications. Including but not limited to; formulary/coverage issues, copay… more
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