- 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...15. Other duties as needed and assigned by the supervisor/ manager . Rush is an equal opportunity employer. We evaluate… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Department by accurately verifying insurance information, reviewing patient accounts for prior authorization needs, obtaining needed prior authorizations, ... systems, phone communication, and other resources to determine insurance eligibility and prior authorization needs for a scheduled patient event. + Verifies… more
- Omaha Children's Hospital (Omaha, NE)
- …Functions** + Authorization Coordination + Verify insurance coverage and obtain prior authorizations for a range of scheduled outpatient services. + Ensure the ... and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and… more
- Marshfield Clinic (Minocqua, WI)
- …records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested ... knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines. + Excellent communication skills: Ability… more
- Methodist Health System (Richardson, TX)
- …professional responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for ... authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission,...that require clinical judgment to the Provider, and/or Billing Manager , when necessary. * Advises Manager of… more
- Baptist Memorial (Memphis, TN)
- …strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence based criteria. Areas of ... Overview Coordinator- Authorization Job Code: 22772 FLSA Status Job Family:...hire, terminate, discipline, promote or effectively recommend such to manager . Reporting Relationships No Work Environment Functional Demands Label… more
- Beth Israel Lahey Health (Exeter, NH)
- Insurance Authorization Coordinator ( Per Diem) + Per Diem Standard + Exeter, NH 03833 ... am-2:00 pm Verify and call insurance company to obtain authorization for both Medical and Radiation Oncology services and...Diploma or GED . 1 to 3 years of prior medical experience preferred . Customer Service experience **Responsibilities:**… more
- Illumination Foundation (Riverside, CA)
- …Orange County, Los Angeles County and the Inland Empire. Job Description The Authorization Coordinator will be responsible for tracking and keeping up to date on ... exit. This role will need to communicate with Site Medical Staff, Site Manager , and Case Management, Director of Operations and Associate Director of Medical… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... **Position Summary:** Under the guidance and supervision of the department Manager /Director the Supervisor of Utilization Management is responsible and accountable… more
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