• Prior Authorization

    St. Luke's University Health Network (Orwigsburg, PA)
    …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... information. + Provides insurance company with clinical information necessary to secure prior - authorization or referral . + Works in alignment with Central… more
    St. Luke's University Health Network (08/19/25)
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  • Network Prior Authorization

    St. Luke's University Health Network (Allentown, PA)
    …PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct ... for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital… more
    St. Luke's University Health Network (08/30/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
    University of Rochester (08/07/25)
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  • Referral & Authorization

    Glens Falls Hospital (Saratoga Springs, NY)
    …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Saratoga Springs*… more
    Glens Falls Hospital (07/02/25)
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  • Referral & Authorization

    Glens Falls Hospital (Glens Falls, NY)
    …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
    Glens Falls Hospital (07/02/25)
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  • Prior Authorization

    Select Medical (West Orange, NJ)
    …Institute for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations Specialist ( RN ... **Job ID** _339844_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
    Select Medical (08/23/25)
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  • Lead Prior Authorization

    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 ... to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible...reviews and merit-based raises + Career growth potential + Annual on-site voluntary Flu Vaccines + Employee referral bonus… more
    Polaris Pharmacy Services, LLC (08/23/25)
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  • Prior Authorization

    Trinity Health (Grand Rapids, MI)
    …**Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue ... cycle. Preferred: 3-5 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle, within an… more
    Trinity Health (08/29/25)
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  • Outpatient Authorization Specialist

    University of Michigan (Ann Arbor, MI)
    …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Job Summary**...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
    University of Michigan (08/25/25)
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  • Authorization Specialist

    UPMC (Wexford, PA)
    UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
    UPMC (08/29/25)
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