- Granville Medical Center (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: *...reason that they are required to make these payments prior to surgery. * Make necessary changes to the… more
- Granville Health System (Oxford, NC)
- The Insurance Authorization Specialist will work with the Surgical/Referral Coordinators at our referring practice locations to ensure that pre-authorizations ... the practice locations to collect payments from the patient prior to the scheduled surgery date. Duties Include: #...reason that they are required to make these payments prior to surgery. # Make necessary changes to the… more
- St. Luke's Health System (Boise, ID)
- **Overview** At St. Luke's, Infusion Authorization Specialists are a pivotal role that involves extensive interaction with various internal and external ... **What you can expect from this role:** + obtaining insurance prior authorizations for episode-based infusion treatment referrals primarily administered in SLHS… more
- Penn State Health (Hershey, PA)
- …prohibit or outlaw discrimination._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Radiation Oncology **Location** US:PA: Hershey ... Diploma or equivalent required. + Two (2) years of experience in either Prior Authorizations or a Clinical setting required. **PREFERRED QUALIFICATION(S)** + RN or… 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
- Catholic Health Services (Melville, NY)
- …patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and ... authorization is required and utilize payer-specific requirements to secure authorization . + Submit prior authorization requests to payers on behalf of… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The Insurance Authorization /Referral Specialist will perform the following: Obtains authorizations and referrals for ... multi-specialties services in a timely manner. Accurately enters patient and authorization information into both the hospital and clinic system. Provides training… more
- Globus Medical, Inc. (Collegeville, PA)
- …support to customers from the initial processing of received documentation through prior authorization , appeals support, detailed claims review, and hotline ... support. The Patient Access Specialist will be responsible for providing payer coverage expertise...coverage expertise and support regarding all phases of the prior authorization process, appeals, and all related… more
- UPMC (Pittsburgh, PA)
- …to pharmacy prior authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians and UPMC Health Plan members. ... and the clinical staff + Subject matter expert on formulary exceptions and prior authorization requirements/time frames according to line of business. + Perform… more
- Beth Israel Lahey Health (Burlington, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... are seeking a proactive and patient-centered In-Clinic Medication Access Specialist to join our Neurology care team at the...and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for… more