- University of Utah (Salt Lake City, UT)
- …University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator . This position works with a team of ... **Job Title** PS Coordinator , Scheduling **Working Title** Coordinator , Prior Authorization **Job Grade**...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- US Tech Solutions (RI)
- …experience that includes problem resolution, business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and ... **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers,… more
- Sutter Health (Santa Clara, 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....convey approvals, denials or appeals. + Provides excellent customer service by listening to provider, staff and patient concerns… more
- Tufts Medicine (Stoneham, MA)
- …are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on ... under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position ... individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… more
- Mille Lacs Health System (Onamia, MN)
- …under the direction of the Health Information Supervisor/Director of Revenue Cycle. The Prior Authorization Coordinator (PAC) is responsible for ensuring ... accordance with the payer-provider contracts. The PAC contacts payers to request service authorization and may collect financial and/or demographic information… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 08/06/2025 **Requisition Number** PRN42768B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization ... verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position… more
- Select Medical (West Orange, NJ)
- …for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN )** ... judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission...include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow… more
- Humana (Miramar, FL)
- …a part of our caring community and help us put health first** The Pre- Service Coordinator is responsible for all aspects of referral management and accurately ... timeline expectations as outlined in the Health Plan contractual agreements. The Pre- Service Coordinator will review inbound referrals and correspondence for… more