- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… more
- Saratoga Hospital (Saratoga Springs, NY)
- Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, ... exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… 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 ... what each individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day surgeries, planned… more
- Actalent (Eugene, OR)
- Job Title: Clinical Review Nurse - Prior Authorization Job Description This role involves analyzing all prior authorization requests to determine the ... to assess the medical necessity of care for members. + Escalate prior authorization requests to Medical Directors as necessary to determine the appropriateness… more
- University of Washington (Seattle, WA)
- …PHARMACY DEPARTMENT** has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER** . **WORK SCHEDULE** * Part-Time / 20 hours ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement for ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals… more
- Actalent (Eugene, OR)
- …Review Nurse - Prior AuthorizationJob Description This role involves analyzing prior authorization requests to assess the medical necessity of services and ... teams to assess medical necessity for member care. + Escalate prior authorization requests to Medical Directors when necessary to determine care appropriateness.… 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
- Centene Corporation (Tallahassee, FL)
- …THERE IS NO HOLIDAY OR WEEKEND SCHEDULE.** **THIS ROLE IS PART OF THE PRIOR AUTHORIZATION ESCALATION TEAM, OUTPATIENT ONLY.** **IDEALLY APPLICANTS WILL HAVE ... PRIOR AUTHORIZATION EXPERIENCE WITH STRONG COMPUTER SKILLS.** **Position Purpose:** Analyzes all prior authorization requests to determine medical… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
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