• Prior Authorization and Referral

    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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  • Referral / Pre -Auth…

    PeaceHealth (Vancouver, WA)
    **Description** **PeaceHealth is seeking a Referral / Pre -Auth Specialist for a Full Time, 1.00 FTE, Day position. Monday - Friday; 8:30am - 5:00pm.** The ... **DETAILS OF THE POSITION:** + Oversees the data entry and completion of referral forms/notifications. Obtains insurance pre - authorization for patients and… more
    PeaceHealth (09/04/25)
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  • Authorization Specialist

    UPMC (Wexford, PA)
    …related activities including pre -authorizations, notifications, edits, denials, etc.The Authorization Specialist shall demonstrate the philosophy and core ... being rendered using ICD-9-CM, CPT, and HCPCS Level II. + 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in… more
    UPMC (08/29/25)
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  • Authorization Specialist , Digestive…

    UPMC (Pittsburgh, PA)
    …activities including pre -authorizations, notifications, edits, denials, etc. The Authorization Specialist shall demonstrate the philosophy and core values ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team...using ICD-9-CM, CPT, and HCPCS Level II. + Provides referral / pre -notification/ authorization services timely to avoid… more
    UPMC (08/26/25)
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  • Prior Authorization Specialist

    Select Medical (West Orange, NJ)
    …and independent judgment, the Payor Relations Specialist manages the pre -certification and prior authorization of referrals scheduled for admission to ... for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )**… more
    Select Medical (08/23/25)
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  • Insurance Authorization & Verification…

    WesleyLife (Urbandale, IA)
    …and purpose. Come be a part of the revolution! **About the Role: Insurance Authorization & Verification Specialist ** As a Insurance Authorization & ... the residents at Wesley at Home. **As a Insurance Authorization & Verification Specialist , you will:** +...Ongoing leadership training and development pathways **Extra Perks:** + Referral Bonus Program - bring your friends and earn… more
    WesleyLife (08/28/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …being rendered using ICD-9-CM, CPT, and HCPCS Level II. 4. Provides referral / pre -notification/ authorization services timely to avoid unnecessary delays in ... of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's… more
    UPMC (07/24/25)
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  • Authorization Specialist

    WMCHealth (Port Jervis, NY)
    Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in...clinical documentation. . 3-5 years of experience in a pre - authorization specialty preferred. . Consideration of… more
    WMCHealth (08/19/25)
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  • Prior Authorization Specialist

    Trinity Health (Grand Rapids, MI)
    …is not a remote position. Responsible for all aspects of authorizations/ pre -certification, or referral processes. Verifies insurance eligibility and contacts ... the payer to initiate pre -certification by providing supporting medical documentation, follow ups with...procedures, and services in attempt to obtain a successful authorization . Determines out of pockets costs for patients prior… more
    Trinity Health (08/29/25)
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  • Oncology Referral Specialist

    Rochester Regional Health (Rochester, NY)
    JOB TITLE: Oncology Referral Specialist DEPARTMENT: Medical Oncology Hematology LOCATION: Lipson Cancer Institute Clifton Springs - 2 Coulter Road, Clifton ... WEEK: 40 SCHEDULE: Monday through Friday, Standard Business Hours SUMMARY The Oncology Referral Specialist will act as an initial contact for patients, family,… more
    Rochester Regional Health (08/12/25)
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