- Trinity Health (Hartford, CT)
- …ensure reimbursement for services. **What you will do** + Responsible for authorization and denials within Case Management ensuring appropriate authorization ... and analytics + Develops and Implements strategies to optimize all aspects of authorization and denials supporting hospital revenue integrity team through a… more
- Houston Methodist (Sugar Land, TX)
- …and as appropriate, DRG recoupments/downgrades, and denials for no authorization . The Senior Denials Management Specialist position communicates ... At Houston Methodist, the Senior Denials Management Specialist position is responsible...care and, as appropriate, pay approval in conjunction with Patient Access and/or Bed Management areas. Analyzes medical resource… more
- Nuvance Health (Danbury, CT)
- …*Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing ... delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while… more
- UNC Health Care (Kinston, NC)
- …Assistants. 4. Reviews and documents findings on all medical necessity and status denials . 5. Works closely with Patient Financial Services for issues related ... all denial requests and leads the team in the strategy to appeal all clinical denials . Provides the clinical expertise to draft the first and second levels of an… more
- UPMC (Steubenville, OH)
- …to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist , you will play a vital role in ensuring patients have access to the care they deserve.… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Apply Now External Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in procuring payment for… more
- UPMC (Pittsburgh, PA)
- …area of authorization related activities including pre-authorizations, notifications, edits, denials , etc. The Authorization Specialist shall demonstrate ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team...assist with reviewing and interpreting medical record documentation for patient history and diagnosis, submitting and obtaining authorization… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **43332BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible for ... + Provide leadership team with regular status updates on authorization and denials . + Maintain accurate records...diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access… more
- Saint Francis Health System (Tulsa, OK)
- …& Sundays (weekdays as needed)** **8:00am - 4:30pm** Job Summary: The Authorization Specialist I directly impacts the billing and collections functions ... by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments...ease of access to care and serves to prevent denials of claims submitted for payment. Authorization … more
- Catholic Health Services (Roslyn, NY)
- …named Long Island's Top Workplace! Job Details We are seeking an experienced Authorization Specialist to join our cardiology office, where your expertise will ... compassionate care and utilize evidence based practice to improve outcomes - to every patient , every time. We are committed to caring for Long Island. Be a part… more