- 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
- Penn Medicine (Lancaster, PA)
- …you living your life's work? Summary: + Position Summary: The Utilization Management Specialist - Denials is responsible for evaluating medical records to ... determine severity of patient 's illness and the appropriate patient class...Financial Clearance and Accounts Receivable to follow up on authorization related denials . + Facilitate Peer to… more
- Intermountain Health (Cheyenne, WY)
- …and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health. ... **Job Description:** The Pre-Access Authorization Specialist I is responsible for...all pertinent patient related insurance eligibility, benefits, authorization ; follow-up on appeals and denials when… more
- UPMC (Pittsburgh, PA)
- …making crucial financial decisions regarding treatments. The Sr. Authorization Specialist determines financial liability based on the patient 's medical ... notifications, edits, denials , across service areas or business units. The Authorization Specialist Senior shall demonstrate the philosophy and core values… more
- Trinity Health (Syracuse, NY)
- …check status of authorization submission in a timely manner. * Troubleshoot authorization denials in efforts to overturn payer behavior related denials . ... 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
- Montrose Memorial Hospital (Montrose, CO)
- …due to payer coverage restrictions or denials . + Secondly, the Prior Authorization Specialist minimizes the patient 's financial risk with a thorough ... The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient 's...resources for documentation improvement, and facilitating appeals for coverage denials . All About You : + High school diploma… more
- UPMC (Pittsburgh, PA)
- …of authorization related activities including pre-authorizations, notifications, edits, denials , etc.The Authorization Specialist shall demonstrate the ... **University of Pittsburgh Physicians Department of Pediatric Rehabilitation is hiring a full-time Authorization Specialist to join their team. This is a Monday… more
- Catholic Health Services (Melville, NY)
- …the Financial Clearance department of the Catholic Health (CH). The Financial Clearance Authorization Specialist will update patient insurance coverage, send ... was named Long Island's Top Workplace! Job Details The Financial Clearance Authorization Specialist is a highly skilled and productive individual responsible… more
- WMCHealth (Hawthorne, NY)
- Authorization Specialist Company: NorthEast Provider Solutions Inc. City/State: Hawthorne, NY Category: Clerical/Administrative Support Department: Ophthalmology ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/29260) Internal Applicant link Job Details: Job Summary: The Authorization Specialist is responsible for performing complex… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Cell Therapy Clinical Authorization Specialist is responsible for the comprehensive coordination and management of all prior authorization activities ... and advise clinical teams on best practices for payer engagement. + Investigate authorization -related claim denials , perform root cause analyses, and oversee the… more