- Robert Half Office Team (East Brunswick, NJ)
- Description We are looking for a dedicated Pre - Auth Specialist to join our team in East Brunswick, New Jersey. In this role, you will assist with obtaining ... pre -authorizations for radiology procedures while ensuring compliance with insurance...and validate all required documentation to meet insurance company pre -authorization requirements. * Coordinate with insurance providers via phone,… more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre -Arrival Scheduling Specialist I will serve patients/customers and physician offices by obtaining a valid physician order to ... orders by transcribing the orders in Epic. 5. Update the referral status and auth /cert status in EPIC. 6. Acknowledge and respond to requests for rescheduling and… more
- TEKsystems (Baltimore, MD)
- …least 2+ years in medical setting (inpatient/outpatient) as program coordinator, program specialist , lead role in patient access/ auth /ins ver Previous EPIC ... Must be comfortable working in a high volume role/team Must be familiar with insurance/ pre - auth process Must be able to multi-task and take on alot of projects… more
- Trinity Health (Syracuse, NY)
- …requirements by payer and order type to ensure proper authorization obtained pre -procedure. * Review authorization denial trends in partnership with supervisor to ... identify and address gap areas leading to auth denials within service line. * Confirm appropriate insurance...Scans in approval letters after verifying for accuracy. Authorizations Specialist I * Contact the insurance company to check… more
- Saint Luke's (Kansas City, MO)
- **Job Description** The Precertification Specialist is responsible for obtaining prior authorizations/ pre -certifications, as required by third party payers, for ... support the transplant financial team. + Obtains precertification/prior authorizations for pre and post transplant testing and prescriptions ordered by the… more
- Intermountain Health (Logan, UT)
- …orders are proposed, signed off and sent for hospital orders. Meets with pre -op patients to explain the surgery process.. **Essential Functions** + Creates and ... authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral for… more
- Intermountain Health (Logan, UT)
- …orders are proposed, signed off and sent for hospital orders. Meets with pre -op patients to explain the surgery process. **Scope** + Creates and manages provider's ... authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral for… more
- Trinity Health (Stafford Springs, CT)
- …infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained + Responsible for satisfying admission notice ... requirements for pre -certification/authorization for HMO/commercial payers in order to meet contractual agreements to avoid penalties + Responsible for editing,… more
- TEKsystems (Frederick, MD)
- Description The Insurance and Auth Specialist is an Administrative support position that is considered the front line of the revenue cycle process when a patient ... patient notes, authorizations, tasks, workflow, phone calls and/or email. Obtains additional pre -certification as needed. Consults with the agency as needed for all… more
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