• Prior Authorization…

    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 ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
    University of Utah Health (04/30/25)
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  • Utilization Management Representative II…

    Elevance Health (San Antonio, TX)
    …personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... location. **Build the Possibilities. Make an extraordinary impact.** The Utilization Management Representative II - Prior Authorization is responsible for… more
    Elevance Health (04/16/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …equity considerations._ **Responsibilities:** GENERAL PURPOSE: Serves as the patient referral and prior authorization representative , with oversight of data ... and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical… more
    University of Rochester (04/22/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
    University of Rochester (04/07/25)
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  • Pharmacy Access Rep III - Community Pharmacy

    University of Rochester (Rochester, NY)
    …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
    University of Rochester (03/19/25)
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  • Patient Authorization Representative

    UCLA Health (Los Angeles, CA)
    Description As a Patient Authorization Representative , you will be responsible for: + Pre-encountering and pre-registering patients as well as providing ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
    UCLA Health (05/03/25)
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  • Patient Authorization and Referral…

    Swedish Health Services (Edmonds, WA)
    …receive services at Stevens Hospital. Coordinates insurance information and pre- authorization requirements with Social Services and Case Management. Providence ... retain the best people, we must empower them. **Required Qualifications:** + Prior experience in admitting, patient accounting or related healthcare field **Why Join… more
    Swedish Health Services (05/01/25)
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  • Patient Authorization and Referral…

    Providence (Spokane Valley, WA)
    …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... responsibilities include entering patient referral data into the database, entering physician information into the database, adding progress notes, responding to billing department requests, calling providers, insurance companies and patients. Providence… more
    Providence (02/21/25)
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  • Pre-Arrival Authorization Specialist I

    UNC Health Care (Goldsboro, NC)
    **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... payers prior to services been scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
    UNC Health Care (04/01/25)
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  • Prior Authorizations Representative

    TEKsystems (Grimes, IA)
    …The Prior Authorizations Coordinator is responsible for processing all prior authorization requests and maintaining all CMN renewals with established ... standards which includes but is not limited to coordination with insurance companies, physicians' offices, and patients. Individual shall clearly identify, analyze and rectify issues while maintaining confidentiality of all protected health information.… more
    TEKsystems (04/30/25)
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