- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is ... Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals , collecting appropriate clinical support to… more
- Elevance Health (Plano, TX)
- …and the home setting._ **Referral Specialist III/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) - Paragon Infusion** **Location:** 3033 W ... concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Prior Authorization Team within the Pharmacy Services department. This is ... of pharmacy utilization and provides expertise in managing member care through the prior authorization and appeals process for medications. These services… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... as assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients… more
- UPMC (Pittsburgh, PA)
- **University of Pittsburgh Physicians is hiring a full-Time Sr. Authorization Specialist to help support their UPMC Magee-Womens Center for Fertility and ... from home flexibility, after completion of training. **Position Specifics:** The Sr. Authorization Specialist also functions as the IVF Financial counselor for… more
- ManpowerGroup (Marlborough, MA)
- …electronic folders for new patients and organize patient medical records in preparation for prior authorization and appeals process + Answer incoming calls ... supporting_ _healthcare solutions & biomedical manufacturing industry,_ is seeking a **Pre- Authorization Specialist ** to join their team.This position is a… more
- Intermountain Health (Salem, OR)
- **Job Description:** The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior ... guarantor + Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization ; follow-up on appeals and denials when requested +… more
- University of Washington (Seattle, WA)
- …MEDICAL CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST .** . **WORK SCHEDULE** * Full-Time / 40 hours ... Clearance team to evaluate and further develop systems and processes to track prior authorizations, reauthorizations, and appeals . * Assist in identification of… more