- 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 (Irving, TX)
- …and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals , Insurance) - Paragon Infusion** **Location:** 3033 W ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based… 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
- 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
- Omaha Children's Hospital (Omaha, NE)
- …purpose and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely ... denials by collaborating with clinical, administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance… 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
- Rochester Regional Health (Rochester, NY)
- …communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals, ... Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue,...step therapy requirements, and appeals to ensure timely access to treatment. + Collaborate… more
- Trinity Health (Stafford Springs, CT)
- …troubleshooting accounts that are being held in A/R due to lack of prior authorization **Minimum Qualifications** + Education: High School Graduate, some college ... all infusions and testing performed in the department are reviewed and prior auth or predetermination is obtained + Responsible for satisfying admission notice… more
- Baptist Memorial (Memphis, TN)
- …order to enhance reimbursement and maximize customer satisfaction. + Submits retro- authorization requests, reconsiderations, and appeals with careful regard to ... Overview Specialist -Denial Mitigation II RN Job Code: 21432 FLSA...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more