- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have ... seamless access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the… more
- Select Medical (West Orange, NJ)
- …independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the ... West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations...that increase and stabilize conversion as well as generates referrals both locally and regionally. This may include identifying… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a **Pharmacy Technician Prior Authorization Specialist for a Full Time, 1.00 FTE, Day position.** The salary range for ... seniority, etc. **Job Summary** Responsible for review and verification of prior authorization requests, including referral documentation, for chemotherapy and… more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... SLPG Primary Care and Specialty practices, submission of insurance referrals for all Primary Care and Care Now departments,...lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to… more
- Children's Clinics (Tucson, AZ)
- …Occupational, Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals . Submits for onsite and ... AHCCCS, CRS, and private insurance guidelines + Knowledge of precertification, referrals , and prior authorization + Knowledge of medical terminology, CPT,… more
- University of Connecticut (UConn) (Storrs, CT)
- …on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the ... accurate and timely pre- authorization / authorization of insurance coverage and benefits for...position reports to the Student Health and Wellness Insurance Specialist Manager. SHaW is committed to diversity and inclusion,… more
- BayCare Health System (Clearwater, FL)
- …+ **Shift:** 8:00am - 12:00pm + **Days:** Monday - Friday This Central Authorization Specialist II opportunity is a part-time remote (following require on-site ... will work the hours listed above)** **Responsibilities:** The Central Authorization Specialist II is responsible for verifying.../or Managed Care experience + Highly Preferred - Infusion prior authorization + Highly Preferred - Oncology… more
- Trinity Health (Syracuse, NY)
- …focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT… more
- Hartford HealthCare (North Haven, CT)
- …30 different specialties. *_Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the … more