- ProMedica Health System (Toledo, OH)
- POSITION SUMMARY The Care Navigation Resource Coordinator - Prior Authorization Specialist performs insurance submissions for prior authorizations for ... Worker(s) providing assistance and support to the care navigation team. The prior authorization specialist collaborates with the care navigation team as well… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Montrose Memorial Hospital (Montrose, CO)
- …day to day direction from the leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance… more
- Montrose Memorial Hospital (Montrose, CO)
- …Joint Commission meeting the highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- St. Peters Health (Helena, MT)
- JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, ... departments within the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may include, but are not limited… more
- University at Buffalo (Buffalo, NY)
- Position Title: Prior Authorization Specialist Posting Number: U240035 Employer: UB Foundation Activities FTE: 1.00 Position Summary: The University at ... School of Dental Medicine (https://dental.buffalo.edu/) ( SDM ) is seeking a Prior Authorization Specialist . This position will report to the Billing… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to secure ... with authorization and escalates complicated issues to appropriate manager. Prior Authorization Specialist acts as a liaison between patients, their… more
- General Physicians PC (Depew, NY)
- Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a Prior Authorization ... doing : The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance and help patients apply… more
- BrightSpring Health Services (Englewood, CO)
- …patients nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist role will be responsible for ... authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. NOTE: Work Schedule: Monday - Friday / 9:00am -… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... will be required to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of all Managed Care… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously ... year Seattle Children's Outpatient Pharmacy experience. + Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Min to Max Hourly Salary:… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination ... scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding in the coordination of patient care.… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
- Logan Health (Whitefish, MT)
- … authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol. Qualifications: ... of CPT, HCPCS codes and medical records to insurance carriers to expedite prior authorization requests. + Accurately secures patients' demographics and medical… more
- Sharp HealthCare (San Diego, CA)
- …patients, medical providers, insurance companies and pharmacies requesting prior authorizations.Collaborate with ancillary and operational departments to research ... patient's insurance eligibility, benefits and requirements.Request, track and obtain pre- authorization from insurance carriers within time allotted for medical and… more
- CVS Health (Pittsburgh, PA)
- …processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist . * Proofs claim or referral submission to determine, review or apply ... from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination… 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 ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …This full-time role will primarily work remotely (SHIFT: Days). *Purpose of this position:*The Prior Authorization Specialist plays a key role in the patient ... *SUMMARY:* We are currently seeking a* Prior Authorization Representative Senior*to join our Financial Securing team.… more