Prior Authorization Specialist jobs

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AUTHORIZATION SPECIALIST

The Authorization Specialist is responsible for verifying insurance benefits/eligibility for Commercial and Managed Care carriers for patients accessing hospital services1)Verifies insurance benefits/eligibility for primary, secon...

CompanyAdvocate Aurora Health
AddressTinley Park, IL
CategoryHuman Resources
Salary$56.8K - $71.9K a year
Job typeFull-time
Date Posted 4 weeks ago See detail

Authorization Specialist

Advocate Aurora Health

Tinley Park, IL

$56.8K - $71.9K a year

The Authorization Specialist is responsible for verifying insurance benefits/eligibility for Commercial and Managed Care carriers for patients accessing hospital services1)Verifies insurance benefits/eligibility for primary, secon...

Prior Authorization Rep I - BioPlus Specialty Pharmacy

Elevance Health

INDIANAPOLIS, IN

Enters Prior Authorizations or reauthorizations into the portal and ensures accurate completion of authorization forms. . Submits completed authorization forms to the appropriate insurance plans. . Maintains log of all authoriza...

Pharmacy Prior Authorization Representative- BioPlus Specialty Pharmacy

Elevance Health

ALTAMONTE SPRINGS, FL

Reviews accuracy and completeness of Prior Authorization information requested and ensures supporting documents are present and meet company set standards. . Assists with the completion of medical necessity documentation to expe...

Pre-Authorization Specialist

Onet-Systems

New Hyde Park, NY

$19 - $23 an hour

Conduct thorough insurance verification and eligibility checks for patients scheduled for procedures at out-of-network surgical practices. Collaborate with healthcare providers to gather necessary documentation and medical records...

Prior Authorization and Payment Coordinator

Horizon Eye Specialists And Lasik Center

Sun City, AZ

$19 - $21 an hour

401(k). 401(k) matching. Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. Monday to Friday. Sun City, AZ 85351: Relocate before starting work (Required)....

Insurance Authorization Specialist (Hybrid)

Gulfside Healthcare Services

Florida, United States

$31.6K - $40K a year

High School Diploma/GED required, Associates Degree preferred. Knowledge of third party and governmental payer requirements in order to obtain authorization. Knowledge of Florida Medicaid requirements and processes. Competency in...

Surgery Insurance Verification and Authorization Specialist

Ent Associates, Inc.

Clearwater, FL

$16 - $19 an hour

Contact various insurance companies either by phone or on-line website sites to obtain insurance benefits and Authorizations. Contact patient or PCP to obtain information necessary to verify insurance. Verify insurance is accurate...

Prior Authorization Spec. - On Site first 6 months then hybrid

Parkway Pharmacy

Howell, NJ

$34.2K - $43.3K a year

Obtains pre-authorization/pre-certification per payer requirements for services rendered and ensures authorization information is documented appropriately in the system. Verify patient insurance benefits for all assigned patients...

Prior Authorization Coordinator

Metropolitan Community Services

Hopkins, MN

$50,000 - $55,000 a year

Entering and managing client information in database. Submit insurance Prior Authorization requests. Assist with client intake and verifying insurance coverage. Call insurance/referral sources to obtain the status of Prior authori...

Prior Authorization Coordinator

Anderson & Associates

Roanoke, VA

$19.88 - $23.55 an hour

401(k). Dental insurance. Health insurance. Paid time off. Vision insurance. Monday to Friday. Roanoke, VA 24016: Relocate before starting work (Required)....

Eligibility Authorization Specialist

Millennium Physician Group

Port Charlotte, FL

$33.3K - $42.2K a year

3 weeks PTO & 7 paid holidays Medical, Dental, Vision Employer Paid Basic Life & Short Term Disability coverage (goes into effect after 1 year of full-time employment) 401(k) with match Employee Wellness Other Employee Discount pr...

Director, Prior Authorization Center

Empirx Health

Montvale, NJ

Manage a team to ensure a positive team environment, conduct performance review and provide feedback and opportunities for development. Work with VP of Clinical Operations to develop and implement strategic initiatives to improve...

Clinical Pharmacist (Prior Authorization)

Empirx Health

Montvale, NJ

Act as a clinical expert on Prior Authorization review and evaluation in accordance with clinical criteria and covered plan design.. Review, evaluate, and resolve all assigned clinical reviews through comprehensive case review a...

Prior Authorization Representative II - Las Vegas, NV - BioPlus Specialty Pharmacy

Elevance Health

LAS VEGAS, NV

Reviews accuracy and completeness of Prior Authorization information requested and ensures supporting documents are present and meet company set standards. . Assists with the completion of medical necessity documentation to exped...

Pre-Authorization Specialist

Onet-Systems

New Hyde Park, NY

Conduct thorough insurance verification and eligibility checks for patients scheduled for procedures at out-of-network surgical practices.. Collaborate with healthcare providers to gather necessary documentation and medical record...

Verification & Authorization Specialist - Float

Ivy Rehab Physical Therapy

Remote

$42.3K - $53.6K a year

Submit authorization requests timely within EMR, following payer and state specific guidelines Partner with front desk teammates within clinics to ensure appropriate and accurate documentation for authorization submission is compl...

Pre-Authorization Specialist (on-site)

Premier Medical Resources

Houston, TX

$33.5K - $42.4K a year

Prioritize incoming authorization requests according to urgency. Generate, verify, and oversee the complete procedure authorization/referral process. Manages and resolves day-to-day issues pertaining to pre-authorization, as neede...

Insurance Verification and Authorization Specialist

Star Home Health, Inc

Houston, TX

$12.93 - $18.00 an hour

401(k). Dental insurance. Health insurance. Paid time off. Monday to Friday. High school or equivalent (Preferred). Customer Service: 1 year (Preferred). Computer Skills: 1 year (Preferred)....

Authorization Specialist

Integral Care

Austin, TX

$21.28 an hour

High School Diploma or equivalent. Current and valid Driver's License and a clean driving record are required. Two-year experience in insurance benefits (i.e. Medicaid, CHIP, Managed Care, private insurance). Experience with proce...

Prior Authorization Registered Nurse

Northwind Pharmaceuticals

Indianapolis, IN

ResponsibilitiesCompletes medical necessity reviews for requested services using clinical judgment and refers to internal stakeholders for review depending on case findings.Works with healthcare providers and authorization team to...

Prior Authorization Rep I - BioPlus Specialty Pharmacy

Elevance Health

Missouri, United States

Enters Prior Authorizations or reauthorizations into the portal and ensures accurate completion of authorization forms. . Submits completed authorization forms to the appropriate insurance plans. . Maintains log of all authoriza...

Prior Authorization Technician - Pharmacy Technician

Shields Health Solutions

Jackson, MS

$41.4K - $52.4K a year

Directly communicate with insurance companies to facilitate the approval of medications. Navigate pharmacy operating systems to input data, perform adjudication on test claims and prepare action plans for follow-up. Effectively co...

BPN Insurance Verification and Authorization Specialist

Bryan Health

Lincoln, NE

$34.1K - $43.2K a year

*Adheres to federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns.4. *Ensures that pre-certification and/or authorization an...

Manager Pharmacy Prior Authorizations

Elevance Health

Missouri, United States

$96.5K - $122K a year

Job Family: Customer Care Type: Full time. Date Posted: Apr 04, 2024 Anticipated End Date: Jun 01, 2024 Reference: JR110175. Ensures adherence to formulary and member benefit structures to provide service that is medically appropr...

Referral and Authorization Specialist

University Of Rochester

Geneseo, NY

$18.50 - $24.71 an hour

401(k). 401(k) matching. Dental insurance. Disability insurance. Health insurance. Health savings account. Life insurance. Paid time off. Retirement plan. Tuition reimbursement. Vision insurance. Monday to Friday. No weekends....

Clinical Pharmacy Technician I- Centralized Prior Authorization

Highmark Health

Wexford, PA

Reviews pharmacy utilization management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%). Within the context of the request, applies plan-specific bene...

Full-Time Medical Authorization Specialist/Front Desk Receptionist

Neurologist

Ronkonkoma, NY

$18.00 - $19.50 an hour

401(k). 401(k) matching. Health insurance. Paid time off. Retirement plan. Private practice. Neurology. 10 hour shift. 8 hour shift. Day shift. Monday to Friday. High school or equivalent (Preferred). medical office: 1 year (Prefe...

Intake Screener and Authorization Specialist (CBHI)

Northeast Family Services

Dorchester, MA

Masters Degree in Psychology, Social work, Counseling, or directly related human services field is required for this role. Minimum of 2 years' experience in patient intake and scheduling. Experience reviewing comprehensive asses...

Outpatient Authorization Specialist

University Of Michigan

Ann Arbor, MI

Excellent medical, dental and vision coverage effective on your very first day. 2:1 Match on retirement savings. Complete all aspects of the insurance pre-authorization process within required timeframes. Apply appropriate CPT cod...

Prior Authorization Coordinator I

Ivx Health

Brentwood, TN

$39.7K - $50.3K a year

Review and process all assigned Prior Authorization orders to completion Obtain clinical information (including but not limited to medical history, diagnosis, and any relevant lab reports) necessary to complete the Prior Authoriza...