Prior Authorization Specialist jobs

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OUTPATIENT AUTHORIZATION SPECIALIST

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...

CompanyUniversity Of Michigan
AddressAnn Arbor, MI
CategoryHuman Resources
Job typeFull-time
Date Posted a month ago See detail

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...

Insurance Authorization Specialist

Lhh Recruitment Solutions

Florida, United States

Prior experience working with Insurance Authorizations, required.. Understanding of third-party and governmental payer requirements for obtaining authorization.. Ability to handle interactions with patients, family members, referr...

Prior Authorization Representative

Rpo Inc

McAllen, TX

$18 an hour

The Centralized Authorization Team consists of the processing of authorizations for LTSS, in which we are now at a 3-4 BD TAT for the processing of LTSS/ SK/SH/MMP authorizations. We will utilize project temps/contingent workers t...

Prior Authorization/Utilization Review Nurse

Indian Health Care Resource Center

Tulsa, OK

$65,000 a year

JOB SUMMARYThe Prior Authorization/Utilization Review Nurse is responsible for carefully recording information regarding patient care on the back end of the clinic and doctor's office visits in hopes of keeping healthcare costs lo...

Pharmacy Prior Authorization Representative - Remote

The Cigna Group

Remote

$17 - $25 an hour

Answer inbound calls from patients, providers, and pharmacies. An average of 50- calls are expected daily. Take calls back-to-back while toggling through several applications on multiple screens. Attend 100% of trainings and the f...

Verifications & Authorizations Specialist - Hybrid Remote!

Barrow Brain And Spine

Phoenix, AZ

$38.2K - $48.4K a year

Complete patient demographics. Verify Assignment of Benefits. Detail notes of insurance requirements in appointment notes section of computer system. Verify primary, secondary and tertiary insurance. Verify Inpatient Hospital/Ph...

Authorization Specialist I

Fairview Health Services

Saint Paul, MN

$41.3K - $52.3K a year

Review medical chart/history and physician order(s) to determine likely ICD and CPT codes and/or utilize available coding resources. Screen payer medical policies to determine if the service meets medical necessity guidelines. Rev...

Insurance Verification and Authorization Specialist

Bryan Health

Lincoln, NE

$34K - $43K a year

*Commits to the mission, vision, beliefs and consistently demonstrates our core values. Serves as work resource and liaison to hospital departments, physician offices, and patients for pre-service authorizations or financial respo...

Authorization Specialist

Kids S.p.o.t.

Lutz, FL

$18 - $20 an hour

Ability to interpret and initiate authorization requests through a variety of methods. Willingness to communicate with a team effectively and thoroughly. Able to analyze data across multiple formats. Ability to communicate with pa...

Authorization Specialist I

Fidelis Care

New York, NY

$15.68 - $22.54 an hour

Supports authorization requests for services in accordance with the insurance prior authorization list Supports and performs data entry to maintain and update authorization requests into utilization management system. Assists util...

Pre-Authorization Specialist

Weill Cornell Medicine

New York, NY

$32.97 - $39.73 an hour

As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices. Verifies pre-authorizations and obtains upgrades if needed. If pre-authorization is not obtained for next day, notifies...

Bilingual Insurance Authorization Specialist

Ensemble Health Partners

Richmond, VA

The Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete Insurance Authorization requirements to secu...

Prior Authorization Coordinator

Regal Medical Group, Inc.

San Bernardino, CA

Understand and execute the principles of Prior Authorization to facilitate the right care at the right time in the right setting. Perform all assistant and coordinator job functions. Able to solve complex Prior Authorization quest...

Revenue Cycle Authorization Specialist - Remote

Gentiva Hospice

Mooresville, NC

$46.3K - $58.6K a year

Perform review of medical records and documentation related to Medicaid and affiliated Managed Care Organizations. Maintain compliance with MCD/MCR, State and Federal Regulations Maintain and distribute tracking logs and spreadshe...

Prior Authorizations and Referral Management (Relief)

St. Charles Health System

Redmond, OR

Oversees the facilitation of scheduling and appointments when referral is requird on behalf of patient.Supports the vision, mission and values of the organization in all respects.Supports Value Improvement Practice (VIP- Lean) pri...

Vice President of Prior Authorization Operations

Ivx Health

Brentwood, TN

$85.9K - $109K a year

Ensuring the appropriate pre-visit steps are taken to facilitate full collection of payments for services rendered. Maximizing the timely conversion of referrals received by IVX into authorizations. Maintaining high levels of prov...

UM Medication Prior Authorization Nurse

Seven Counties Services

Louisville, KY

Research cases and applies medical criteria to evaluate and submit authorizations to MCO's, Medicare and commercial insurance companies based on medical necessity. Collaborates with site providers and nurses, pharmacies and insura...

Authorization Specialist - USFTGP RCO

Tampa General Hospital

Tampa, FL

$33,072 a year

Authorization Specialist - USFTGP RCO - (24000191)DescriptionThis position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with...

Authorization Specialist - USFTGP RCO

Usftgp

Tampa, FL

$33,072 a year

- (24000191)This position is responsible for obtaining pre-certifications and pre-authorizations for procedures and medications, scheduling appointments for outpatient testing with other providers, transcribes and triages patient...

Prior Authorization LPN

Chemistry Rx

Folcroft, PA

$39.7K - $50.3K a year

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. Clinic. Day shift. Monday to Friday. Prior Authorization: 1 year (Required). Pediatrics: 1 year (Preferred). LPN (Required)....

PRIOR AUTHORIZATION REP

Southern Illinois Health

Carbondale, IL

From $18.75 an hour

Safety. Manages processes effectively in regard to employee/patient safety. Record Keeping Maintains all required records, reports, statistics, logs, files and other documents as required, including but not limited to payroll, sch...

International Clinical Authorization Specialist

Dana-Farber Cancer Institute

Brookline, MA

$73.4K - $92.9K a year

The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims.This position's work location is fully remote...

Authorization Specialist - Full-Time / Elgin, IL

Advocate Aurora Health

Elgin, IL

$53.5K - $67.7K a year

The Authorization Specialist is responsible for verifying insurance benefits/eligibility for Commercial and Managed Care carriers for patients accessing hospital services The Authorization Specialist is responsible for obtaining a...

Authorization Specialist

Together Women's Health, Llc

Alabama, United States

$42.8K - $54.2K a year

Document work processes as required Coordinate processes and route all paperwork as required to meet physician and facility requirements Demonstrate courtesy and helpfulness toward patients and / or their families. Ensure efficien...

Home Health Remote Hybrid Authorization Specialist

Aveanna Home Health & Hospice

Atlanta, GA

$20 - $22 an hour

Manage the patient insurance authorization process required for services that are being requested by the clinical staff responsible for the patients care. Initiate communications with patients insurance carrier upon receiving in...

Prior Authorization Representative - Medicare - Work From Home

Cvs Health

Austin, TX

$17.00 - $28.45 an hour

As a Rep II, Operations, you'll show a high level of attention to detail, verbal and written communications skills, and the ability to problem solve in this dynamic work environment. Your responsibilities will include: Working inc...

Prior Authorization Coordinator

Aspen Healthcare Services

Lewisville, TX

$17 - $20 an hour

Ensures accurate entry, access, and retrieval of data for Prior Authorization requests. Verifies insurance benefits. Manages every stage of the Prior Authorization process: gathering and auditing required documentation, submitting...

Pharmacy Technician 3 Per Diem -- Prior Authorization

Uc Davis Health

Sacramento, CA

California Licensed Pharmacy Technician. Recent experience processing third party billing. Experience in performing pharmacy calculations. Demonstrated knowledge of generic and trade drug names and pharmacy terminology. Experience...

Authorization Specialist (Full-Time) Hybrid

Kpc Global Mso

Anaheim, CA

RESPONSIBILITIES AND DUTIES: Ensure timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned. Contacts insurance companies via phone or website to secure...