• Insurance and Authorization

    Albany Medical Center (Albany, NY)
    …operations of the Pre-Service functions of the Patient Engagement Center Insurance and Authorization complement- related to eligibility verification, ... staff are executing actions necessary to timely scheduling and authorization /financial clearing meet our patients and provider expectations. Significant attention… more
    Albany Medical Center (12/28/24)
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  • Patient Access Specialist Per…

    Hackensack Meridian Health (Neptune, NJ)
    …and efficient manner. + Assumes other responsibilities as directed by either the Supervisor, Manager or Director of Patient Access . + Identifies the needs of the ... to transform healthcare and serve as a leader of positive change. The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access more
    Hackensack Meridian Health (01/28/25)
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  • Manager , Prior Authorization , UM…

    AmeriHealth Caritas (Newtown Square, PA)
    …Management staff. Oversee staff performance with regard to prior authorization , medical necessity determinations, concurrent review, retrospective review, continuity ... work closely with the Directors of Pharmacy, pharmacy benefits manager (PBM), and the State's PBM team. + Prepare...develop and maintain collaborative contact to assure members have access to the appropriate resources and to avoid duplication… more
    AmeriHealth Caritas (01/28/25)
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  • Access Specialist III- Prior…

    Dayton Children's Hospital (Dayton, OH)
    …outcomes of all patient services. Under the general supervision of the Patient Access Manager , this position performs imperative duties, which may include, but ... Facility:Dayton Children's - Tech TownDepartment:Patient Access - Pre-Registration/Prior AuthorizationSchedule:Full timeHours:40Job Details:Patient Access more
    Dayton Children's Hospital (02/04/25)
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  • Supervisor, Authorization Technician

    LA Care Health Plan (Los Angeles, CA)
    …At least 2 years in Medi-Cal managed supervisory experience in a health plan/health insurance authorization processes and/or as a Medical Assistant. At least 1 ... Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management...right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's… more
    LA Care Health Plan (01/25/25)
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  • Authorization Coordinator

    Fallon Health (Worcester, MA)
    **Overview** **The Authorization Coordinator works M - F 8 am to 5 pm/ 8:30 am to 5 pm and will require at least 6 months of training 5 days/week in the office and ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for… more
    Fallon Health (02/04/25)
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  • Authorization Rep I-5

    Elevance Health (Altamonte Springs, FL)
    …and ensures accurate completion of re- authorization forms. + Submits completed re- authorization forms to the appropriate insurance plans. + Maintains log of ... whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver… more
    Elevance Health (02/04/25)
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  • Authorization Representative II

    Elevance Health (FL)
    …with other departments to assist in obtaining prior authorizations/appeals. + Document insurance company interactions and all prior authorization information in ... whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver… more
    Elevance Health (01/22/25)
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  • Pre-Arrival Authorization Specialist I

    UNC Health Care (Goldsboro, NC)
    …2. Runs RTE to verify all insurance payers electronically; call insurance companies as needed. 3. Initiates the authorization /precertification process for ... well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining… more
    UNC Health Care (11/08/24)
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  • Patient Authorization and Referral…

    Covenant Health (Lubbock, TX)
    **Description** Under the direction of the JACC Business Operations Manager this position is primarily responsible for the intake of new consultations. This job ... collecting all patient demographics, clinical medical records, and pertinent insurance information. This position should be knowledgeable about financial clearance.… more
    Covenant Health (01/29/25)
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