- Froedtert South (Kenosha, WI)
- Prior Authorization / Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply Now Job Details + POSITION PURPOSE + A Prior - ... ) requirements are met for both the facility and professional services. The Prior - Authorization / Referral Specialist provides detailed documentation and… more
- Prime Healthcare (Chicago, IL)
- … prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate knowledge of ... referral specialist makes referrals to specialist for the office practices along with prior...polite and friendly manner. Be able to maneuvers through prior authorization with insurance companies and provide… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Rochester (Strong, AR)
- …considerations._ **Responsibilities:** GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines....functionality required for testing and services ordered by referred-to specialist includes, preparing and providing multiple, complex details to… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
- UPMC (Steubenville, OH)
- …to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist , you will play a vital...provide exceptional care at Hillman Cancer Center! **Responsibilities:** + Prior authorization responsibilities + 1. Reviews and… more
- Centene Corporation (Lansing, MI)
- …may reside in any state in the US. _** **Position Purpose:** Leads the prior authorization request process to ensure work queue is managed and addressed ... with policies and procedures + Develops in-depth knowledge of prior authorization review process and insurance coverage...such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Assists… more
- University of Rochester (Rochester, NY)
- …as assigned. Responsibilities Position Summary Serves as the patient referral and prior authorization specialist , with oversight of data and compliance ... to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- Centene Corporation (Columbus, OH)
- …weekend day per week **Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization requests ... such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination + Verifies... requests for services in accordance with the insurance prior authorization list and routes to the… more
- Baptist Memorial (Memphis, TN)
- …+ Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue ... Summary Authorization Denial Specialist ensures that chemotherapy...per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/ prior -authorizations per payer guidelines prior to services… more