- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from ... insurance payers prior to services been scheduled or rendered at UNC...authorizations. 6. Escalate matters/scheduled accounts that require attention to Pre -Arrival Team Lead /Manager. 7. Notify Utilization Review… more
- GRAIL (Durham, NC)
- …For more information, please visit grail.com . The Associate Director will proficiently lead the Prior Authorization , Billing Data Entry, and Billing ... daily activities of the billing staff, managing all aspects of prior authorization billing, pre -certification, and eligibility functions. The Associate… more
- Trinity Health (Columbus, OH)
- …Flex 8 hours between 7:30am - 5:30pm for remaining weeks **What You Will Do:** + Pre -Register + Prior - authorization + Verify insurance + At least 34 account ... insurance information. In addition, the PFS II also performs pre -registration and registration activities including response to real-time eligibility verification… more
- Billings Clinic (Billings, MT)
- …$17.15 - 21.44 Responsible for performing all tasks associated with the prior authorization process. Coordinate with/educate physicians, nursing staff and other ... on the appropriate appeal process for denials as needed. *Obtain retro prior authorization when requested. *Adheres to department and organization policies… more
- Trinity Health (Albany, NY)
- …possibility of fully remote schedule.) This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior ... knowledge of the patient population and types of services patients receiving. Prior authorization experience involving service line drugs and ancillary testing… more
- Trinity Health (Syracuse, NY)
- …for hours Suite 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior ... knowledge of the patient population and types of services patients receiving. Prior authorization experience involving service line drugs and ancillary testing… more
- Trinity Health (South Bend, IN)
- …Full time **Shift:** Day Shift **Description:** **JOB SUMMARY** Obtains accurate authorization and billing information to effectively authorize/ pre -certify all ... and professional behavior. Determines need for appropriate service authorizations ( pre -certifications, third party payer authorizations, referrals) and will contact… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... responsible for coordinating the daily operations of the UM Pre - Authorization team in order to ensure requests are processed in a consistent and timely manner… more
- Capgemini (Philadelphia, PA)
- …related issues in the next release. + Integrate target into release branch prior to official release build. + Conduct post-deployment feature reviews to ensure ... software with experience in Continuous Integration & Delivery. + Lead and own activities that would drive Release excellence...for employment in the US must have valid work authorization that does not now and/or will not in… more
- State of Colorado (Denver, CO)
- …with outside providers for the committed and detained youth. Point of contact for prior authorization for specialized medical care. Responsible to track all ... Lead Mid-Level Provider - Gilliam Youth Services Center...between the ages of 10 and 21, who are pre -adjudicated, sentenced, or committed. The Division also contracts with...prior authorization requests to ensure accuracy and… more