- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is ... Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals , collecting appropriate clinical support to… more
- VNS Health (Manhattan, NY)
- …Prepares records for physician review as needed. + Conducts review of requests for prior authorization of health services, as required in certain product lines, ... OverviewResolves grievances, appeals and external reviews for one of the...decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Northwestern Medical Center (St. Albans, VT)
- Prior Authorization Specialist Central Registration Northwestern Medical Center, where you can be the difference. Come join the NMC family, where we focus on ... for our community. NMC is currently recruiting for a Prior Authorization Specialist in Central... and may assist with obtaining retroactive authorizations, facilitating appeals , and providing interventions to prevent future denials from… more
- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **40344BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible ... staff. + Assist in the preparation and submission of appeals for denied authorizations, including but not limited to...school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS),… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... as assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients… more
- TEKsystems (Fresno, CA)
- …details on how to expedite patient access. * Could include documenting and initiating prior authorization process, claims appeals , etc. * Completes quality ... medication authorization verification experience is a plus The Authorization Specialist will contact insurance companies, on behalf of the physician's… more
- Fairview Health Services (Minneapolis, MN)
- …Coordination of Benefits and copay assistance. + Coordinate with outside facilities on prior authorization and access as needed for MHFV providers. + Research ... resolving barriers on behalf of clinic care teams, including submitting and following prior authorizations/ appeals , alternate funding for claim appeals , and… more
- AssistRx (Orlando, FL)
- …restrictions and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement ... A Day in the Life as a Patient Access Specialist : This role works directly with healthcare providers &...complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps… more