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A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication and/or diagnostic services that requires pre-authorization from insurance carriers.
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Prior Authorization Nurse (LVN) – Managed Care. 1+ years of Utilization Management/ Prior Authorization Review experience required. The incumbent will be responsible for prior authorization and referral related processes that includes on-line responsibilities as well as selected off-line tasks.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
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The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.
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Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans.
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The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services.
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The Prior Authorization Specialist will be responsible for processing insurance verification and referral/pre-certification/pre-authorization requests. If you are qualified and interested in the Prior Authorization Specialist role, please apply today.
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Under the direction of the Manager, a Surgical Scheduler/ Prior Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all neurosurgical procedure in a timely manner.
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The Prior Authorization Coordinator will collaborate with the Harbor Care and outside pharmacy's, Harbor Care providers, clinic staff, clients, commercial payers and other outside entities to coordinate care.
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The Authorization Coordinator is responsible for obtaining appropriate insurance pre-certification/preauthorization prior to the provision of scheduled infusion center services or treatments.
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The Prior Authorization Representative is responsible for the timely processing of pre-authorizations of Radiology exams ordered by Providers and performed at any NCH facility. Contacts third party payer to obtain pre-authorization for ordered exam, providing updates as needed throughout the pre-authorization process.
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Assures pre-authorization and completes appropriate consent forms (ABN) prior to collection of limited coverage tests. The Medical Laboratory Scientist (MLS)/Medical Laboratory Tech (MLT) is responsible for accurately performing specimen analysis, instrument maintenance, and quality control procedures including moderate and high complexity laboratory tests.
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Job DescriptionJob DescriptionPosition Overview: We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. Minimum of 2 years of experience working as a Prior Authorization Specialist in a pharmacy or healthcare setting.
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Job DescriptionJob DescriptionApply Here: are seeking a detail oriented and patient focused individual to work as a Prior Authorization Specialist at our Edina, MN business office (3 days in office / 2 days work from home.
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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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