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Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patient(s) scheduled.
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Vaco Staffing is seeking a Prior Authorization Specialist for a direct hire opportunity! The Prior Authorization Specialist plays a critical role in ensuring timely approval for medical services and procedures by working closely with insurance providers, healthcare providers, and patients.
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The Prior Authorization Specialist will be processing referrals and scheduled procedures, and initiating contact with insurance carriers to get CPT code approval. A Prior Authorization Specialist is responsible for maintaining a high level of customer service.
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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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Prior Authorization Specialist/ Payor Relations Specialist (RN, LPN) Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital.
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The primary purpose of the Prior Authorization specialist is to communicate with the clinical staff, surgical schedulers, providers, and insurance companies to obtain authorizations and coordinate scheduling for upcoming procedures and/or surgeries for Firestone Ambulatory Surgery Center.
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We are seeking a skilled and detail-oriented individual to fill the role of Primary Care Prior Authorization Specialist. Prior Authorization Specialist- Medical Assistant. The primary responsibility of this position is to work with primary care physicians to obtain prior authorization for medical procedures and treatments.
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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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Enter the role of the Prior Authorization Specialist to impact one of Houston's prominent healthcare resource organizations. Prior Authorization Specialist’s Responsibilities.
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Job Description - Prior Authorization Specialist (3283248) Prior Authorization Specialist. · Maintains a daily workflow of Ontrac work lists and keeps Epic auth/cert fields and notes updated prior to, throughout, and post service until case is in final secured status and authorization is complete for billing purposes.
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The Prior Authorization Specialist is responsible for the timely submission of all documentation, forms, or electronic requests in a timely fashion to not impede our community's access to care.
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The Prior Authorization Specialist serves the patients, staff, and clinicians of Oregon Medical Group by requesting prior authorization approvals for planned, scheduled, or rendered procedures, services, or medications.
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NOTE: This is a hybrid-remote role with 50% travel into member homes near the Hoffman Estates & Schaumburg area of Cook County, Illinois).
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Under the direct supervision of the Customer Care Manager, the Prior Authorization Specialist is responsible for obtaining pre-authorizations for medications and diagnostics, scheduling patients for outpatient testing and coordinating patient orders.
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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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Title: prior authorization Company: Centene Corporation
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