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Touchstone Medical Imaging is seeking an experienced, detail-oriented Patient Authorization Coordinator for our Tulsa, Oklahoma office. Verify patient's insurance eligibility, benefits and authorization requirements via online or phone.
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Utilizes Epic Referral Work Queues, Experian Real Time Authorization (RTA), phone, payer websites and fax to complete prior authorizations for imaging and specialty services. Duties & Responsibilities Partners with LMC departments and insurance companies to provide quality care to LMC patients through the authorization process prior to patients' date of service.
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Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial.
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Clinical Review Nurse - Prior Authorization, utilization review nurse, prior authorization nurse. Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care.
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Sentara Martha Jefferson Hospital is hiring an Authorization Coordinator - Full Time Day schedule. 1 Year of Health Insurance Authorization, health insurance verification, registration/billing., Health Insurance Authorizations, Health Insurance Verification, Registration/Billing.
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Overview 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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Atlantic Health System is seeking a Per Diem Authorization Specialist in the Pre-Registration Dept at our Morristown Corporate Office. Applicable experience as Patient Access Representative or Authorization Specialist.
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Clarest Health (Parent Company of ProCare LTC) is not your typical pharmacy. Clarest Health (Parent Company of ProCare LTC) is an Equal Opportunity Employer. We are a closed-door pharmacy (walk in services not offered) that services long term care/group facilities ensuring the best quality of care.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Job DetailsDescription Mountain View Hospital is looking for a Prior Authorization Specialist to join our team! Plans and directs prior authorization processes, patient insurance, and monitors all aspects of insurance authorizations for accurate and complete processing of authorizations to include follow-up on pended cases, as well as denials.
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Insurance Authorization Specialists are responsible for obtaining insurance verification and pre-authorization for patients seen at the Radia outpatient centers. Communicates updates and changes to insurance verification and pre-authorization requirements and processes to patients, as well as key internal and external customers.
$21.19 - $29.87 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Validates accuracy of insurance enrollment information in the system prior to authorizing services, making certain policy is active. Responsible to secure high volume less complex authorization work as determined by payer behavior, time needed to authorize, opportunity research and key performance indicators.
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Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities!
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Works collaboratively with other disciplines including Pre-Authorization RN, Care Manager, Assessment Nurse and Primary Care Physician, or other Specialists, as necessary to ensure timely provision of services.
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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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Obtains pre-certification or pre-authorization prior to the scheduled service being performed. Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for basic and moderately complex hospital outpatient visits.
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Title: prior authorization Company: Clarest Health
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