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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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Medical billing/coding experience or pre-authorization experience preferred. Wondering what a day in the life of a Pre-Authorization Specialist at The Iowa Clinic might look like? Obtain insurance pre-authorization for procedures, imaging exams, injections and specialty medication prescriptions.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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You must gather necessary details insurance providers require, submit for pre-authorization and follow up to ensure timely approval with patients scheduled procedures. Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night we could go on and on.
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Job Summary:The Pre-Authorization Specialist is a member of the Pre-AuthorizationDepartment who is responsible for verifying eligibility, obtaininginsurance benefits, and ensuring pre-certification, authorization, andreferral requirements are met prior to the delivery of inpatient,outpatient, and ancillary services.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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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.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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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 inpatient, outpatient, and ancillary services.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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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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Knowledgeable and able to navigate eligibility portals for patient information/authorization information: eCW ; naviHealth ; Avality ; EPRG ; Trucare ; Waystar; UHC. Performs quality assurance on all initial intake referrals upon submitting authorization request to assure there are no date entry errors by the intake specialist.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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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Daily review of charts to determine if pre-certification/pre-authorization or referrals are needed. To ensure procurement of accurate pre-certification authorization/referral for applicable returning and new patients as well as review and completion of accurate, complete patient charts.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Opportunities to have fun with your colleagues, including TIC night at the Iowa Cubs, employee appreciation tailgate party, Adventureland day, State Fair tickets, annual holiday party, drive-in movie night.
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Sentara Martha Jefferson Hospital is hiring an Authorization Coordinator II - Full Time Day schedule. Responsible to secure semi complex, difficult authorization work as determined by payer behavior, time needed to authorize, opportunity research and key performance indicators.
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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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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 contribute to the development of a standardized prior authorization process across the organization with initiative and autonomy. The prior authorization specialist is responsible for coordinating all aspects of the prior authorization process, including insurance and benefit verification, gathering necessary clinical information to ensure reimbursement requirements are met, and communicating with key stakeholders (providers, insurance co., and patients.
ExpandApply NowActive JobUpdated 2 days ago
authorization job Company: La Care Health Plan
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