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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.
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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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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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Into the home health electronic medical record (EMR) Performs quality assurance on all initial intake referrals upon submitting authorization request to assure there are no date entry errors by the intake specialist.
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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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About Oncology Consultants Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX for over 40 years. The MS works collaboratively with the MD, clinic Medical Assistant and Infusion Nurse to communicate patient care orders resulting from the clinic visit.
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Accurately utilizes the Appointment Management in PM including working bump, no-shows, cancellations, confirmations and wait lists and track initial specialist office visit appointment to ensure patients keep an appointment.
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Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on. Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts.
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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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MGH Gastroenterology has an opening for a Medication Prior Authorization Specialist. The Medication Prior Authorization Specialist is responsible for obtaining all medication prior authorizations.
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Under the direction of the Patient Service Advisor Manager, the College of Dental Medicine is searching for a detailed oriented and knowledgeable Pre-Authorization Specialist. Collaborate with members of clinic administration on process improvement to help optimize the pre-authorization processes in the clinics.
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Pre-Authorization Specialist II - Business Office Supervisor - Business Office Manager. Pre-Authorization Specialist I. Pre-Authorization Specialist II - Business Office Supervisor - Business Office Manager.
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The primary purpose of the Office Generalist/Prior Authorization Specialist is to communicate with administrative staff and insurance companies to obtain authorizations to coordinate upcoming visits for our Home Health division.
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The Pre-Authorization Specialist core duties consist of contacting insurance companies and other third-party administrators to determine pre-authorization and/or medical necessity requirements for basic and high-tech outpatient radiology exams and procedures.
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Title: authorization specialist Company: Oncology Consultants
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