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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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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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What does a Prior Authorization Specialist do? 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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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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Reviews RTE eligibility system in EPIC throughout admission for any Payer changes or discrepancies and follow up for new prior authorization when Payer changes mid-admission. Works closely with Authorization Denials Team to avert write offs by researching cases and providing back-up documentation for possible prior auth appeals.
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Conducts decision review for services requiring prior authorization in LTSS leveraging technology and guidelines as available. The LTSS Service Authorization Specialist provides accurate, prompt, and appropriate medical authorizations to requests from CCA Clinicians, Vendors and Providers for LTSS. The LTSS Service Authorization Specialist reports to the LTSS Service Authorization Team Lead.
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The Intake Screener and Authorization Specialist manages all aspects of the registration and admissions process for Northeast Family Services’ five regions in Massachusetts. To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail oriented, and have a working knowledge of payer portals, co-pays, deductibles, and health insurance benefits.
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Job Description - Prior Authorization Specialist (3283248) Prior Authorization Specialist. · Scans authorization related information into Epic Media Manager and documents notes in accordance with QA Metrics.
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The Authorization Specialist will be responsible for financially securing scheduled surgical procedures undertaken by the Vascular Care Group by verifying insurance eligibility and coverage of incoming patients.
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The Authorization Specialist is the Perfect job for new graduates or those who want to explore a rewarding job in pediatric health care. The Authorization Specialist is the Perfect job for new graduates or those who want to explore a rewarding job in pediatric health care.
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Position Summary- Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment.
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Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. Evaluates, author Pharmacy Technician, Technician, Pharmacy, Clinical Research, Health, Benefits, Retail, Healthcare.
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Assists with reviewing medical necessity and obtaining authorization for urgent or walk-in visits. 3+ years of related experience; two or more years of prior work experience in Financial Clearance activities.
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Communicate authorization statuses with key stakeholders (physicians, nurses, management, patients/families) throughout the authorization process. Boston Childrens Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes.
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