The prior authorization specialist is responsible for coordinating all aspects of the prior authorization process, including insurance verification, formulary reviews, gathering necessary clinical information from electronic medical record, and timely communication with patients, prescribers and physician office staff.

Minimum 1-5 years of transport category aircraft maintenance experience (Boeing series aircraft Preferred) 737 or 777 Gen Fam with RII authorization. Ensure that all aircraft documentation is completed accurately per company and FAA procedures prior to aircraft departure.

Obtained, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. Obtained, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.

The organization has one the largest Cardiology Prior Authorization program in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones Ideal candidate is offered Competitive base salary with benefits Predictable work schedules 100% Work at Home with part-time & full-time opportunities available Health coverage effective day 1 (including medical, dental, vision) 8 Paid Holidays plus 23 PTO Days 401K with company match.

FINANCIAL CLEARANCE REPRESENTATIVE II: This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, and/or notification as required by third party coverage providers.

Obtains appropriate prior authorization number and time frame from appropriate third party payer. Job Type Full-time Description Quipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry.

The associate is responsible for obtaining prior authorization requests and/or pre-determination for these services to ensure maximum reimbursement to the organization. Ensures authorization has been obtained for all scheduled and non-scheduled high dollar outpatient procedures.

Obtain prior authorization for patients. Knowledge of practice management and electronic health records systems. Verify all forms, test results, and other paperwork is in the electronic health records system according to physician and office protocol.

Payor Relations Specialist/ Prior Authorization Specialist (RN, LPN Required) As the Payor Relations Specialist, you will manage the pre-certification and prior authorization of referrals scheduled for admission to our hospital.

Communicating with insurance companies and/or prior authorization requests. Communicating with insurance companies and/or prior authorization requests. As a healthcare customer service representative, you will be responsible for successfully managing large amounts of orders through both inbound and outbound calls and in-person in a center location.

Responsibilities: Collecting all traveler information Follow security procedures to ensure the client’s information remains confidential Process deposits and payments Verify spelling of all names & addresses involved Ensure the credit card authorization form is signed and returned in a timely manner, prior to releasing the client's travel documents.

Conduct live face-to-face and virtual engagements, using approved materials to educate HCPs and office staff on the access/reimbursement process, which may include formulary coverage, utilization management criteria, prior authorization procedures, appeal resolution, and patient support programs.

Conduct prior authorization and utilization management activities including adverse determinations. Requires 3 to 5 years prior experience as a CMO or Associate Medical Director preferably for a Medicare, MMP, or Medicaid plan inclusive of dually eligible enrollees.

Primary work reviewing prior-authorization reviews as well as some claims and provider dispute cases for outpatient reviews. + Prior experience participating in teams focusing on quality management or utilization management.

As an Insurance Authorization Coordinator, you will be assisting patients and physicians by securing prior authorizations approval for treatment and medication. Description Robert Half Healthcare is supporting a local health organization who is needing to hire an Insurance Authorization Coordinator.