Prior Authorization Specialist
2 weeks ago
*Description:*
- Verifies insurance eligibility and benefits of prospects/referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
- Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email, etc.
- Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days and patient responsibility to the agency.
- Reviews and replies to branch locations urgent requests
- Obtains all authorization needed from payer for services ordered or requested
- Documents specific details related to the authorization including effective and end dates
- Serves as a liaison between the branch location and the payer on a regular basis.
- Manages work assignment to ensure all tasks and coordination notes are completed.
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Prior Authorization Specialist
2 weeks ago
Louisville, KY, United States TEKsystems Careers Full timePrior Authorization Specialist needed!!! *Description:* Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.Communicates patient benefits in a timely manner using the appropriate legacy system and associated...
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Prior Authorization Specialist
1 week ago
Louisville, United States EBlu Solutions LLC Full timeJob DescriptionJob DescriptionDescription:Are you Looking for an opportunity to help Providers ensure Prior Authorization is completed accurately and timely?This is the role for you!! eBlu's Prior Authorization Specialist role is a key role that provides a service to practices throughout the United States to initiate and monitor Prior Authorization to...
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Prior Authorization Specialist
2 weeks ago
LOUISVILLE, United States TEKsystems Careers Full timePrior Authorization Specialist needed!!! *Description:* - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and...
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Prior Authorization Specialist
4 days ago
Louisville, United States TEKsystems Full timePrior Authorization Specialist needed!!! Description: - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and...
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Prior Authorization Specialist
1 week ago
Louisville, United States TEKsystems Full timeDescription: - Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in...
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Prior Authorization Specialist
1 day ago
Louisville, Kentucky, United States TEKsystems Full timeJob SummaryWe are seeking a highly skilled Prior Authorization Specialist to join our team at TEKsystems. As a Prior Authorization Specialist, you will play a critical role in ensuring that our clients receive the necessary authorizations for their services.Key ResponsibilitiesVerify insurance eligibility and benefits of prospects/referrals and determine LHC...
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Prior Authorization Coordinator
4 weeks ago
Louisville, United States Family Allergy & Asthma Full timeJob DescriptionJob DescriptionDescription:Position SummaryThe Prior Authorization Coordinator is responsible for demonstrating knowledge and application of job duties and functions under the direction of their manager(s) and/or Director(s); respectfully interacts with all levels of staff; participates in department activities; promotes independence;...
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Prior Authorizations
3 weeks ago
Louisville, United States ONE GI LLC Full timeJob DetailsJob Location KY 1941 Bishop Lane 0VQ50 - Louisville, KY Remote Type Hybrid Education Level High School Travel Percentage None Job Category Health Care Description Do you want to work for a company that values respect, integrity, accountability, and leadership? Are you interested in being a part of one of the nation's leading providers of...
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Authorization Management Specialist
1 week ago
Louisville, Kentucky, United States Family Allergy & Asthma Full timeJob DescriptionPosition OverviewThe Authorization Management Specialist plays a crucial role in ensuring the smooth operation of prior authorization processes within the organization. This position requires a comprehensive understanding of job responsibilities and functions, working under the guidance of management. The specialist will engage with various...
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Pharmacy Authorization Specialist
2 weeks ago
Louisville, Kentucky, United States BrightSpring Health Services Full timePHARMACY AUTHORIZATION SPECIALISTCompany OverviewBrightSpring Health Services is dedicated to providing exceptional healthcare solutions tailored to the needs of our clients. We operate in a non-retail pharmacy environment, focusing on the pharmaceutical requirements of long-term care and senior living facilities. Our organization is experiencing significant...
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Authorization Specialist
2 days ago
Louisville, Kentucky, United States SpringHealth Behavioral Health and Integrated Care Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Authorization Specialist to join our team at SpringHealth Behavioral Health and Integrated Care. As an Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary authorizations for their treatment.Key ResponsibilitiesAnswering Phones and...
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Authorization Coordinator
1 week ago
Louisville, Kentucky, United States Medasource Full timeJob OverviewPosition: Prior Authorization SpecialistEmployment Type: 6 Month Contract-to-Hire (Onsite)Location: Louisville, KYKey Qualifications:High School Diploma or equivalent is mandatory.Proficient in computer skills, with a typing speed of at least 30 words per minute and 95% accuracy.A minimum of one year in patient access roles is...
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Pharmaceutical Specialist
2 weeks ago
Louisville, KY, United States TEKsystems Careers Full timePrior Authorization Specialist needed!!! *Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and associated software...
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Medical Authorization Coordinator
2 weeks ago
Louisville, Kentucky, United States Medasource Full timePosition OverviewRole: Prior Authorization SpecialistContract Type: 6 Month Contract-to-Hire (Onsite)Location: Louisville, KYEssential Qualifications:High School Diploma or equivalent is mandatory.Proficient in computer skills, with a typing speed of at least 30 words per minute and 95% accuracy.Minimum of one year experience in patient access is...
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Medication Authorization Coordinator
2 weeks ago
Louisville, Kentucky, United States Family Allergy & Asthma Full timePosition Overview:Family Allergy & Asthma is seeking a meticulous Medication Authorization Coordinator to join our dedicated team. This role is essential in ensuring the smooth operation of medication management processes.Key Responsibilities:- Collaborate closely with specialty pharmacies and healthcare providers to streamline the tracking and management of...
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Patient Access Authorization Representative
2 weeks ago
Louisville, Kentucky, United States Medasource Full timePosition OverviewRole: Authorization SpecialistEmployment Type: Contract-to-HireLocation: RemoteKey Qualifications:High School Diploma or equivalent is mandatory.Proficient in computer skills, with a typing speed of at least 30 words per minute and 95% accuracy.Minimum of one year experience in patient access is preferred.Familiarity with medical terminology...
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Insurance Authorization Coordinator
1 week ago
Louisville, Kentucky, United States Trilogy Health Services Full timeABOUT THE ROLE:This position is essential in supporting our mission at Trilogy Health Services. The Insurance Authorization Coordinator will play a pivotal role in managing prior authorizations, recertifications, and insurance verifications for prospective admissions and therapy services.Reporting to the Director of Payer Relations and Authorization...
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ENT Precertification Specialist
6 days ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our healthcare team, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and financial...
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Precertification Specialist
6 days ago
Louisville, Kentucky, United States UofL Health Full timeAbout the RoleWe are seeking a highly skilled Precertification Specialist to join our team at UofL Health. As a key member of our organization, you will play a critical role in ensuring a positive patient experience by accurately and efficiently completing all necessary steps related to prior authorization, medical necessity determination, and financial...
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Pharmaceutical Specialist
2 weeks ago
Louisville, KY, United States TEKsystems Careers Full timeVerifies insurance eligibility and benefits of prospects/referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner. -Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks,...