Pre-Authorization Specialist
2 weeks ago
Job Description
Very busy Gastro practice – need to have an element of speed to keep up with the eligibility and authorization requests
This position is on site in Woodland Park NJ Mon thru Fri
Obtain pre-authorizations for gastro procedures (colonoscopy, endoscopy, ERCP, capsules, etc.) – Full understanding of CPT and ICD codes.
Must have a comprehensive knowledge of insurance carrier policies and procedures – insurance will often provide
incorrect/misinformation
(such as no authorization required).
Our company policy is:
they must be two weeks ahead of the scheduled procedures as authorization requests can be delayed/take longer than expected – this requires speed.
Eligibility verification for all patients being seen each day using various portals – our EMR (ECW), Navinet, Availity, E-tactics, etc.
The ability to comprehend and explain patient benefits – deductibles, coinsurance, copays, any patient responsibilityCalling patients to explain these benefits prior to their procedures – need to have an element of customer service and be able to explain and answer questions regarding patient benefits/financial responsibility
The ability to effectively communicate with providers, staff, and patients – both written and oral.
You will be sending many emails to providers and staff regarding authorization requests, they are also communicating with patients regularly.
#J-18808-Ljbffr-
Pre-Authorization Specialist
1 month ago
Woodland Park, United States Coda Staffing Full timeJob DescriptionJob DescriptionVery busy Gastro practice – need to have an element of speed to keep up with the eligibility and authorization requestsThis position is on site in Woodland Park NJ Mon thru FriObtain pre-authorizations for gastro procedures (colonoscopy, endoscopy, ERCP, capsules, etc.) – Full understanding of CPT and ICD codes.Must have a...
-
Authorization Specialist
3 weeks ago
St Louis Park, United States Park Nicollet Health Services Full timePark Nicollet is looking to hire an Authorization Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day. Position Summary: The Authorization Specialist is responsible for creating hospital encounters for surgical services throughout Park...
-
Authorization/billing Specialist
1 week ago
Woodland Hills, United States Prism Behavioral Solutions Full timePBS is seeking a bilingual (Spanish speaking) billing/authorization coordinator for our HQ office in Woodland Hills. **Job Description**: The billing/authorization coordinator job duties includes the following, but is not limited to: ► Intake service specialist ►Program coordination ►Eligibility coordinator ► Verify insurance eligibility...
-
Authorization/Billing Specialist
4 weeks ago
Woodland Hills, United States Prism Behavioral Solutions Full timePBS is seeking a bilingual (Spanish speaking) billing/authorization coordinator for our HQ office in Woodland Hills.Job Description:The billing/authorization coordinator job duties includes the following, but is not limited to:► Intake service specialist►Program coordination►Eligibility coordinator► Verify insurance eligibility regularly, intake...
-
Prior Authorization Specialist
2 weeks ago
Clifton Park, United States The US Oncology Network Full timeOverview: Employment Type : Full Time **Remote Position** Benefits : M/D/V, Life Ins., 401(k), PTO, Paid Holidays Clifton Park, NY Pay Range: $20-$24 hourly **JOB SCOPE**:Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in...
-
Worker's Compensation Authorization Specialist
4 weeks ago
Tinley Park, United States Primus Ortho Full timeJob DescriptionJob DescriptionSalary: 17/hr NegotiableMultidisciplinary orthopedic and physical therapy private practice with 3 doctors is seeking a full-time, Worker’s Compensation Authorization Specialist with excellent customer service skills, and a strong ability to multitask. This position requires organization, teamwork, and the natural ability to be...
-
Prior Authorization Specialist
4 weeks ago
Overland Park, Kansas, United States Randstad USA Full timeDo you currently have experience processing pre-authorizations for the healthcare industry? Would you say you have experience providing world class customer service and managing a high call volume? Do you know medical terminology and can track and process insurance claims through the entire process? Are you looking for a role where you can work independenly?...
-
Prior Authorization Specialist
1 month ago
Overland Park, Kansas, United States Randstad USA Full timeDo you currently have experience processing pre-authorizations for the healthcare industry? Would you say you have experience providing world class customer service and managing a high call volume? Do you know medical terminology and can track and process insurance claims through the entire process? Are you looking for a role where you can work independenly?...
-
Prior Authorization
3 weeks ago
Baldwin Park, United States Polaris Pharmacy Services Full time**PRIOR AUTHORIZATION SPECIALIST** **OVERVIEW** The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when...
-
Insurance Verification Specialist
2 weeks ago
Tinley Park, United States Beacon Oral Specialists Full time**Job Title**:Insurance Verification Specialist**: **Job Location**:Midland Oral Surgery & Implant Centers**, Tinley Park, IL **Job Type**: Fulltime **Job Summary**: **_Are you looking for a company that you can call home and have opportunities to grow? _**We are looking for an Insurance Verification Specialist to join our growing practice. We pride...
-
Referral Specialist
5 days ago
Woodland Hills, United States Elevance Health Full timeJob Family: CUS > Care Support Type: Date Posted: May 31, 2024 Anticipated End Date: Jun 12, 2024 Reference: JR118718 Description **Referral Specialist I** **Sign-On Bonus: $1000.00** **Build the Possibilities. Make an extraordinary impact.** A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM...
-
Insurance Specialist II
2 weeks ago
Valley Park, Missouri, United States RAYUS Radiology Full timeJob Summary RAYUS Radiology is seeking an experienced Insurance Specialist II to join their team. As an Insurance Specialist II, you will play a key role in handling insurance pre-certification and service authorization by communicating with insurance companies and patients to verify insurance details. The position also involves building and maintaining...
-
Insurance Specialist
1 month ago
Valley Park, Missouri, United States RAYUS Radiology Full timeRAYUS Radiology, formerly Center for Diagnostic Imaging, is looking for an Insurance Specialist to join our team. As an Insurance Specialist, you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with...
-
Insurance Specialist
2 weeks ago
Valley Park, Missouri, United States RAYUS Radiology Full timeRAYUS Radiology, formerly Center for Diagnostic Imaging, is looking for an Insurance Specialist to join our team. As an Insurance Specialist, you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with...
-
Insurance Specialist
4 weeks ago
Valley Park, Missouri, United States RAYUS Radiology Full timeRAYUS Radiology, formerly Center for Diagnostic Imaging, is looking for an Insurance Specialist to join our team. As an Insurance Specialist, you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with...
-
Valley Park, Missouri, United States RAYUS Radiology Full timeRAYUS Radiology, formerly Center for Diagnostic Imaging and Insight Imaging, is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together As an Insurance Denials Specialist II,...
-
Patient Access Registration Specialist
4 days ago
Woodland Park, United States UC Health Full timeDescription Location: UCHealth PPRH Main Hospital, US:CO:Woodland Park Department: SRSS Patient Access FTE: Part Time, 0.6, 48.00 hours per pay period (2 weeks) Shift: Nights Pay: $19.10 - $24.83 / hour. Pay is dependent on applicant's relevant experience Summary: Receptionist, registration, and clerical duties associated with registering patient for...
-
Insurance Specialist
4 weeks ago
St Louis Park, United States CDI Corporation Full timeRAYUS Radiology, formerly Center for Diagnostic Imaging, is looking for an Insurance Specialist to join our team. As an Insurance Specialist, you will provide expertise in insurance pre-certification and authorization of services by calling insurance companies and patients to verify insurance information. Develops and maintains positive relationships with...
-
Financial Clearance Specialist III
1 month ago
Baldwin Park, United States APN Software Services Inc Full timeJob DescriptionJob DescriptionPosition Overview/Project Details: Under the general direction of a supervisor or manager, responsible for performing pre-registration functions and obtaining authorizations from various insurance carriers. This role requires a high level of independent judgement in order to successfully coordinate and obtain authorization...
-
Patient Access Specialist
4 weeks ago
Brooklyn Park, United States SPR Therapeutics Inc Full timeDescription:The Patient Access Specialist is responsible for various functions in support of patient access to the SPRINT PNS System including but not limited to collaborating with payers, providers, patients, field sales representatives and other functional areas within the company. Through our SPRcare Patient Access Program, the Patient Access Specialist...