Pre-Authorization Specialist

3 weeks ago


Woodland Park, United States Coda Staffing Full time
Job DescriptionJob 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 responsibility
  • Calling 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.


  • St Louis Park, United States Park Nicollet Health Services Full time

    Park 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...


  • Woodland Hills, California, United States Randstad USA Full time

    A trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist. This is a remote opportunity, but MUST be located near Woodland Hills, CA or Sacramento, CA to come in for occassional team meetings. Schedule is Tuesday - Saturday 8 a.m. - 5 p.m. possible overtime. If interested, apply with an updated resume.salary: $ $23...


  • Woodland Hills, United States Randstad Full time

    A trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist. This is a remote opportunity, but MUST be located near Woodland Hills, CA or Sacramento, CA to come in for occassional team meetings. Schedule is Tuesday - Saturday 8 a.m. - 5 p.m. possible overtime. If interested, apply with an updated resume. salary: $22.99...


  • Woodland Hills, United States Prism Behavioral Solutions Full time

    PBS 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...


  • Woodland Hills, United States Prism Behavioral Solutions Full time

    PBS 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...


  • Tinley Park, United States Primus Ortho Full time

    Job 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...


  • Tinley Park, United States Primus Ortho Full time

    Job 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...


  • Overland Park, Kansas, United States Randstad USA Full time

    Do 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?...


  • Overland Park, Kansas, United States Randstad USA Full time

    Do 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

    2 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...

  • Prior Authorization

    3 days 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...

  • Referral Specialist

    2 weeks ago


    Woodland Hills, United States Elevance Health Full time

    Job 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

    3 weeks ago


    Valley Park, Missouri, United States RAYUS Radiology Full time

    RAYUS 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 time

    RAYUS 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 time

    RAYUS 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,...


  • St Louis Park, United States CDI Corporation Full time

    RAYUS 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...


  • Baldwin Park, United States APN Software Services Inc Full time

    Job 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...


  • Baldwin Park, United States APN Software Services Inc Full time

    Job 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...


  • Brooklyn Park, United States SPR Therapeutics Inc Full time

    Description: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...


  • Brooklyn Park, United States SPR Therapeutics Inc Full time

    Description: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...