Prior Authorization

Prior Authorization Specialist Job DescriptionMedix is seeking a skilled Prior Authorization Specialist to support our team in Boise. As a Prior Authorization Specialist, you will play a critical role in ensuring seamless patient care by facilitating prior authorization requests.Key Responsibilities:Initiate new prior authorization requests for patients and...

Job Title: Prior Authorization SpecialistWe are seeking a highly skilled Prior Authorization Specialist to join our Clinical Services Team at Neuroscience Group of Northeast Wisconsin S.C.Key Responsibilities:Collect and verify patient insurance information to ensure accurate pre-authorizationReview clinical documentation to determine medical necessity for...

Prior Authorization Representative Role Summary:The Prior Authorization Representative at Southwest General reviews patient accounts to determine the need for authorization for services. They collaborate with insurance companies and physician offices to obtain authorization for outpatient services at the Health Center.Key Responsibilities:Review patient...

A company is looking for a Prior Authorization Specialist to manage authorization requests for outpatient diagnostic and surgical services. Key Responsibilities Determine authorization requirements and escalate cases as needed Submit authorization requests and gather clinical data for insurance companies Follow up with physician offices and patients...

A company is looking for a Prior Authorization Technician Supervisor to lead a team of prior authorization technicians. Key Responsibilities: Manage, coach, and mentor a team of prior authorization technicians Ensure adherence to turnaround times and high-quality reviews Identify operational process improvements and drive team performance through...

A company is looking for a Prior Authorizations & Appeals Coordinator to perform non-clinical activities and ensure compliance with healthcare regulations. Key Responsibilities Review and maintain compliance with ERISA, CMS, Medicaid, and client-specific requirements Perform non-clinical activities and functions under the supervision of the Clinical...

Job Title: Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor: Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...

*Job Title: Centralized Medication Prior Authorization (PA) Specialist**Must have experience doing prior authorizations**Certified Medical Assistant or Pharmacy Technician experience preferred**Supervisor:*Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...

Company Overview:Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products – BlinkRx and Quick Save – remove traditional roadblocks within the current prescription supply chain, resulting in better access to critical medications and...

Job SummaryWe are seeking a highly skilled Authorization Specialist to join our team at Sports Medicine Associates of San Antonio. As an Authorization Specialist, you will play a critical role in ensuring seamless patient care by managing prior authorizations, verifying insurance benefits, and communicating with payers.Key ResponsibilitiesInterpret and...

Job Title: Authorization SpecialistThe Authorization Specialist plays a crucial role in ensuring the smooth operation of our medical office. This position is responsible for obtaining prior authorizations for all procedural orders by successfully completing the authorization process with all commercial, insurance-managed Medicare Advantage plans and other...

Representative II- Medicare Prior Authorizations (Call Center) Mandatory Video Training 6-8 week: M-F 8:00-4:30 CST, Post Training: Schedule fall within M-F 7:00A-6:00P CSTJob Summary Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing. Ability to work...

Representative II- Medicare Prior Authorizations (Call Center) Mandatory Video Training 6-8 week: M-F 8:00-4:30 CST, Post Training: Schedule fall within M-F 7:00A-6:00P CSTJob Summary Solid knowledge of prescription drug reimbursement, including insurance plan types, PBM and major medical benefits, prior authorizations and appeals processing. Ability to work...

Medical Insurance Authorization SpecialistOlympic Sports & Spine (OSS) is looking for a full-time, experienced medical insurance benefits Authorization Specialist for our growing, fast-paced medical billing office.Olympic Sports & Spine (OSS) is known for its fun and energetic work environment and for valuing its employees. We offer a comprehensive benefits...

Your Role The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and review clinical information provided by the...

Your Role The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and review clinical information provided by the...

Your Role The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and review clinical information provided by the...

Your Role The Utilization Management team reviews the inpatient stays for our members under the guidelines for nationally recognized levels of care. The Utilization Management Nurse, Senior will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and review clinical information provided by the...

Authorization Coordinator Job DescriptionThe Authorization Coordinator position is responsible for ensuring seamless patient care by verifying patient eligibility, coordinating benefits, and determining insurance coverage. This role requires strong communication and organizational skills to facilitate responses to patient and provider inquiries regarding...

Overview: At St. Lukes, our dedicated team of Patient Access Specialists strive to build a positive, supportive, and inclusive culture that delivers exceptional patient experiences. Schedule: Monday-Friday 8:30am-5pm MT What you can expect from this role: This non-patient facing position supports financial health by validating insurance and benefits ...