Current jobs related to Hospital Authorization Specialist - Wilmington - Nemours

  • Authorization Specialist

    2 weeks ago

    Wilmington, North Carolina, United States EmergeOrtho Full time

    About the RoleEmergeOrtho is a leading provider of innovative, quality-focused comprehensive musculoskeletal care. We are seeking a highly skilled Authorization Specialist to join our team.Key ResponsibilitiesProcure effective surgical authorization information for patient surgical services from insurance carriers.Utilize online services from insurance...

  • Authorizations Specialist

    3 months ago

    Wilmington, United States EmergeOrtho Full time

    DescriptionDescription EmergeOrtho is committed to being the trusted leader in innovative, quality-focused comprehensive musculoskeletal care. With offices across North Carolina,the Authorizations Specialist is responsible for procuring effective surgical authorization information for patient surgical services from appropriate insurance carriers....

  • Authorization Coordinator

    5 days ago

    Wilmington, North Carolina, United States EmergeOrtho Full time

    EmergeOrtho is a leader in innovative, quality-focused comprehensive musculoskeletal care. We are seeking a highly skilled Authorization Specialist to join our team. The successful candidate will be responsible for procuring effective surgical authorization information for patient surgical services from insurance carriers. Key responsibilities include making...

  • Surgical Authorization Coordinator

    3 weeks ago

    Wilmington, North Carolina, United States EmergeOrtho Full time

    Position Overview EmergeOrtho is dedicated to being the reliable leader in innovative, quality-focused comprehensive musculoskeletal care. The Surgical Authorization Coordinator plays a crucial role in securing necessary surgical authorization details for patient surgical services from relevant insurance providers. Key QualificationsEducational Background:...

  • Cyber Security Specialist

    2 weeks ago

    Wilmington, Delaware, United States Delaware River and Bay Authority Full time

    Job DescriptionJob Summary:The Delaware River and Bay Authority is seeking a highly skilled Cyber Security Specialist to join our team. As a Cyber Security Specialist, you will be responsible for identifying and mitigating potential security threats to our systems and data.Key Responsibilities:Safeguarding Information Systems: Identify and solve potential...

  • Accounting Specialist for Hospitality

    3 weeks ago

    Wilmington, North Carolina, United States CROWN HOTEL & TRAVEL MANAGEMENT LLC Full time

    Job OverviewPosition: Accounting SpecialistEmbark on a rewarding career in the hospitality sector with Crown Hotel & Travel Management, LLC. We provide a variety of career paths in hotel management, guest relations, and essential operational roles within the hospitality industry.Employee BenefitsComprehensive Insurance Plans (Medical, Dental, and...

  • Accounting Specialist for Hospitality Management

    3 weeks ago

    Wilmington, North Carolina, United States CROWN HOTEL & TRAVEL MANAGEMENT LLC Full time

    Job OverviewPosition: Accounting SpecialistEmbark on a rewarding career in the hospitality sector with Crown Hotel & Travel Management, LLC. We provide a diverse range of opportunities for professional development and advancement within the hospitality industry.Employee BenefitsComprehensive Insurance Plans (Medical, Dental, and Vision)Supplemental Insurance...

  • Animal Care Specialist

    3 weeks ago

    Wilmington, Delaware, United States Wilmington Hospital Full time

    About Us:Are you dedicated to delivering exceptional patient care and outstanding client service? If this resonates with you, we invite you to explore an opportunity with Wilmington Animal Hospital. We are seeking a skilled animal care specialist to join our team of dedicated professionals committed to providing top-notch veterinary services.At Wilmington...

  • Event Hospitality Staff

    3 weeks ago

    Wilmington, North Carolina, United States 100 Ocean Full time

    Event Service Specialist | 100 Ocean | $500 IncentiveJob Category: Food & Beverage Requisition Number: BANQU009243Position OverviewABOUT 100 OCEAN100 Ocean is a premier destination that combines luxury with a relaxed atmosphere. Recognized for excellence in hospitality, we are committed to providing an exceptional experience for our guests. Our establishment...

  • Nurse Navigator

    18 hours ago

    Wilmington, Delaware, United States Nemours Foundation Full time

    Nurse Navigator - Hematology Oncology SpecialistNemours Foundation is seeking a skilled RN to fill the role of Nurse Navigator - Hematology Oncology Specialist in Wilmington, DE.Job SummaryThis position is responsible for coordinating high-quality care for individuals seeking outpatient services at the Lisa Dean Moseley Foundation Institute for Cancer and...

  • Operating Room Specialist

    3 weeks ago

    Wilmington, North Carolina, United States Carthage Area Hospital Full time

    Position OverviewThe Operating Room Specialist plays a critical role in ensuring the smooth operation of surgical procedures. This position requires a dedicated professional who is committed to providing exceptional support in the operating room environment.Key QualificationsCertification as an Operating Room TechnicianCurrent Basic Cardiac Life Support...

  • Hospitality Specialist

    1 week ago

    Wilmington, Delaware, United States Big Fish Grill Wilmington, DE Full time

    Job SummaryThe Bartender is a key member of our team at Big Fish Grill Wilmington, DE, responsible for delivering exceptional customer service and ensuring a seamless dining experience for our guests.Key ResponsibilitiesDrink Preparation and Service: Prepare and serve a wide range of beverages to guests, adhering to company standards and guidelines.Bar...

  • Nurse Practitioner

    1 day ago

    Wilmington, Delaware, United States Christiana Care Health System Full time

    Virtual Nursing Care SpecialistChristianaCare Hospital Care at Home Program is seeking a skilled Virtual Nursing Care Specialist to join our team. As a Virtual Nursing Care Specialist, you will play a critical role in providing high-quality, patient-centered care to patients in the comfort of their own homes.Our Hospital Care at Home Program enables patients...

  • CT Imaging Specialist

    3 weeks ago

    Wilmington, North Carolina, United States New Hanover Regional Medical Center Full time

    CT Imaging Specialist Job OverviewPosition Summary:New Hanover Regional Medical Center is a distinguished healthcare provider seeking a CT Imaging Specialist to become part of our dedicated team. In this role, you will perform CT scans, X-ray imaging, and bone density assessments to assist in the diagnosis of various medical conditions. This position offers...

  • Surgical Instrument Processing Specialist

    3 weeks ago

    Wilmington, Delaware, United States Clinton Memorial Hospital Full time

    Job Title: Surgical Instrument Processing SpecialistCompany: Clinton Memorial HospitalPosition OverviewUnder the guidance of the Sterile Processing Department (SPD) Supervisor, this position encompasses a variety of responsibilities within the Surgical Services Department. Key duties include receiving, decontaminating, inspecting, assembling, and sterilizing...

  • Surgical Instrument Processing Specialist

    3 weeks ago

    Wilmington, Delaware, United States Clinton Memorial Hospital Full time

    Job Title: Surgical Instrument Processing SpecialistCompany: Clinton Memorial HospitalPosition OverviewUnder the guidance of the Sterile Processing Department (SPD) Supervisor, this position encompasses a variety of responsibilities within the Surgical Services Department. Key duties include receiving, decontaminating, inspecting, assembling, and sterilizing...

  • Surgical Instrument Processing Specialist

    3 weeks ago

    Wilmington, Delaware, United States Clinton Memorial Hospital Full time

    Job Title: Surgical Instrument Processing SpecialistCompany: Clinton Memorial HospitalPosition OverviewUnder the guidance of the Sterile Processing Department (SPD) Supervisor, this position encompasses a variety of responsibilities within the Surgical Services Department. Key duties include receiving, decontaminating, inspecting, assembling, and sterilizing...

  • Surgical Instrument Processing Specialist

    3 weeks ago

    Wilmington, Delaware, United States Clinton Memorial Hospital Full time

    Job Title: Surgical Instrument Processing SpecialistCompany: Clinton Memorial HospitalOverviewUnder the guidance of the Sterile Processing Department (SPD) Supervisor, this position encompasses a variety of responsibilities within the Surgical Services Department. Key duties include receiving, decontaminating, inspecting, assembling, and sterilizing surgical...

  • Surgical Instrument Processing Specialist

    3 weeks ago

    Wilmington, Delaware, United States Clinton Memorial Hospital Full time

    Job Title: Surgical Instrument Processing SpecialistCompany: Clinton Memorial HospitalPosition OverviewUnder the guidance of the Sterile Processing Department (SPD) Supervisor, this position encompasses a variety of responsibilities within the Surgical Services Department. Key duties include receiving, decontaminating, inspecting, assembling, and sterilizing...

  • Diagnostic Imaging Specialist

    1 week ago

    Wilmington, Delaware, United States ChristianaCare Full time

    Job Summary:ChristianaCare is seeking a skilled and dedicated Diagnostic Imaging Specialist to join our team at the Newark Hospital Imaging Department. As a key member of our imaging team, you will be responsible for performing all phases of CT scan testing, working closely with radiologists and other healthcare professionals to provide exceptional patient...

Hospital Authorization Specialist

4 months ago

Wilmington, United States Nemours Full time

**Nemours is seeking a Remote Hospital Authorization Specialist to join our team.**
**Monday through Friday 8:30am-5:00pm. Must be within 1 hour driving distance from Hosptial in Wilmington, DE.**

**Essential Functions:
- Ensure request for authorization is timely and handled in accordance with departmental policy and payer requirements.
- Accurately verify patient demographics, insurance eligibility, benefits, and financial responsibility.
- Ability of request and obtain preauthorization for assigned specialties and be able to cover for other specialties including workqueues, preadmissions, estimates, etc.
- Build and maintain professional, cooperative relationships with all departments that have direct or indirect impact on obtaining authorizations.
- Contact families in person or by phone contact to obtain necessary information and assist them with insurance issues and/or handle direct PA and DE Medicaid newborn enrollment.
- Prepare estimates for scheduled services. Must interpret patient's benefits correctly for accurate estimates.
- Clearly document all communications and contacts with payers, physicians, and families in standardized documentation requirements including proper format. Communicate effectively, timely and professionally in writing and verbally.
- Consistently demonstrates excellent, empathetic, and knowledgeable customer service skills to internal and external customers
- Collaborates with Financial Services for newborn enrollment, Medicaid enrollment/re-enrollment, self-pay referrals, estimates and Nemours funding.
- Follow all newly implemented workflows including those developed by Continuous Improvement projects. Participation in CI projects may be required as Supervisor/Manager determines.

**Additional Requirements**:

- Authorization experience required.
- High School Diploma required. Specialized (1 year of training beyond high school)
- Minimum 6 months of experience required.