Authorization & Referrals Specialist I #Full Time
4 weeks ago
Job Summary:The Authorization-Referrals Specialist I is responsible for verifying insurance policy benefit information, and securing payer required referrals and authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient's visit, scheduled admission, or immediately following hospital admission. Prior authorizations may include, but are not limited to surgical procedures, outpatient treatments, medications and diagnostic testing (i.e. ultrasounds, labs, radiology, IV therapy, referrals)Job Responsibilities: Verify insurance coverage via system tools and payer portals and update changes in the billing system. Confirm provider's participation status with patient's insurance plan/network. Determine payer referral and authorization requirements for professional services. Secure payer required referral for planned services. Document referral in practice management system. Initiate authorization and submits clinical documentation. Obtain final approval on pre-certifications. Manage faxes, emails, and phone calls. Communicate with surgical coordinators regarding authorizations status or denials. Submit appeals in the event of denial of prior authorizations or denial of payment following procedures. Set up peer to peer calls with clinical providers and insurance companies. Calculate and document patient out of pocket estimates and provide to patient. Performs other job duties as assigned.Job Qualifications: High school graduate or GED certificate is required. A minimum of 6 months experience in a physician's billing or third payer environment. Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations. Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. Must demonstrate effective communication skills both verbally and written. Ability to multi-task, prioritize, document, and manage time effectively. Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) Functional proficiency and comprehension of medical terminology. Ability to work independently and collaborate in teams. The ideal candidate is a motivated individual with a positive attitude and exceptional work ethic. Experience in Epic and or other of electronic billing systems is preferred. Knowledge of medical terminology, diagnosis and procedure coding is preferred. Previous experience in an academic healthcare setting is preferred.Hourly Rate Ranges: $21.63 - $26.44Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education.61st Street Service CorporationAt 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle.We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.
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Insurance Authorization Specialist I
1 week ago
Fort Lee, New Jersey, United States 61st Street Service Corp Full timePosition Overview:The Authorization and Referrals Specialist I plays a crucial role in confirming insurance policy benefits and obtaining necessary referrals and authorizations from payers. This role is essential for ensuring that pre-authorizations for various professional services are completed accurately and promptly before patient visits, scheduled...
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Insurance Authorization Specialist I
2 weeks ago
Fort Lee, New Jersey, United States 61st Street Service Corp Full timePosition Overview:The Authorization and Referrals Specialist I plays a crucial role in confirming insurance policy benefits and obtaining necessary referrals and authorizations from payers. This role is essential for ensuring that pre-authorizations for various professional services are secured in a timely manner before patient visits, scheduled admissions,...
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Insurance Authorization Specialist I
1 week ago
Fort Lee, New Jersey, United States 61st Street Service Corp Full timePosition Overview:The Authorization & Referrals Specialist I plays a crucial role in validating insurance policy benefits and obtaining necessary referrals and authorizations from payers. This role is essential for ensuring that pre-authorizations for medical services are secured accurately and promptly before patient appointments, scheduled admissions, or...
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Customer Service Specialist I #Full Time
3 weeks ago
Fort Lee, United States 61st Street Service Corp Full timeCustomer Service Specialist I #Full Time Job ID: 61155 Job Type: Full Time Category: Call Center Posted: 2024-08-12 Location: Fort Lee, NJ | United States Job Description: Customer Service Specialist I #Full Time from the Company 61st Street Service Corp . This job opening is available for job seekers who have a Bachelor Degree in the Call Center field. Job...
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Insurance Referral Authorization Coordinator
7 days ago
North Fort Myers, United States Millennium Physician Group Full timeJob DescriptionJob DescriptionINSURANCE REFERRAL AUTHORIZATION COORDINATORFULL TIME (MONDAY-FRIDAY 8AM-5PM)15201 N CLEVELAND AVE, NORTH FORT MYERSMillennium Physician Group seeks to hire a full-time / Insurance Referral/Authorization Coordinator to join our Referral and Authorization team. We are looking for a new team member who is positive, energetic and...
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Insurance Referral Authorization Coordinator
3 months ago
North Fort Myers, United States Millennium Physician Group Full timeJob DescriptionJob DescriptionINSURANCE REFERRAL AUTHORIZATION COORDINATORFULL TIME (MONDAY-FRIDAY 8AM-5PM)15201 N CLEVELAND AVE, NORTH FORT MYERSMillennium Physician Group seeks to hire a full-time / Insurance Referral/Authorization Coordinator to join our Referral and Authorization team. We are looking for a new team member who is positive, energetic and...
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Customer Service Specialist I #Full Time
2 weeks ago
Fort Lee, United States 61st Street Service Corp Full timeJob Summary: The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers and or physician offices. Responsibilities will include collections of outstanding patient balances, establishing payment arrangements, updating patient and guarantor account with new demographic and insurance...
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Customer Service Specialist I #Full TIme
3 days ago
Fort Lee, United States 61st Street Service Corp Full timeOpportunity to grow as part of a Revenue Cycle Career Ladder!Job Summary: The Customer Service Specialist I is responsible for handling and resolving incoming phone calls from patients, insurance carriers and or physician offices. Responsibilities will include collections of outstanding patient balances, establishing payment arrangements, updating patient...
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Customer Service Specialist II #Full Time
2 months ago
Fort Lee, United States 61st Street Service Corp Full time** 61st Street Service Corporation** ** Customer Service Specialist II #Full Time** Fort Lee, NJ 07024 **The 61st Street Service Corporation** At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive...
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Specialist in Medical Referrals
1 week ago
Fort Walton Beach, Florida, United States Orthopaedic Associates, P.A. Full timeReferral Specialist Role at Orthopaedic Associates, P.A.Key Responsibilities:Facilitate patient clearance for visits to specialized service offices.Address issues related to registration, pre-authorization, and case management.Assist clinical personnel in handling the administrative aspects of referrals.Collect pertinent information from financial advisors...
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Patient Care Coordinator
2 months ago
Fort Lauderdale, United States Trinity Health Full timeEmployment Type:Full timeShift:Day ShiftDescription:Position Summary:Patient Care Coordinator-Authorizations, Full time weekday positions with Holy Cross Medical Group in Ft Lauderdale, FloridaPosition Purpose:Patient Care Coordinator- Authorization Agent has many roles in their position. They work closely with insurance companies and specialists to process...
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Medical Referrals Specialist
3 months ago
Fort Walton Beach, United States Orthopaedic Associates (Fort Walton Beach) Full timeJob DescriptionJob Description Referral specialists are responsible for ensuring patients are already cleared for specialty service office visits. They resolve registration, pre-certification, and case-related affairs before the client's appointment. Also, they give support to clinical staff to manage the administrative components of clinical referrals...
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Medical Referrals Specialist
3 months ago
Fort Walton Beach, United States Orthopaedic Associates (Fort Walton Beach) Full timeJob DescriptionJob Description Referral specialists are responsible for ensuring patients are already cleared for specialty service office visits. They resolve registration, pre-certification, and case-related affairs before the client's appointment. Also, they give support to clinical staff to manage the administrative components of clinical referrals...
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Patient Care Coordinator
2 months ago
Fort Lauderdale, United States Trinity Health Full timeEmployment Type: Full timeShift: Day Shift Description: Position Summary: Patient Care Coordinator-Authorizations, Full time weekday positions with Holy Cross Medical Group in Ft Lauderdale, Florida Position Purpose: Patient Care Coordinator- Authorization Agent has many roles in their position. They work closely with insurance companies and specialists to...
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Prior Authorization
2 days ago
Fort Lauderdale, United States Polaris Pharmacy Services Full timeJob DetailsJob Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Shift Day Job Category Pharmaceutical DescriptionPRIOR AUTHORIZATION SPECIALISTWHO WE ARE Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care settings. Founded in 2015, we are locally and...
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Customer Service Specialist I #Full Time
3 months ago
Fort Gregg-Adams, United States 61st Street Service Corp Full time** 61st Street Service Corporation** ** Customer Service Specialist I #Full Time** Fort Lee, NJ 07024 **The 61st Street Service Corporation** At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive...
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Referral Coordinator
2 weeks ago
Fort Lauderdale, United States ChenMed Full timeJob DescriptionWe’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and...
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Patient Access Coordinator I
2 weeks ago
Fort Lee, New Jersey, United States 61st Street Service Corp Full timeCareer Opportunities with 61st Street Service CorpCurrent job opportunities are posted here as they become available.Position: Patient Access Coordinator I - HYBRID - DERMATOLOGYFull TimeThe Patient Access Coordinator I plays a vital role in the Columbia West Campus network, which is part of a comprehensive access center that manages a significant volume of...
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Highway Maintenance Technician I
2 months ago
Fort Lee, United States Versar, Inc. Full timeJob DescriptionJob DescriptionWho We Are:Headquartered in Washington, DC, Versar Global Solutions provides full mission lifecycle solutions for challenges faced by our government and commercial Customers in the natural, built, and digital environments. With nearly 2,000 team members around the world, and a rich legacy spanning more than 70 years, Versar...
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Highway Maintenance Technician I
1 month ago
Fort Lee, United States Versar, Inc. Full timeJob DescriptionJob DescriptionWho We Are:Headquartered in Washington, DC, Versar Global Solutions provides full mission lifecycle solutions for challenges faced by our government and commercial Customers in the natural, built, and digital environments. With nearly 2,000 team members around the world, and a rich legacy spanning more than 70 years, Versar...