Referral & Prior Authorization Specialist

Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement for services and testing provided throughout Saratoga Hospital Medical Group (SHMG). Demonstrates excellent communication, strong customer service, critical thinking, and problem solving skills. Completes all...

**Summary of Position**: **Primary Job Responsibilities**: Processes all referrals and authorizations received. Completes prior authorizations and referrals as required for services and testing. Collaborates with clinical team members, physician offices and agencies to ensure than an accurate and timely referral/authorization is processed and documented in...

The Clinical Prior Authorization Specialist - LPN is responsible for obtaining authorizations to ensure reimbursement for services and testing provided throughout the organization. Accurately manages the authorization process. Able to secure authorization and necessary documentation to ensure patient care is not impacted and meets time-sensitive requests. Is...

Do you want to work for a fortune 500 company and be a part of a new area of growth? We need Pharmacy Prior Authorization Specialists that are looking for a new and exciting opportunity! The Pharmacy Prior Authorization Specialists responsibilities include: Pharmacy Prior Authorization experience Pharmacy claims experience Customer Service experience Patient...

Job DescriptionJob DescriptionPosition Summary:Works with surgery scheduling, front office staff, radiology scheduling and billing to ensure that insurance referrals are in place and current with appropriate visits available. Contacts insurance carriers for pre-authorizations of procedures and medications and ensures that required approvals are obtained...

Job Functions, Duties, Responsibilities and Position Qualifications:Position Summary: Responsible for reviewing accessions for tests requiring prior authorization from the insurance company, coordinating with clients and insurance carriers to obtain prior authorizations as needed per coverage.  Provides accurate and timely information to supporting CPL...

Job Details Description Envision Radiology is looking for a Remote Full Time Prior Authorization Representative to join our team Open to AL, AZ, CO, FL, ID, LA, MO, NE, NC, OK, TX, UT, VA, WA & WI Markets. Schedule will be 8 hour shifts Monday - Friday 7:00AM - 6:00PM | Position Pay Range $ $21.05 Targeted start date for this position is June 17th,...

Description Title: Pharmacy Prior Authorization Specialist Location: Hybrid; 376 Northlake Blvd., Altamonte Springs, FL 32701 Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated...

Job Details Description Envision Radiology is looking for a Remote Full Time Prior Authorization Representative to join our team! Open to AL, AZ, CO, FL, ID, LA, MO, NE, NC, OK, TX, UT, VA, WA & WI Markets Schedule will be 8 hour shifts Monday - Friday 7:00AM - 6:00PM | Position Pay Range $17.50 - $21.05 Targeted start date is July 15th, 2024...

Our client is a busy Medical office located in Tarpon Springs. They are seeking a temporary Referral Specialist to join their team. The main job is to strictly process and obtain referrals for patients. You will also be responsible for calling patients, insurance providers, and physicians to obtain referrals. You must have knowledge of medical insurances and...

Our client is a busy Medical office located in Tarpon Springs. They are seeking a temporary Referral Specialist to join their team. The main job is to strictly process and obtain referrals for patients. You will also be responsible for calling patients, insurance providers, and physicians to obtain referrals. You must have knowledge of medical insurances and...

Job DescriptionJob DescriptionHuman Touch Home Care is looking for a qualified Authorization Specialist to join our team. As a home healthcare Authorization Specialist, you will play a crucial role in ensuring the seamless authorization and approval process for home healthcare services. You will be responsible for obtaining authorizations from insurance...

Job DescriptionJob DescriptionHuman Touch Home Care is looking for a qualified Authorization Specialist to join our team. As a home healthcare Authorization Specialist, you will play a crucial role in ensuring the seamless authorization and approval process for home healthcare services. You will be responsible for obtaining authorizations from insurance...

Description Position at Fingerpaint Marketing Title: Submissions Specialist Level: 30 Department: Creative Production Services Specialty: Regulatory Submissions Description The Submissions Specialist is responsible for ensuring consistent and accurate regulatory submissions for Fingerpaint Marketing clients. The specialist is immersed in the weekly...

Maintain accurate logs on referrals, submit referrals in a timely fashion, ensure that referrals are completed correctly with necessary EMR chart information to support requests. Follow up with referring provider on status of referrals as necessary. - Properly distinguishes between HMO, PPO/EPO and Private Patients. - Process all referrals and proactively...

This is position is essential to the success of our retail stores. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Customer Service Specialists are also expected to promptly resolve any customer concerns and...

Come join NRP’s A+ team! We’ve been recognized as a “Top Workplace” because we promote a culture where our team can build long-term careers and connections. As we grow as a company, our goal is that you will grow in your career. NRP has been recognized with several industry awards including Top Workplaces; Best and Brightest Companies to Work For;...

Summary of Position: This job description provides information essential to understanding the scope of the position and is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with the position. # The Pre-Service Specialist I (PSS) is responsible for answering scheduling phone calls and...

Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...

Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and recommend the right solutions. Store associates Customer Service Specialists are also expected to promptly resolve any customer concerns and ensure maximum client satisfaction as well as stay...