Medical Authorization Specialist
1 day ago
We are seeking a highly skilled and detail-oriented Prior Authorization Specialist to join our team at Premier Medical Resources. As a key member of our healthcare management company, you will play a critical role in ensuring the smooth operation of our pre-authorization processes.
Key Responsibilities:- Prioritize and manage incoming authorization requests to ensure timely and accurate processing.
- Verify and oversee the complete procedure authorization/referral process to ensure compliance with medical policies and guidelines.
- Monitor provider network status and notify relevant parties of non-network providers.
- Obtain and follow up on pending authorizations to ensure seamless communication with payers and providers.
- Initiate and assist with appeals for denied authorizations to ensure optimal patient outcomes.
- Effectively maintain and update payer medical policy guidelines to stay current with changing regulations and guidelines.
- High school diploma or equivalent with a minimum of two years of experience in a medical office or facility setting.
- Knowledge of ICD-10 and CPT codes and procedures, as well as medical necessity requirements.
- Excellent communication and organizational skills to effectively manage multiple tasks and priorities.
- Ability to work independently and as part of a team to achieve common goals and objectives.
- Competitive salary and benefits package including medical, dental, and vision plans.
- 401(k) plan with a 2-year vesting period to support long-term financial goals.
- PTO and holiday time off to ensure work-life balance.
Please visit our website for more information on our company culture and benefits package. Compensation will be determined based on education, experience, and internal equity.
-
Medical Authorization Specialist
7 days ago
Houston, Texas, United States Premier Medical Resources Full timeJob SummaryPremier Medical Resources is a leading healthcare management company seeking a highly skilled Medical Authorization Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely pre-certifications, pre-authorizations, and referrals for all services.Key ResponsibilitiesPrioritize...
-
Prior Authorization Specialist
7 days ago
Houston, Texas, United States Team1Medical Full timeJob SummaryWe are seeking a highly skilled Prior Authorization Specialist to join our team at Team1Medical. As a Prior Authorization Specialist, you will play a critical role in ensuring that our patients receive the necessary medical care and services.Key ResponsibilitiesPre-Certification and Prior Authorization: Comply with pre-certification information...
-
Authorization Coordinator
2 weeks ago
Houston, Texas, United States Texas Cardiology Associates Full timeJob DescriptionThe Authorization Specialist plays a crucial role at Texas Cardiology Associates in ensuring timely approvals for medical treatments while maintaining compliance with insurance guidelines and regulations.Key Responsibilities:Coordinate and obtain authorizations and pre-certifications for medical services and procedures.Ensure compliance with...
-
Healthcare Authorization Expert
3 weeks ago
Houston, Texas, United States AIS HealthCare Full timePosition Overview:We are seeking a knowledgeable and detail-oriented professional to join our team as an Intake Specialist. This role is crucial in ensuring that patients receive the necessary support regarding their insurance coverage.Key Responsibilities:Possess comprehensive expertise in determining patient insurance eligibility and benefits across a...
-
Medical Support Specialist
7 days ago
Houston, Texas, United States Village Medical Full timeJob SummaryWe are seeking a highly skilled and compassionate Medical Assistant to join our team at Village Medical. As a Medical Assistant, you will play a vital role in providing exceptional patient care and support to our patients.Key ResponsibilitiesProvide patient support and communication to ensure an exceptional patient experiencePrepare patients,...
-
Medical Support Specialist
2 weeks ago
Houston, Texas, United States Summit Health Full timeAbout the Role:We are seeking a highly skilled and compassionate Medical Support Specialist to join our team at Summit Health. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support.Key Responsibilities:Provide patient support and communication, ensuring a positive and personalized...
-
Medical Support Specialist
6 days ago
Houston, Texas, United States Summit Health Full timeAbout the Role:We are seeking a highly skilled and compassionate Medical Support Specialist to join our team at Summit Health. As a key member of our healthcare team, you will play a vital role in providing exceptional patient care and support.Key Responsibilities:Provide patient support and communication, ensuring a positive and personalized...
-
PRN Physical Rehabilitation Specialist
3 weeks ago
Houston, Texas, United States Nova Medical Centers Full timePosition OverviewPRN Physical Rehabilitation SpecialistLocation: Houston, TXJoin Our Committed Team of Healthcare ProfessionalsAbout Us:Nova Medical Centers is a premier outpatient orthopedic facility, recognized as the largest dedicated occupational medical provider in the country. Our physical therapists employ a sports-medicine methodology, emphasizing...
-
Medical Care Specialist
2 days ago
Houston, Texas, United States ECare Medical Group Full timeJob Summary:Ecare Medical Group is seeking a highly skilled and experienced Medical Care Specialist to join its growing team of healthcare professionals. As a key member of our team, you will be responsible for providing high-quality patient care and support services under the supervision of a physician.Key Responsibilities:Providing medical support and...
-
Medical Accounts Recovery Specialist
1 week ago
Houston, Texas, United States Premier Medical Resources Full timeJob DescriptionPremier Medical Resources is a healthcare management company that specializes in medical billing and revenue cycle management. Our goal is to provide high-quality medical services to our patients while maintaining a strong focus on financial management and compliance.We are seeking a highly skilled Medical Accounts Recovery Specialist to join...
-
Houston, Texas, United States Cardiac Rhythm Specialists, PA Full timeCertified Medical Assistant Position at Cardiac Rhythm Specialists, PACardiac Rhythm Specialists, PA is seeking a dedicated Certified Medical Assistant committed to providing exceptional care to our patients.Key Responsibilities:Coordinating and preparing patients for medical appointmentsRooming patients, measuring vital signs, and collecting health...
-
Medical Accounts Recovery Specialist
1 day ago
Houston, Texas, United States Premier Medical Resources Full timeJob SummaryPremier Medical Resources is a healthcare management company seeking a highly skilled Medical Accounts Recovery Specialist to join our team. As a key member of our Accounts Recovery team, you will be responsible for providing medical collection services for medical professional clinics, ensuring timely and effective resolution of accounts.Key...
-
Plasma Center Nurse
4 days ago
Houston, Texas, United States BioLife Plasma Services Full timeAbout the RoleAs a Medical Support Specialist at BioLife Plasma Services, you will play a vital role in ensuring the safety and well-being of our donors. Your primary responsibility will be to determine donor eligibility, manage donor adverse events, and review laboratory test results. You will also be responsible for notifying donors of unsuitable test...
-
Medical Laboratory Specialist
7 days ago
Houston, Texas, United States HCA Houston Healthcare Northwest Full timeAbout the RoleWe are seeking a highly skilled Medical Laboratory Specialist to join our team at HCA Houston Healthcare Northwest. As a Medical Laboratory Specialist, you will play a critical role in providing accurate and timely laboratory results to support patient care.Key ResponsibilitiesPerform routine, complex, or specialized bacteriological,...
-
Medical Emergency Response Specialist
1 week ago
Houston, Texas, United States Global Medical Response Full timeJob Summary:Global Medical Response is seeking a highly skilled and compassionate EMT Basic Event Medical Specialist to join our team. As a key member of our emergency medical services team, you will be responsible for providing high-quality patient care and transportation services in a fast-paced and dynamic environment.Key Responsibilities:Assess each call...
-
Medical Imaging Specialist
5 days ago
Houston, Texas, United States TotalMed Full timeJob Opportunity at TotalMedWe are seeking a skilled Medical Imaging Specialist to join our team for a travel assignment in a major metropolitan area.About the Role:As a Medical Imaging Specialist, you will be responsible for operating and maintaining complex medical imaging equipment.You will work closely with healthcare professionals to ensure accurate and...
-
Houston, Texas, United States International SOS Government Medical Services Full timeJob SummaryWe are seeking a highly skilled Physician to join our team at International SOS Government Medical Services. As a Medical Risk Management Specialist, you will play a critical role in mitigating and treating injuries and illnesses to ensure proper injury care and disease diagnosis, treatment, and recovery.Key ResponsibilitiesUtilize expertise to...
-
Medical Imaging Sales Specialist
2 weeks ago
Houston, Texas, United States United Imaging North America Full timeJob OverviewAbout United Imaging North AmericaUnited Imaging North America is a prominent innovator in the medical device industry, recognized for its extensive range of cutting-edge medical solutions, digital health technologies, and intelligent imaging systems. Our commitment to excellence drives us to enhance our sales and support framework, ensuring the...
-
Medical Accounts Recovery Specialist
7 days ago
Houston, Texas, United States Premier Medical Resources Full timeJob DescriptionPremier Medical Resources is a leading healthcare management company dedicated to delivering exceptional medical services. Our mission is to leverage the expertise of our employees to drive quality and excellence in all aspects of our operations.We are seeking a highly skilled Medical Accounts Recovery Specialist to join our team. As a key...
-
Medication Management Specialist
2 weeks ago
Houston, Texas, United States PRIDE Healthcare Full timeJob OverviewPride Health is seeking a Pharmacy Technician to assist in our client's healthcare facility. This role offers a unique opportunity to engage with a prestigious healthcare organization.Key Responsibilities:Respond to prior authorization inquiries and resolve formulary and benefit concerns using appropriate resources.Accurately process member...