Authorization Specialist
4 weeks ago
Purpose: The Authorization Specialist’s main function is to secure funding approvals for our customers whether it be from private insurances, State funding, Medicare, or any other type of funding source. This position serves as the liaison between many other teams and provides excellent customer service to employees as well as customers using their knowledge of how insurance verifications, medical policies, and insurance requirements/guidelines work. The Authorization Specialist is also responsible for maintaining accurate records of policies and insurances for employees to view and reference as needed.
Essential Duties & Responsibilities:
Initiates prior authorizations, pre-determinations, and out-of-network gap exceptions.
Initiates and follows through with authorization appeals.
Follows up on all authorization requests in a timely manner and reports on progress to internal teams.
Applies to and follows up on applications for funding through Government programs.
Negotiates and obtains agreements with insurance companies for individual cases when necessary.
Communicates internally and externally regarding authorizations, appeals, and exceptions.
Assists in eligibility and benefits inquiries when necessary.
Determines the authorization requirements of each health plan and keeps detailed records of the medical policies and requirements.
Maintains accurate and complete documentation of all inquiries.
Proactively communicates with team members regarding identified potential issues and concerns.
Tracks patterns and trends of authorization issues from payers to eliminate future delays in authorization processing.
Exhibits strong problem-solving skills through both verbal and written communications.
Assists reimbursement team in authorization related corrections on rejected or denied claims.
Answers in-bound calls and assists customers.
Exercises the above with discretion and independent judgement.
Performs other duties and works on special projects related to authorization.
-
Authorization Specialist
2 weeks ago
Princeton, United States Lingraphica Full timeJob DescriptionJob DescriptionCompany DescriptionLingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to...
-
Authorization Specialist
2 weeks ago
Princeton, United States Lingraphica Full timeCompany Description Lingraphica is a mission-driven organization who provides speech-generating devices to help improve communication, speech, and quality of life for people with communication impairments. We look for candidates who enjoy working in a fast-paced, goal-oriented environment, and who share our commitment to helping individuals on their...
-
Authorization Specialist
7 hours ago
Lakewood, New Jersey, United States At Home Therapies Full timeOverview: EXCLUSIVE NEW JOB OPPORTUNITY!! Highly competitive rates and benefits package! About Us: At Home is hiring! We are looking for a passionate full-time Authorization Specialist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us. With...
-
Authorization Specialist
2 weeks ago
New York, United States ABConsulting BK NYC LLC Full timeJob DescriptionJob Description9:00 AM - 5:00 PM- In house Job Description:We are seeking a dedicated and detail-oriented Authorization Specialist to join our team in Brooklyn, New York. The ideal candidate will have a minimum of one year of experience in a similar role within the home care industry. As an Authorization Specialist, you will play a crucial...
-
Authorizations Specialist
3 days ago
New York, United States True Care Full timeJob DescriptionJob DescriptionSalary: $23 per hour Company Overview: Empowering Health, Enriching Lives: True Care’s Enduring MissionAt True Care, we stand as a beacon of compassion and excellence in home healthcare. With a profound commitment to enhancing the quality of life for individuals and families, our mission is to provide holistic, personalized...
-
Authorization Specialist
3 weeks ago
Camden, New Jersey, United States Cooper University Hospital Full timeAbout Us: At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing...
-
Authorization Specialist
2 weeks ago
Camden, New Jersey, United States Cooper University Hospital Full timeAbout Us: At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees by providing...
-
Eligibility and Authorization Specialist
5 days ago
New York, United States Randstad North America, Inc. Full timeAre you passionate about making a difference in people's lives? Are you someone who believes that everyone has the right to live their life to the fullest? If so, we have an opportunity for you. We are currently seeking a dedicated individual to join Specialist, Authorization, Technology, Staffing
-
Pre-Authorization Specialist
2 weeks ago
New Hyde Park, United States Onet-Systems Full timeJob DescriptionJob DescriptionONET Systems, LLC is a leading Revenue Cycle Management organization dedicated to providing exceptional service to our clients. We are committed to delivering high-quality services and innovative solutions to our provider and facility practices. As we continue to expand our operations, we are seeking a talented and experienced...
-
Pre-Authorization Specialist
3 weeks ago
New Hyde Park, United States Onet-Systems Full timeONET Systems, LLC is a leading Revenue Cycle Management organization dedicated to providing exceptional service to our clients. We are committed to delivering high-quality services and innovative solutions to our provider and facility practices. As we continue to expand our operations, we are seeking a talented and experienced Pre-Authorization Specialist to...
-
Intake Screener and Authorization Specialist
3 weeks ago
New Rochelle, United States Northeast Family Services Full timeJob Description Job Description This is a hybrid position. Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for...
-
Intake Screener and Authorization Specialist
3 weeks ago
New York, United States Northeast Family Services Full timeJob DescriptionJob DescriptionThis is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast...
-
Intake Screener and Authorization Specialist
4 weeks ago
New York, United States Northeast Family Services Full timeJob DescriptionJob DescriptionThis is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast...
-
Intake Screener and Authorization Specialist
3 weeks ago
New Rochelle, United States Northeast Family Services Full timeJob DescriptionJob DescriptionThis is a hybrid position.Northeast Family Services is seeking an experienced masters-level professional to join our growing New York team as a Bilingual Intake Screener and Authorization Specialist! The Bilingual Intake Specialist (English / Spanish) manages all aspects of the registration and admissions process for Northeast...
-
GPV Submission Specialist
4 weeks ago
Princeton, United States GForce Life Sciences Full timeConsultant, GPV Case Management Product Specialist, Pharmaceuticals SummaryOur growing, mid-sized pharmaceutical client has engaged GForce Life Sciences to provide a GPV Submission Specialist responsible for managing daily operational activities of the Global Submissions Team within Case processing. This candidate will collaborate with Regulatory...
-
GPV Submission Specialist
4 weeks ago
Princeton, United States GForce Life Sciences Full timeConsultant, GPV Case Management Product Specialist, Pharmaceuticals SummaryOur growing, mid-sized pharmaceutical client has engaged GForce Life Sciences to provide a GPV Submission Specialist responsible for managing daily operational activities of the Global Submissions Team within Case processing. This candidate will collaborate with Regulatory...
-
Surgical Authorization Specialist
5 days ago
New York, United States Medix Full timeEmbark on an Exciting Journey as an Insurance Coordinator!Introduction: Are you ready to elevate your career in the healthcare industry? Look no further! We're seeking a dedicated Insurance Coordinator to join our esteemed team at the forefront of orthopedic excellence. As the #1 orthopedic hospital in the world, we pride ourselves on delivering unparalleled...
-
Contract Specialist
2 weeks ago
Jersey City, United States Laland Baptiste Full timeJob DescriptionJob DescriptionLaland Baptiste-CONTRACT SPECIALIST-2 Montgomery Street, Jersey City, NJ 07302Laland Baptiste, LLC is a certified minority and woman owned construction management and consulting firm. Laland Baptiste provides innovative and professional services throughout all phases of the construction life cycle. We pride ourselves as being...
-
Global PV Submissions Specialist
3 weeks ago
Princeton, United States Clinical Resource Network (CRN) Full timeOur client is looking to fill the role of Global PV Submissions Specialist. This role will be hybrid and based out of the Princeton office.Responsibilities:Manage and document submission of vendor partners/CROs and health authorities, including monitoring and responding submissions inquiries from partners/CROs and health authorities.Preparation of paper...
-
Quality Systems Analytics Specialist, Onsite
4 days ago
Jersey City, New Jersey, United States AbbVie Full timeJob Description We are looking for a skilled Quality Systems Analytics Specialist to join our team at the Branchburg site. This position offers a unique opportunity to lead and develop a data-driven culture within our quality organization and site, reporting directly to the Executive Director of quality. As the Quality System Analytics Specialist, you...