Pre-Authorization Specialist
3 weeks ago
ONET 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 join our team in the New York area.
We are currently seeking a highly skilled Pre-Authorization Specialist with a minimum of 1 year of recent experience in handling pre-authorizations for a variety of surgical practices, particularly in orthopedics, pain management, and ambulatory surgical centers. The ideal candidate will have a strong understanding of insurance verification processes, pre-authorization requirements, and medical terminology. The successful candidate will play a critical role in facilitating timely pre-authorizations for patient procedures, ensuring seamless coordination between healthcare providers, insurance companies, and patients.
Responsibilities:
- Conduct thorough insurance verification and eligibility checks for patients scheduled for procedures at out-of-network surgical practices.
- Collaborate with healthcare providers to gather necessary documentation and medical records for pre-authorization submissions.
- Communicate effectively with insurance companies to obtain pre-authorization for orthopedic, pain management, and ambulatory surgical procedures.
- Maintain accurate records of pre-authorization requests, eligibility requests, pre-determination requests, approvals, denials, and follow-up actions.
- Provide support to patients and healthcare providers regarding pre-authorization status, coverage details, and potential financial responsibilities.
- Stay updated on changes in insurance policies, pre-authorization guidelines, and reimbursement processes.
Qualifications:
- Minimum of 1 year of recent experience working in pre-authorizations for out-of-network surgical practices, with a focus on orthopedics, pain management, and ambulatory surgical centers.
- Strong knowledge of medical terminology, insurance verification processes, pre-determinations and pre-authorization requirements.
- Excellent communication skills, both verbal and written, with the ability to effectively interact with healthcare providers, insurance companies, and patients.
- Detail-oriented with strong organizational and time management skills.
- Ability to work independently and prioritize tasks in a fast-paced environment.
- Proficiency in using electronic health records (EHR) systems and insurance verification software.
- Certification in medical billing and coding is preferred but not required.
- Proficiency in using Excel is preferred but not required.
- Experience using Office 365 is preferred.
-
Pre-Authorization Specialist
4 days ago
Woodland Park, United States Coda Staffing Full timeJob DescriptionJob DescriptionVery busy Gastro practice – need to have an element of speed to keep up with the eligibility and authorization requestsThis position is on site in Woodland Park NJ Mon thru FriObtain pre-authorizations for gastro procedures (colonoscopy, endoscopy, ERCP, capsules, etc.) – Full understanding of CPT and ICD codes.Must have a...
-
Authorization Specialist
4 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
2 weeks 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...
-
Pre-Award Specialist III
2 weeks ago
New Orleans, United States Tulane University Full timeThis is a full-time position within the Tulane Clinical Research Finance Office under the LA CATS Clinical Research Resources Core. The primary responsibility of this position is to ensure sound financial management of clinical research within the university by providing financial support for clinical trials, as well as guidance on research finance for...
-
Worker's Compensation Authorization Specialist
1 month ago
Tinley Park, United States Primus Ortho Full timeJob DescriptionJob DescriptionSalary: 17/hr NegotiableMultidisciplinary orthopedic and physical therapy private practice with 3 doctors is seeking a full-time, Worker’s Compensation Authorization Specialist with excellent customer service skills, and a strong ability to multitask. This position requires organization, teamwork, and the natural ability to be...
-
Pre-Award Specialist III
3 weeks ago
New Orleans, United States Tulane University Staff Full timeThis is a full-time position within the Tulane Clinical Research Finance Office under the LA CATS Clinical Research Resources Core. The primary responsibility of this position is to ensure sound financial management of clinical research within the university by providing financial support for clinical trials, as well as guidance on research finance for...
-
Pre-Award Specialist III
5 days ago
New Orleans, United States Tulane University Full timeSummary This is a full-time position within the Tulane Clinical Research Finance Office under the LA CATS Clinical Research Resources Core. The primary responsibility of this position is to ensure sound financial management of clinical research within the university by providing financial support for clinical trials, as well as guidance on research...
-
Accounts Receivable Specialist
1 month ago
New Hyde Park, United States Onet-Systems Full timeJob DescriptionJob DescriptionWe are an established out-of-network medical billing company located in New Hyde Park, Long Island, seeking experienced medical billers with a strong work ethic and superior communication skills. Must be able to work independently and as part of a team. The position requires well-rounded knowledge of the medical billing process...
-
Accounts Receivable Specialist
1 month ago
New Hyde Park, United States Onet-Systems Full timeJob DescriptionJob DescriptionWe are an established out-of-network medical billing company located in New Hyde Park, Long Island, seeking a PT medical biller with Podiatry experience. Will have strong work ethic and superior communication skills and be able to work independently and as part of a team. The position requires well-rounded knowledge of the...
-
Legal Billing Specialist
2 weeks ago
New Hyde Park, United States Judit, Inc. Full timeOVERVIEW: Our legal team is committed to providing each client with quality counsel, innovative solutions, and personalized service. Founded in 2000, the firm offers the legal expertise of its 115-plus attorneys, who have accumulated experience and problem-solving skills over decades of practice. We are a vibrant, busy, and growing full-service law firm...
-
Senior Accounts Receivable Specialist
1 month ago
New Hyde Park, United States Onet-Systems Full timeJob DescriptionJob DescriptionWe are an established out-of-network medical billing company located in New Hyde Park, Long Island, seeking experienced medical billers with a strong work ethic and superior communication skills. Must be able to work independently and as part of a team. The position requires well-rounded knowledge of the medical billing process...
-
Legal Billing Specialist
1 month ago
New Hyde Park, United States Judit Inc Full timeJob DescriptionJob DescriptionOVERVIEW:Our legal team is committed to providing each client with quality counsel, innovative solutions, and personalized service. Founded in 2000, the firm offers the legal expertise of its 115-plus attorneys, who have accumulated experience and problem-solving skills over decades of practice.We are a vibrant, busy, and...
-
Intake Screener and Authorization Specialist
1 month 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 days ago
New Rochelle, United States Northeast Family Services Full timeThis 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 Family Services in New York....
-
Intake Screener and Authorization Specialist
1 month 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...
-
Intake Screener and Authorization Specialist
1 month 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
1 month 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
2 days ago
New Rochelle, United States Northeast Family Services Full timeThis 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 Family Services in New York....
-
Health Insurance Verification Specialist
6 days ago
New Berlin, United States Atos Medical Full time**Location**:New Berlin, US**Job Family**:Finance**Country/Region**:United States**Health Insurance Verification Specialist **| Atos Medical-US | New Berlin, WI** **This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed.** **Join a growing company with a strong purpose!** - Do you...
-
Patient Access Specialist
2 weeks ago
Brooklyn Park, United States SPR Therapeutics Inc Full timeDescription:The Patient Access Specialist is responsible for various functions in support of patient access to the SPRINT PNS System including but not limited to collaborating with payers, providers, patients, field sales representatives and other functional areas within the company. Through our SPRcare Patient Access Program, the Patient Access Specialist...