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Insurance Authorization Specialist Jobs

Medical Authorization Specialist Jobs
By LifeNet Health At , Remote
Works with the Order Management team to secure any additional information and medical documentation from the patient and/or prescribing HCP.
Medical terminology and ICD-10 coding: Knowledge of and interpretation skills
One (1) year previous experience of insurance verification or medical authorization experience involving medical record review.
Personal career, skill, and leadership development opportunities
Reviews and interprets medical record documentation for patient history, diagnosis, and previous treatment plans.
Utilizes payer-specific approved criteria to determine medical necessity or the clinical appropriateness for the company’s products.
Authorization Specialist **Remote** Jobs
By Option Care Health At , Springfield, Il $18.50 an hour
Basic Education and/or Experience Requirements
Processes benefit verification or authorization for all new referrals with speed and accuracy.
Assist AVA Supervisor and Manager with special assignments as needed.
Minimum of two years of experience in related experience.
Does this position have supervisory responsibilities? NO
High school diploma or equivalent is required.
Insurance Authorization Specialist **Remote**
By Option Care Health At , Baton Rouge, La From $16.36 an hour
Basic Education and/or Experience Requirements
Processes benefit verification or authorization for all new referrals with speed and accuracy.
Assist AVA Supervisor and Manager with special assignments as needed.
Minimum of two years of experience in related experience.
Does this position have supervisory responsibilities? NO
High school diploma or equivalent is required.
Medical Insurance Authorization Specialist | Skilled Nursing Facility
By The Highlands at Brighton At , Rochester, 14618, Ny
Prior insurance authorization experience preferred
Working knowledge of Microsoft applications (Excel and Word) required
Experience utilizing systems such as Epic and PCC preferred
Obtains authorization from insurance companies prior to patient admission
Sends clinical information to insurance companies on a continued basis to keep the patient covered
Issues NOMNC when insurance coverage is ending
Clinical Authorization Specialist Jobs
By UW Health At , Middleton, 53562, Wi $21.02 - $31.54 an hour
UW Hospital and Clinics benefits
Medical policy review to ensure scheduled procedures will meet medical necessity guidelines set forth by insurance payers.
Be part of something remarkable
Join the #1 hospital in Wisconsin!
Preferred - Graduate of School of Nursing.
Our Commitment to Diversity, Equity, and Inclusion
Authorization Specialist Jobs
By Bon Secours Community Hospital At , Port Jervis, 12771, Ny
Serves as liaison between the physician’s offices, patients, case management department and Patient Registration.
Prepares, reviews for completion, and maintains required documents in accordance with established procedures, time frames and regulatory requirements.
Contacts insurance providers to confirm level of benefits for inpatient admissions.
Communicates with case managers, hospital personnel, and external agencies to provide information or resolve discrepancies.
Enters and retrieves information from various automated systems and prepares specialized reports.
Collects demographic and insurance data and enters accurately in to specialized automated systems.
Insurance Authorization Verification Specialist Ii - Remote | Wfh
By Get It Recruit - Healthcare At Houston, TX, United States

Once you become a part of our team, you will see that we reward our staff for the exceptional service they provide. Our total rewards package includes the standard benefits you'd expect, such as ...

Authorization Specialist Jobs
By Lehigh Valley Health Network At , Allentown, 18103, Pa
Knowledge, Skills, and Abilities - Required:
Proficient in utilization management processes, standards, and managed care.
Knowledge of patient rights and laws relative to those rights, such as HIPAA.
Proficient in standard medical practices and insurance benefit structures.
Remote position with training on-site
High School Diploma/GED with specialized training in insurance, coding, billing, or similar healthcare certificate programs.
Insurance Authorization/ Patient Registration Specialist
By Shannon Health At , San Angelo, 76903, Tx

High School Diploma or G.E.D.

Hospital Authorization Specialist- Remote
By Nemours At , Wilmington, 19803, De
Consistently demonstrates excellent, empathetic, and knowledgeable customer service skills to internal and external customers
Ensure request for authorization is timely and handled in accordance with departmental policy and payer requirements.
Accurately verify patient demographics, insurance eligibility, benefits, and financial responsibility.
Prepare estimates for scheduled services. Must interpret patient's benefits correctly for accurate estimates.
Minimum 6 months of experience required.
Build and maintain professional, cooperative relationships with all departments that have direct or indirect impact on obtaining authorizations.
Insurance Authorization Specialist Jobs
By Shannon Health At , San Angelo, 76903, Tx

High School Diploma or G.E.D.

Authorization Specialist Jobs
By Park Nicollet At , Bloomington, 55437, Mn
Demonstrates effective time management skills and problem solving skills
Demonstrated P/C and keyboard experience.
Post high school degree or certification.
Knowledge of EPIC registration and/or any electronic health record
Ability to utilize critical thinking skills while working through complex situations
Knowledge of patient eligibility and related systems
Authorization Specialist Jobs
By Lingraphica At , Princeton, 08540, Nj
Knowledge of insurance requirements regarding face-to-face documentation.
Bachelor’s Degree or equivalent combination of education and experience
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.
Exhibits strong problem-solving skills through both verbal and written communications.
Experience with prior authorizations, pre-determinations, and out-of-network gap exceptions.
Authorization Specialist Jobs
By SB Clinical Practice Management At , Stony Brook, 11794, Ny $20.16 - $25.17 an hour
Experience with managed care companies.
Three (3) years of administrative experience in a medical office setting.
Strong organizational and communication skills (both verbal and written).
Excellent typing skills and friendly telephone etiquette.
Answer telephone calls and takes and routes messages.
Interface with physicians, patients, and administrative personnel.
Authorization Specialist Ii Jobs
By 10 - RI International At , Phoenix, 85006, Az
. Excellent time management skills
. Ability to provide guidance and feedback to help others strengthen specific knowledge/skill areas.
training/experience. Acquires the knowledge needed to perform the job.
and management or C-level team members.
Tasks may include (based on services offered within assigned region), but not limited to the following:
. Knowledge of CPT, HCPCS, and ICD-10 codes.
Insurance Verification And Authorization Coordinator
By Empower Physical Therapy At , North Richland Hills, 76180, Tx
Verifies commercial and government insurance for eligibility and benefits including deductible, co-insurance and out-of-pocket maximum amounts and any plan limitations
Communication to other admin team members regarding auth status and/or benefit issues
Referral authorization request for new, current, and retro authorization
Works with insurance companies to obtain status of pending request
Communication with patients regarding the status of pending request
Adhering to the established criteria and timeframes for processing urgent authorization or referral request
Authorization Specialist - Remote
By Marshfield Clinic Health System At , Marshfield, Wi
Minimum Required: High school diploma or equivalent.
Marshfield Clinic Health System will not employ individuals living in states not listed above.
View our Equity and Inclusion Statement here
Rcm Specialist Authorization ( Remote)
By Help At Home At , Remote
One (1) to two (2) years' experience of revenue cycle management or billing experience in the healthcare field
Alerts the RCM Supervisor or RCM Manager regarding late or missing documents required for billing.
Strong communication skills, oral and written.
Intermediate to advanced skills with Microsoft Office Suite, especially Excel.
You are flexible and can embrace change
You value progress over perfection
Insurance Authorization Specialist Jobs
By Beth Israel Deaconess Hospital Plymouth At , Plymouth, 02360, Ma
Knowledge of medical terminology is required, problem solving techniques, strong interpersonal skills, and effective oral and written communication skills.
Tuition Assistance Benefits are prorated for part-time positions
Benefits are prorated for part-time positions
Paid vacation, sick time & holiday time
Basic Life Insurance provided at no cost
Review Outpatient and Inpatient accounts for accurate insurance information using the electronic eligibility software and/or a telephone call to the payer.
Pre-Authorization Specialist Ii Jobs
By Boston Scientific Corporation At , Valencia, 91355, Ca
Utilizes proficient knowledge in Microsoft Office and database management to document case status, actions, and outcome
Performs benefit verification, pre-surgical authorization for new pre-surgical cases, and appeals by working closely with all payers
Minimum 1-year Insurance Pre-Authorization experience
Understanding of ICD-10, CPT, HCPCS coding and payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
Excellent customer service skills; communicates clearly and effectively
Experience building effective relationships with internal and external customers