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Authorization Specialist Jobs in Ross, Ohio

Insurance Authorization Specialist **Remote**
By Option Care Health At , Frankfort, Ky From $15.96 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.
Area Authorization Specialist Remote Il
By Option Care Health At , Springfield From $18 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.
Authorization Specialist -Pre-Certification Division - Remote
By UAB Medicine - UA Health Services Foundation (UAHSF) At , Birmingham, Al
Dedicated, secure and safe work space
Noise-free environment to take patient calls
UA Health Services Foundation (UAHSF) is proud to be an AA/EOE/M/F/Vet/Disabled employer.
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.
Central Authorization Specialist Full Time Remote
By Henry Ford Health At , Troy, Mi
Current working knowledge of hospital operations, utilization management, case management, and managed care reimbursement, preferred.
Organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
Strong interpersonal communication and negotiation skills and experience interacting with clinicians and finance personnel.
High School or 3 - 5 years related experience and/or training; or equivalent combination of education and experience, required.
Strong analytical and data management.
Ability to work with all levels of management.
Hospital Authorization Specialist-Part Time (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.
Nemours is seeking a Remote Hospital Authorization Specialist.
Build and maintain professional, cooperative relationships with all departments that have direct or indirect impact on obtaining authorizations.
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.
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
Verification And Authorization Specialist
By Unifeye Vision Partners At , Bloomington, 55431, Mn
Verify, update, and enter insurance information into the electronic practice management system (EPM) including policy information, benefit coverage, and referrals.
Proficient with computers, Microsoft Office products, and practice management applications.
Organized, detail-oriented, effective time management and able to effectively communicate and work efficiently with patients, staff, physicians, and administration.
Verify insurance with respective insurance companies and file all necessary forms for pre-certifications, and referral requests.
Create and send Good Faith Estimates based on benefits verification to patients.
Maintain up to date reference guides and payer requirements.
Authorization And Cost Estimate Specialist Associate Remote
By The Christ Hospital Health Network At , Norwood, 45212, Oh
Efficient time management skills and ability to multitask
Obtains pre-certifications and pre-authorizations from third-party payers in accordance with payer requirements
Coordinates benefits by effectively determining primary, secondary, and tertiary liability when needed
Demonstrates understanding of insurance terminology (e.g., co-payments, deductibles, allowances, etc.), and analyzes information received to determine patients’ out-of-pocket liabilities
Remains updated on payor requirements and rates and changes to pricing for estimates.
General knowledge of the following:
Intake Insurance Authorization Specialist
By Well Care Health At , Wilmington, 28412, Nc
11. Hours are Monday - Friday 8am-5pm Fully remote!
2. Interprets department policies, reimbursement and coverage guidelines for referral sources and general public.
3. Appropriately communicates information according to department policies and procedures.
4. Contributes to program effectiveness.
5. Organizes and performs work effectively and efficiently.
6. Maintains and adjusts schedule to enhance department performance.
Area Verification And Authorization Specialist **Remote**
By Option Care Health At , Springfield, Il $17 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.
Specialist - Authorization Jobs
By CharterCARE Health Partners At , North Providence, 02904

Location: CharterCARE Health Partners · 7639-Radiology Administration Schedule: Per Diem (0 hrs), 4 (Per Diem), 7a-330p

Authorization Specialist Jobs
By REGIONAL CANCER CARE ASSOCIATES LLC At , Freehold, 07728
Connect with patients pharmacy benefit plans when treatment is not covered through medical benefits
Minimum two years of relevant experience.
Medical, Dental, Vision, and Life Insurance
Discounted tuition on selected universities/colleges
Act as a liaison between the Precert Team and the office/patients for all infusion treatment authorizations
Respond and reply to emails with the Precert Team on a daily basis
Full -Time Subsequent Authorization Specialist
By Trinity Health At Home At , Livonia, 48152
Must have a strong knowledge of general business office functions, strong analytical and organizational skills and microcomputer usage is required.
Prioritize multiple tasks in highly automated setting and possess strong interpersonal skills.
prioritize multiple tasks in highly automated setting and possess strong interpersonal skills.
Provide one-to-one care with your patients in their homes
Enjoy a truly patient-centered focus
Excel with supportive, motivated colleagues in an inspiring environment
Area Verification And Authorization Specialist
By Option Care Health At , Richmond From $17.99 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.
Authorization Specialist (Remote) Jobs
By Commonwealth Care Alliance At , Boston, 02108
Education, training or experience as a medical coder, medical billing, Insurance Coordinator, or other relevant clinical background preferred
Associate degree or equivalent experience
Working knowledge of CPT and ICD coding
Demonstrated ability of critical thinking skills to efficiently organize work and maintain a high level of accuracy and productivity
Working knowledge and ability to navigate through the healthcare system (insurances, Medicare, Medicaid, physician office operations)
Strong customer service and problem-solving skills
Employment Authorization & Compliance Specialist, Temporary
By Viasat, Inc. At , Carlsbad, 92009 $74,400 - $122,650 a year
Experience with I-9 Service center/case management system.
Excellent organizational skills, prioritizing, and multi-tasking abilities.
Requires 3+ years of directly related experience.
Strong leadership, communication, and interpersonal skills.
Prioritizes and independently executes responsibilities.
Experience in a large or matrix driven corporation with overseas or outsourced operations.
Authorization Specialist (Potentially Remote)
By Trinity Health - IHA At , Ann Arbor, 48105
Good organizational and time management skills to effectively juggle multiple priorities and time constraints and ever-changing medical situations.
POSITION REQUIREMENTS (ABILITIES & SKILLS):
If applicable, responsible for ongoing professional development – maintains appropriate licensure/certification and continuing education credentials, participates in available learning opportunities.
Knowledge of medical terminology and procedures at the level needed to perform responsibilities.
Proficient/knowledgeable in patient care procedures and organizational policies related to position responsibilities.
Contacts insurance companies via appropriate methods and obtains pre-certifications and authorizations.
Drug Authorization Specialist Jobs
By Dana-Farber Cancer Institute At , Brookline

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

Sr. Authorization Specialist Jobs
By UPMC At , Pittsburgh, 15203 $18.46 - $29.29 an hour
Skills Preferred: Understanding of authorization processes, insurance regulations, third party payors, and reimbursement practices; Experience utilizing a web-based computerized system.
Research denials by interpreting the explanation of benefits or remittance codes and prepares appeals for underpaid, unjustly recoded, or denied claims.
Submit requests for account adjustments/controllable losses to manager in accordance with departmental process.
Identify authorization related edit/denial trends and causative factors, collates data, and provides summary of observations. Communicate identified trends to Manager.
Completion of a medical terminology course (or equivalent) or has 3 years of experience working with medical field required.
Maintain compliance with departmental quality standards and productivity measures.
Authorization Specialist Jobs
By Help at Home At , Indianapolis, 46250
Knowledge of Medicaid, insurance verification, and authorization management
Stays up to date with education on Authorization requirements
One (1) - two (2) years experience in data entry, record keeping, or similar experience in the healthcare field
Career growth and experience with an industry leader with 40+ years of history in a high-demand field
Manage all NOAs for Waiver and DD clients and enter authorizations into Matrixcare.
Alerts the Branch Manager regarding late or missing documents required for billing.
Authorization Specialist Ii (Remote In Oregon Or Willing To Relocate)
By Samaritan Health Services At , Corvallis, Or $18.96 - $27.84 an hour
Three (3) years related experience, to include one (1) year experience equivalent to an SHS Authorization Specialist I role, required.
Experience and/or training in ICD-10/CPT coding preferred.
Experience and/or training in the following required:
High school diploma or equivalent required.
MS Office with an emphasis in Word and Excel
Ability to identify complex problems, review related information, employ creativity and alternative thinking to develop and evaluate options and implement solutions.
Radiology Authorization Specialist Jobs
By Dana-Farber Cancer Institute At , Brookline, Ma

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

Authorization And Credentialing Specialist
By Philadelphia Mental Health Center At Philadelphia, PA, United States
Remote or hybrid work, FT with benefits, 40K+
Experience with multiple insurances, experience with CBH, Credible, Excel
Must be detail oriented, motivated, reliable, a team player.
-Identify and document each commercial payer's policy and procedures regarding coverage, priorauthorizations,andsubmissionprocess
-Follow up with commercial insurance payers to check status of previously submitted priorauthorization
-Quick to respond and communicate any changes in client's prior authorization status to careoperations,clinical,andpartnershipsteams.
Authorization Specialist Jobs
By MGA Behavior Therapy At , Colorado Springs, Co $18 - $20 an hour
Assists with the identification and reporting of quality management and non-coverage issues.
Requires in depth knowledge of benefits and authorizations
Verifies eligibility of members and members benefit coverage.
Responsible that all discrepancies are reported to the Director of Finance.
Performs all other duties assigned by Director of Finance.
High School Education - *Associates Degree preferred
Authorization Specialist Jobs
By Gift of Life Michigan At , Ann Arbor, 48108, Mi $24.64 - $30.80 an hour
Proficient in relevant computer applications, data entry, and typing skills
Associates Degree or 4-5 years relevant work experience
Knowledge of customer service practices and principles
Proficient listening, verbal, and written communication skills
Performs all essential job functions of Tissue Donation Coordinators
Approach families by telephone regarding their options to donate
Insurance Authorization Specialist Jobs
By CenterWell At , Marietta, 30064, Ga
Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing
Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements.
Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents.
Assist with training of newly-hired associates, as well as re-education of revenue teams as necessary.
One to two years related experience and/or training preferred.
Two years Home Health care or Medical Office experience preferred.
Central Authorization Specialist Ii
By BayCare At , , Fl
Utilizes electronic scheduling/registration/financial systems, payers websites, and recorded calls to validate health coverage and benefits in processing approval for medical services.
Works closely with Managed Care and understands health insurances rule sets, manuals, and contract language.
Computer skills appropriate to position
Written and verbal communication skills
: Yes - CMS Requirements Apply
Maintains proper documentation in Soarian or GE systems.
Permanent Staff Healthcare Authorization Specialist Job In Charlotte, Nc - Make $16 - $24/Hour
By Aya Healthcare At Charlotte, NC, United States
We’ll ensure the hiring manager prioritizes your interest and schedules an interview quickly.
A streamlined hiring process means offers are often presented within 24-48 hours after an interview with a hiring leader.
Experience The Aya Difference Today
Shift: 5x8-Hour 07:00 - 15:00
A dedicated recruiter who advocates for you every step of the way.
Flexible start dates that work around your availability.
Insurance Authorization Specialist Jobs
By Ensemble Health Partners At United States
Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements
Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements
Knowledge of current and developing issues and trends in medical coding procedures requirements
Identify the appropriate clinical records and submit the authorization request to the insurance company based on plan requirements for approval.
Knowledge of appeals concepts and principles
Ability to use independent judgement and to manage and impart confidential information