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Prior Authorization Specialist Jobs

Prior Authorization Specialist Jobs
By Central Care Cancer Center At , Garden City, 67846
​Microsoft Word and Excel experience required.
Meet with patients and set up financial agreements
Must be qualified to participate in Federal Health Programs, including Medicare/Medicaid.
Must be willing to travel for initial training.
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

Prior Authorization Specialist - Remote
By Orsini Pharmaceutical Services At , Elk Grove
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Ability to convert a prescription into an authorization request based on payer requirements.
Respond to urgent emails submitted by the PCC Team or Program Manager in a timely manner.
Familiar with medical documentation such as H&P’s, Genetic testing, etc.
Prior Authorization Specialist Jobs
By Kalkaska Memorial Health Center At , Kalkaska, 49646 $21.00 - $26.25 an hour
Medical experience in prior authorizations is required.
40 hrs/week; Mondays - Fridays; between the hours of 8am - 6pm
When your work day ends, four seasons of recreation is right outside your door!
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
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.
Prior Authorization Specialist - Remote
By Orsini Specialty Pharmacy At , Elk Grove, 60007
Experience with Major Medical Insurance.
Knowledge of HCPC Codes (J-Codes).
Knowledge of ICD-10 Codes (Diagnoses Codes).
Ability to convert a prescription into an authorization request based on payer requirements.
Respond to urgent emails submitted by the PCC Team or Program Manager in a timely manner.
Familiar with medical documentation such as H&P’s, Genetic testing, etc.
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.
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 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.
Regulatory Specialist - Prior Notice
By Registrar Corp At Hampton, VA, United States
Perform administrative and data entry job functions, including analyzing and interpreting Microsoft Excel data and database management.
At least 2 years of experience working in a customer service, administrative assistant, or data entry-driven role
Spanish foreign language skills required
Strong problem-solving and critical thinking skills.
Solid organizational skills with the capability to support multiple simultaneous projects.
Strong technical (system) and computer skills with proficiency in Microsoft applications (e.g., Word, Excel, PowerPoint, etc.).
Prior Authorization Operations Supervisor
By Cochlear Ltd At , Lone Tree, 80124
Evaluate and adjust team member work and region assignments based on team member's knowledge, skill set and business need
Hybrid work environment with a combination of in-office and work from home
Bachelor's Degree or Equivalent Work Experience
1‐2+ years of leadership and/or coaching experience
Extensive knowledge of government insurance and commercial insurance
Lead and develop a team of 10+ reimbursement specialists
Radiology Authorization Specialist Jobs
By Dana-Farber Cancer Institute At , Brookline, Ma

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

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
Prior Authorization Specialist Jobs
By Tarrytown Expocare LLC At , Austin, 78757, Tx
Server as a source of knowledge over the prior authorization procedures in multiple states.
Excellent verbal and written communication skills.
Ability to solve problems and manage multiple tasks simultaneously.
Professional telephone etiquette and communication skills
Knowledge of Cover My Meds Helpful, but not required.
Responsible to call both other providers and insurance companies to coordinate the processing of the prior authorization.
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.
Prior Authorization Specialist (Temp)
By Boulder Care At United States
Advise management of identified trends with payers in an effort to mitigate problems
Communicate authorization and benefit coverage with patients and providers promptly and professionally
Able to organize workload and manage time effectively
Able to read and interpret medical benefits for verification requests
Exceptional written and verbal communication skills
Demonstrated experience working in prior authorizations (required)

Are you looking for a challenging and rewarding career in healthcare? We are looking for an experienced Prior Authorization Specialist to join our team! As a Prior Authorization Specialist, you will be responsible for verifying insurance coverage, obtaining prior authorizations, and ensuring accurate and timely processing of requests. If you have excellent communication and organizational skills, we want to hear from you!

Overview A Prior Authorization Specialist is responsible for obtaining authorization for medical services from insurance companies. They review patient records and medical codes to determine the necessity of services and to ensure that the services are covered by the patient’s insurance. Detailed Job Description Prior Authorization Specialists are responsible for obtaining authorization for medical services from insurance companies. They review patient records and medical codes to determine the necessity of services and to ensure that the services are covered by the patient’s insurance. They also contact insurance companies to obtain authorization for services and to verify coverage. They may also be responsible for submitting claims to insurance companies and tracking the status of claims. Job Skills Required
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and procedures
• Excellent communication and customer service skills
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Attention to detail
• Computer proficiency
Job Qualifications
• High school diploma or equivalent
• Previous experience in a medical office setting
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and procedures
• Ability to work independently and as part of a team
Job Knowledge
• Knowledge of medical terminology and coding
• Knowledge of insurance policies and procedures
• Understanding of medical office procedures
• Understanding of medical billing and coding
Job Experience
• Previous experience in a medical office setting
• Previous experience with insurance companies
• Previous experience with medical billing and coding
Job Responsibilities
• Obtain authorization for medical services from insurance companies
• Review patient records and medical codes to determine the necessity of services
• Contact insurance companies to obtain authorization for services and to verify coverage
• Submit claims to insurance companies and track the status of claims
• Maintain accurate records and documentation
• Answer questions from patients and providers regarding insurance coverage and authorization