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

Radiology Support Specialist Jobs
By RAYUS Radiology At , Pittsburgh, 15222
Fulfills job duties in a high volume, fast-paced environment and meets productivity target.
Education:High school diploma or GED required
Experience: A minimum of1 year of experience in a healthcare setting or customer service role
Education:An associate or bachelor degree in business or healthcare administration or another related field preferred
Experience: Previous experience in Radiology and/or a high-volume call center preferred
Delivers exceptional patient care and customer service to ensure client satisfaction.
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
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.
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.
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
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.
Authorization Specialist Jobs
By Homecare Homebase At Dallas, TX, United States
Experienced with a knowledge of Availity, MyNexus, Zirmed, Ability, and other common clearinghouses.
Analytical thinkers with strong written and verbal communication skills.
1+ year experience directly completing insurance verifications and requesting authorizations.
Home health/hospice experience is preferred.
Perform routine review of appropriate workflows and redirect workflows as needed.
Demonstrate ability to solve problems independently and at an optimal level.
Radiology Authorization Specialist Jobs
By Daley And Associates, LLC. At Greater Pittsfield Area, United States
Manage prior authorization process from initial submission to authorization
0-2 years of relevant work experience, including healthcare/business administration, health insurance, medical policy/chart review, nursing, and/or other allied health fields
Strong Microsoft Office suite experience
Review and monitor all radiology authorization imaging exams
Identify all patient access issues creating barriers to prior authorization
Prepare and complete prior authorization request
Infusion Clinical Authorization Specialist
By Lawrence General Hospital At Lawrence, MA, United States
Case Management, Utilization Review or Prior Authorization experience
Minimum of 2 year of clinical and/or related experience
Shows strong analytical and problem-solving skills.
Superior written and verbal communication skills
Knowledge of third-party payer rules and regulations
High School Diploma or equivalent
Authorization Specialist Ii Jobs
By Health Advocates Network At United States
2+ years of recent prior authorization experience required
Explain financial policy to patients and discuss financial responsibilities including copays, coinsurances, deductibles and time of service payments
Ensure physician documentation supports payer requirements for authorization processing
Schedule PET and Nuclear appointments after reviewing financial responsibilities with patient
Required Qualifications Of The Authorization Specialist II
Responsibilities Of The Authorization Specialist II
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.
Radiology Support Specialist Jobs
By RAYUS Radiology At , Pittsburgh, 15222, Pa
Fulfills job duties in a high volume, fast-paced environment and meets productivity target.
Experience: A minimum of1 year of experience in a healthcare setting or customer service role
Education:An associate or bachelor degree in business or healthcare administration or another related field preferred
Experience: Previous experience in Radiology and/or a high-volume call center preferred
Delivers exceptional patient care and customer service to ensure client satisfaction.
Efficient drafting of X-Ray reports and verification of required cross-sectional images.
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.
Value Creation Specialist - Radiology
By Mayo Clinic At , Rochester, 55905, Mn $75,130 - $112,736 a year

Affirmative Action and Equal Opportunity Employer

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 - Cardiology (Remote)
By Summit Health CityMD At , White Plains, Ny
Education, Certification, Computer and Training Requirements:
Identifies the referral and authorization requirements of the patients’ insurance plans by using various on-line resources according to department workflows
Demonstrates knowledge of insurance carrier guidelines, clinical policies, and state guidelines pertaining to referrals and prior authorization
Verifies insurance eligibility and benefits, and updates the patient’s insurance information as necessary
Provides the supervisor and manager with immediate feedback on issues affecting workflow, reimbursement, and customer service.
Anticipates and performs necessary job duties.

Are you looking for a rewarding career in the medical field? Join our team as a Radiology Authorization Specialist and help ensure that patients receive the best care possible! As a Radiology Authorization Specialist, you will be responsible for verifying insurance coverage and obtaining authorization for radiology services. You will also be responsible for communicating with insurance companies and other healthcare providers to ensure that all necessary information is obtained. If you are looking for a challenging and rewarding career, this is the perfect opportunity for you!

Overview A Radiology Authorization Specialist is responsible for obtaining authorization from insurance companies for radiology procedures. They must be knowledgeable about insurance policies and procedures, as well as the various radiology procedures and their associated costs. They must also be able to communicate effectively with both patients and insurance companies. Detailed Job Description Radiology Authorization Specialists are responsible for obtaining authorization from insurance companies for radiology procedures. They must be knowledgeable about insurance policies and procedures, as well as the various radiology procedures and their associated costs. They must also be able to communicate effectively with both patients and insurance companies. They must be able to explain the procedures to patients and answer any questions they may have. They must also be able to negotiate with insurance companies to obtain the best possible coverage for the patient. Job Skills Required
• Knowledge of insurance policies and procedures
• Knowledge of radiology procedures and associated costs
• Excellent communication skills
• Negotiation skills
• Ability to explain procedures to patients
• Ability to work independently
• Computer skills
Job Qualifications
• High school diploma or equivalent
• Previous experience in a medical office setting
• Knowledge of medical terminology
• Knowledge of insurance policies and procedures
• Knowledge of radiology procedures and associated costs
• Excellent communication skills
• Negotiation skills
• Ability to explain procedures to patients
• Ability to work independently
• Computer skills
Job Knowledge Radiology Authorization Specialists must have a thorough knowledge of insurance policies and procedures, as well as the various radiology procedures and their associated costs. They must also be familiar with medical terminology and be able to explain procedures to patients. Job Experience Previous experience in a medical office setting is preferred for this position. Experience with insurance policies and procedures, as well as knowledge of radiology procedures and associated costs, is also beneficial. Job Responsibilities
• Obtain authorization from insurance companies for radiology procedures
• Explain procedures to patients
• Negotiate with insurance companies to obtain the best possible coverage for the patient
• Maintain accurate records of authorization requests
• Ensure that all paperwork is completed accurately and in a timely manner
• Answer any questions patients may have regarding the procedures and insurance coverage