Prior Authorization Specialist Jobs in USA

OverviewBlue Ridge Health is currently seeking a Lead Prior Authorization Specialist to be part of our Medical team in Hendersonville NC.What We Offer You:A competitive benefits plan including Medical Dental and VisionCompany sponsored life insurance and short and long-term disability coverage403(b)...

Pre-registers patients for hospital surgical and ancillary services to include insurance eligibility verification benefit and out of pocket liability determinations pre-determination and pre-certification / authorization of surgeries and/or other clinical services performed at BTNRH or on behalf of...

EyeCare Partners is the nations leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision advance eye care and improve lives. Based in St. Louis Missouri over...

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from/to pharmacies...

Locations: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from...

About Optima Medical:Optima Medical is an Arizona-based medical group consisting of30locations and over130medical providers who care for more than200000patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities Live Better Live Longer through personal...

J5 Consulting is a Maryland based company established in 2006 to provide computing and consulting services for government and commercial entities. Our services improve Information System networking performance and compliance and protect electronic assets from loss and compromise. We welcome your app...

Under the direct supervision of the practice administrator the Authorization Specialist is responsible for obtaining prior authorization from various insurances for multiple procedures medications and studies performed within the department sending and receiving studies and/or reports to and from ou...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...

Fair Haven Community Health CareFor over 54 years FHCHC has been an innovative and vibrant community health center catering to multiple generations with over 165000 office visits across 21 locations. Guided by a Board of Directors most of whom are patients themselves we take pride in being a healthc...

The University of Southern California (USC) founded in 1880 is located in the heart of downtown L.A. and is the largest private employer in the City of Los Angeles. As an employee of USC you will be a part of a world-class research university and a member of the Trojan Family which is comprised of t...

WHO WE ARE & WHAT WE DOTallahassee Memorial Healthcare (TMH) is a private nonprofit community-based healthcare system that provides care to a 22-county region in North Florida and South Georgia. We are a career destination with over 6000 colleagues who reflect the diversity of our community.TMH is t...

Company :Allegheny Health NetworkJob Description :JOB SUMMARY*This position is eligible for a $5000 sign on bonus for a 1-year commitment* This role requires a strong understanding of pharmacy benefits insurance processes and patient access procedures. Responsibilities include the coordination and a...

Key Tasks and Responsibilities:Essential Functions:Submit orders for prior authorization in accordance with payer requirements and clinic protocols.Monitor authorization requests ensure timely approval and follow up proactively on pending or denied submissions.Verify current insurance eligibility fo...

DescriptionPark Nicollet is looking to hire an Authorization Specialist to join our team! Come join us as a Partner for Good and help us make an impact on the care and experience that our patients and their families receive every day.Position Summary:The Authorization Specialist is responsible for c...

City/StateCharlottesville VAWork ShiftFirst (Days)Overview:OverviewResponsible to maintain confirming and secure referrals authorization or pre-certifications required for patients to receive medical procedures and/ or medication/enteral therapy. Ensure accuracy and completeness of patient account i...

Job Description Summary: Job Summary: The Pre-Authorization Specialist is a member of the Pre-Authorization Department who is responsible for verifying eligibility obtaining insurance benefits and ensuring pre-certification authorization and referral requirements are met prior to the delivery of...

ATTENTION MILITARY AFFILIATED JOB SEEKERS- Our organization works with partner companies to source qualified talent for their open roles. The following position is available toVeterans Transitioning Military National Guard and Reserve Members Military Spouses Wounded Warriors and their Caregivers. I...

About Our CompanyWere a physician-led patient-centric network committed to simplifying health care and bringing a more connected kind of care.Our primary multispecialty and urgent care providers serve millions of patients in traditional practices patients homes and virtually through VillageMD and ou...

JOB SUMMARYThe Insurance Authorization Specialist verifies that scheduled procedures are covered by the patients insurance or that the patient meets self-pay requirements. They confirm insurance eligibility benefits authorizations and that procedures are approved for the ASC.They calculate estimated...