Prior Authorization Specialist - Diagnostics & Procedures
BBSS Beyond Blue
BBSS Beyond Blue in Ashland, KY seeks an Insurance Authorization Specialist to ensure accurate, timely pre-authorizations for diagnostic imaging and in-clinic procedures. You will apply payer guidelines, ICD-10/CPT/HCPCS coding, and verify eligibility to minimize delays and denials. Requires 2–3 years of related experience and a high school diploma. Maintain HIPAA compliance, collaborate with providers, payers, and staff; on-site role in Customer Service, with standard daytime hours. #J-18808-Ljbffr BBSS Beyond Blue
- The Field Reimbursement Specialist is a critical field-based role... ...device benefit structures, prior authorization requirements, and government... ..., prior authorization procedures, and appeals processes. Case... ...for extended periods. #J-18808-Ljbffr Perspectum Diagnostics Ltd.SuggestedWork at officeWork from homeRelocationHome officeNight shift
- ...technologist who communicates effectively with patients, explains procedures clearly, and ensures comfort, safety, and high-quality imaging... ...suitable software options and imaging parameters to produce diagnostic-quality results that support accurate diagnoses and confident...Suggested
$20.98 - $30.12 per hour
...departments regarding financial reimbursement. Organizes collection procedures in accordance with current laws, serves as appropriator of... ...billing/charging utilizing knowledge of pre-certification /prior authorization procedures to validate account status. Resolves any...SuggestedImmediate startRemote work$50k
...their access to therapy. The Benefits Specialist works in a dynamic and compassionate... ...Determination Summary. Coordination of prior authorizations based on payer guidelines and in... ...commitment to abiding by company policies and procedures. Utilize Valeris’ values as the...SuggestedFull timeTemporary workWork at officeImmediate start- ...need so that they will arrive on time and prepared for their procedures and the hospital has all the information required to... ...regarding scheduling changes. Properly verifies and obtain prior-authorization when needed. Follows up on any requests and/or messages...SuggestedWork at officeImmediate start
- Hackensack Meridian Health Inc. is seeking an Ultrasound Technologist to perform specialized tasks in Diagnostic Ultrasound, utilizing sound waves for medical purposes. Candidates should be graduates of an approved Ultrasound School with excellent communication skills...
$62.4k - $106.7k
The Diagnostic System Specialist is responsible for installing and training clients on clinical diagnostic products, including system operation... ...does not accept agency resumes, unless the agency has been authorized by a Bio-Rad Recruiting Representative. Please do not...Work experience placementRemote work- UM SPECIALIST# UM SPECIALISTWaverly , OH 45690## Qualifications* **Education:** High school... ...:** 1-3 years of experience in prior authorization, medical billing, utilization review... ...medical necessity for SUD treatment.* **Diagnostic & Clinical Terminology:** Familiarity...
- ...Suite 900 Houston, TX 77081, USA Our Authorization Specialist will be responsible for providing a great... ...patient eligibility and initiating prior authorizations. This includes utilizing... ...insurance companies Follow department procedures to ensure timely completion of benefit...Extra incomeFull timeWork experience placementWork at office
- 900 Emory Healthcare in Kentucky is looking for a dedicated professional to ensure the delivery of diagnostic images and provide quality healthcare. The successful candidate will assist in various healthcare duties and support the organization’s commitment to service excellence...
$20 - $25 per hour
...for Qualified Candidates!) Pay: $20.00 - $25.00/hr (Based on Diagnostic Expertise) + Quarterly Profit Sharing Bonuses! Position: Full... ...Irrigation Career to the Next Level Are you an experienced irrigation specialist who excels at solving complex electrical and hydraulic puzzles...Full timeImmediate startRelocation package$102.5k - $165k
...have the opportunity to join us.Angioplasty Specialist - Interventional Cardiology - Days - NYP... ...of invasive and interventional cardiology procedures. You will act at the primary assistant during interventional and diagnostic coronary procedures including structural and...Full timeWork experience placementMonday to FridayFlexible hoursDay shift- ...advancement Paid time off Profit sharing Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven experience with insurance verification of commercial and HMO plans...
- ...Behavior Intervention Specialist Under the supervision of the Family Care Coordinator... ...planned contingencies) utilizing baseline procedures and formulating a written Functional... ...intervention, behavior modification programs, diagnostics, and teaching/training programs for the...Full timeWork at office
- ...yourself in a city that pulses with energy and innovation. As a Diagnostic Medical Sonographer in dazzling Jersey City, each day... ...opportunity to make a profound impact-every scan is not simply a procedure; it's a step toward better health and understanding for your patients...Local areaFlexible hoursShift workWeekend workDay shift
$80k
...healthcare providers on documentation improvement and guidelines. Partners with coding professionals to ensure accuracy of diagnostic and procedural data. Reviews DRG denial letters and writes denial appeal letters, including supporting evidence and guidelines....Temporary work$31.25 per hour
.../Hr. Position Overview The Family Specialist will; provide for continuous quality improvement... ...in accordance with SUS documentations, procedures and policies Ensure through staff... ...clinical services such as intake/diagnostic evaluations methods, mental status...Local areaRemote work- ...access and educating provider offices on reimbursement and patient support programs. You will act as a local SME on payer policy, prior authorization, denials, and coverage criteria, while collaborating with cross-functional teams to plan territory activities and educate...Local area
$55k - $60k
...package, and a competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations,... ...various health plans. This role reports to the Manager, Prior Authorization within the Reimbursement Operations Department...Full timeContract workRemote work- Baylor Scott and White Health in Killeen, TX seeks a licensed audiologist to join a growing audiology program. The role includes diagnostic testing and hearing aid fitting for adults and children, with collaboration alongside otolaryngology physicians. Employed position...Weekday work
$53k
...TitleDistrict 8 - Fleet Specialist I, II, or IIIAgency345... ...11:59 PM on the day prior to the posting end date... ...problems; operate diagnostic tools and computer software... ...and of parts-ordering procedures within the assigned... ...the Oklahoma Turnpike Authority must possess or obtain...Flexible hours- ## Specialist, Engineering Services-1Aplikujremote type: On-sitelocations... ...of network cabling diagnostics and testing practices.- Good... ...methodical about following procedures.- Able to work independently... ...sponsorship. Candidates must be authorized to work in the United States...Work experience placementWork at officeRemote workShift workNight shiftWeekend workAfternoon shift
$19.5 - $21.5 per hour
...of contact to evaluate incoming vehicles to determine repair procedures and diagnose problems. This fast‑paced, challenging position comes... ...to work in a fast-paced team environment Familiarity with diagnostic tools Understanding of automotive/trailer mechanics Valid driver...Hourly payFull timeLocal area- Are you a passionate and skilled retina specialist looking for an exciting opportunity to... ...macular disorders. Perform in‑office procedures and advanced vitreoretinal surgeries at... ...care. Utilize the latest imaging and diagnostic technologies, including OCT, fluorescein...Work at office
$58 - $70 per hour
...part-time Unattended Ground Sensors (UGS) Specialists to join our team in support of United... ...corrections. Follow established safety procedures for all maintenance and operations.... ...hardware, software, and spare parts. Maintain diagnostic and operational tools, support...Part timeFor contractorsRemote workLong distance- ## Child Life Specialist (Acute Care) | 36 hours/week | Monroe Carell Jr Children's Hospital... ...professionals who perform supportive, diagnostic, and therapeutic health care services... ...Solving/ Complexity of work: Uses existing procedures, research and analysis to solve...Work experience placementShift work
$47.81k
...TitleDisease Intervention Specialist IAgency340 OKLAHOMA... ...11:59 PM on the day prior to the posting end date... ...treated cases; performing diagnostic and treatment... ...preparation of field procedures and information, and other... ...check and must be legally authorized to work in the United...Full timePart timeWork at officeLocal areaVisa sponsorshipFlexible hours- Hackensack Meridian Health is seeking a skilled professional to perform vascular testing and related diagnostic procedures. The role includes preparing test data for physicians, coordinating with clinicians to maintain rapid report turnaround, and educating patients about...
$32.13 - $53 per hour
## Electrophysiology Specialist (RCIS/RCES)Applyremote type: On-Sitelocations: Norfolk, VAtime type: Full timeposted... ...(EP) Specialist assists the physician during diagnostic and therapeutic electrophysiology procedures and device implants. Provides patient care to all...Full timeTemporary workShift work- Behavioral Health Specialist- Fairfield County Job Category: Paraprofessional Clinical Requisition... ...and substance use needs. Review Diagnostic Evaluation and additional assessments,... ...of principles, methods and procedures for diagnosis, treatment and rehabilitation...Full timeContract workInternshipWork at officeImmediate startWork from homeFlexible hoursWeekend workAfternoon shift
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