Pre-Authorization Specialist
Virtual Vocations Inc
To support reimbursement and revenue cycle activities, the full-time remote Pre-Authorization Specialist will manage prior authorization requests, verify patient insurance eligibility, and provide patient cost estimates while collaborating with health plans and internal stakeholders. Key responsibilities Research and review medical policies and initiate prior authorization requests with health plans Prepare patient cost estimates and manage correspondence regarding authorization and coverage requests Accurately document prior authorization activities and prioritize work based on urgency and business needs Required qualifications High school diploma with 2 or more years of experience in insurance claims processing or prior authorization Experience documenting healthcare authorization activities within billing or revenue cycle management systems Familiarity with Labcorp systems, including LCLS and/or LCBS, is preferred Proficiency in Microsoft Word, Excel, and Outlook in a healthcare environment Associate degree or higher in a healthcare-related field is preferred
- ...for a full-time Patient Access Representative/Eligibility Specialist at our East Norriton, PA location. Please note this role... ...requirements. Obtain and document referrals, prior authorizations, and pre-certifications as needed. Contact insurance companies to...SuggestedFull timeCurrently hiringWork at officeRelocation package
- Job Description Pre-Authorization Specialist Job Description (Hybrid role): Obtain pre-authorizations for gastro procedures (colonoscopy, endoscopy, ERCP, capsules, etc.) - they will need to understand CPT and ICD codes. Must have a comprehensive knowledge of insurance...Suggested
- ...Holton, KS, US This position is responsible for screening prior-authorization and coordination of specialized services requested at Holton... ...for outpatients, ancillary and clinic services. Performs patient pre-registration, insurance verification, identifies prior authorization...SuggestedFull timeWork from homeFlexible hours
$34.78 - $37.8 per hour
Title: Pre-Authorization Specialist Location: Upper East Side Org Unit: Clinical Operations Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $34.78 - $37.80 *As required under NYC Human Rights Law Int 1208-2018 - Salary range for...SuggestedWork at officeLocal areaMonday to Friday- ...Job Title Responsible for pre-authorization coordination on behalf of patients. This position will work as an advocate for patients by confirming and obtaining insurance authorization prior to certain medical services and treatments being provided. Essential Job...SuggestedMonday to Friday
- ...West Houston, Beaumont, Northwest Houston, and the Texas Medical Center. We are seeking a dedicated and detail-oriented Pre-Authorization Specialist to join our Revenue Cycle Management team. This role is responsible for obtaining timely and accurate prior...Private practice
$51.36k - $61.63k
University of Colorado Anschutz Department: Orthopedics Job Title: Pre-Authorization Specialist Position #: 00803964 - Requisition #40484 Job Summary The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of Durable Medical Equipment (DME...Local area- Job Summary Perform insurance pre-certification duties for surgical procedures, MRI scans, and injections. Make payment arrangements... ...number and policy numbers from system. Pre-Certification/Pre-Authorization Contact insurance companies to obtain pre-certification for...Work at officeFlexible hoursWeekend work
$23.05 - $38.49 per hour
...Overview Assists in leading the daily activities of the Revenue Cycle Pre-Authorization to ensure high quality customer service and improve revenue cycle activities for prior authorizations, predeterminations, documentation, billing and claims. Understands regulatory...Full timeWork experience placementLocal areaShift work$22 - $25 per hour
...Job Description Job Description Care with Heart. Work with Purpose. Join Home Health of Western Colorado as a Pre-Authorization Specialist in beautiful Montrose, CO . This is more than a job! It’s a paid opportunity to serve others, live our mission, and make...Hourly payFull timeTemporary workMonday to FridayShift work- ...Job Description Job Description Cancer Partners of Nebraska is seeking a detail-oriented, patient-focused Pre-Authorization Specialist to join our growing team. In this vital role, you will help ensure patients receive timely access to care by securing insurance...Work at office
- Description The Preauthorization Specialist is responsible for prior authorizations for orthopaedic services. They will verify insurance, ensure medical necessity, submit and track requests, communicate outcomes, and support care coordination. They will maintain accurate...Work at office
- Responsibilities Perform insurance pre-certification duties for surgical procedures, MRI scans, and injections Make payment arrangements for estimated patient responsibility for surgical procedures and MRI scans Contact insurance companies for pre-certification and obtain...Work at office
- ...and actions take on accounts, which include but not limited to, authorization, communication with patients, staff and other departments. 7.... ...applicable CPT and ICD-9 codes. 13. Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification...Work at officeLocal areaShift work
- ...machine learning and human behavior analysis and modeling for a Pre-Doc Specialist position in the Robotics Institute. Using recent progress in... ...***"Applicants for this position must be currently legally authorized to work for CMU in the United States. CMU will not sponsor...Full timeFixed term contractWork experience placement
$24 - $30 per hour
...Prior Authorization Specialist SPRING VALLEY, NY 10977 Overview Salary Range $24.00 - $30.00 Hourly Position Type Regular Job Shift Full... ...Prior Authorization Specialist is responsible for obtaining pre-certifications and authorizations for Refuah patients. They...Hourly payFull timeWork at officeFlexible hoursShift work$18 per hour
...facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday... ...processes. Your responsibilities include: Streamline pre-certification, authorization, and referral processes, ensuring...Full timeTemporary workWork at officeRemote workMonday to Friday- ...Prior Authorization Specialist The Prior Authorization Specialist is responsible for verifying patient eligibility and insurance benefits for... ...requirements for clinic-administered medications. Interpret payer pre-certification and authorization guidelines and ensure...
$23 per hour
...listings at this time, please check again later. Position: Prior Authorization Specialist Location: Buffalo Job Id: 718 # of Openings: 1 Pharmacy... ...Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving...Full timeTemporary workLocal areaRemote workRelocation package- ...Coffeyville Regional Medical Center seeks a Prior Authorization Clerk to handle insurance pre-authorizations while providing high-level service. The role involves collecting documentation, verifying authorizations, and managing outstanding accounts. Candidates should have...
- 45579BR Extended Job Title: Prior Authorization Specialist Org Level 1: Texas Tech Unv Hlth Sci Ctr El Paso Position Description:... ...insurance coverage and eligibility, and obtaining required pre-authorizations for medical procedures, treatments and services...Hourly payFull timeWork at officeShift work
$23 per hour
...Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy Houston, TX | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,00... ...Specialist will ensure patients receive the medication that requires pre‑authorizations from insurance carriers by receiving...Full timeTemporary workRemote workRelocation package$74k - $84k
...Join to apply for the Prior Authorization Specialist role at Mainstay Medical 2 days ago Be among the first 25 applicants This range is provided... ...Authorization Specialist is primarily responsible for facilitating pre-service authorization and appeal submissions to insurance...Full timeWork experience placementWork at office$21 per hour
...Prior Authorization Specialist Cornerstone Family Healthcare is actively recruiting for a Prior Authorization Specialist to join our growing... ...obtaining prior authorizations for treatment requiring insurance pre-authorization. Handles all prior authorization...Hourly payFull timeFlexible hours$20 per hour
...Patient Access and Prior Authorization Specialist Aston Carter is hiring for Patient Access and Prior Authorization Specialists! This role... ...Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance...Contract workTemporary workInternshipWork at officeRemote work- ...Insurance Specialist RAYUS Radiology is looking for an Insurance Specialist to join our team. We are challenging the... ...will be responsible for providing expertise in insurance pre-certification and authorization of services by calling insurance companies and patients...Full timeWork at office
- ...We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based medical office . This role is responsible for insurance verification, prior authorizations, and referral coordination while ensuring compliance with U.S. insurance...Full timeFor contractorsWork at officeRemote work
- ...purpose that impacts the lives of patients. Job Summary We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient procedures. The primary responsibilities of this role are updating patient...Work at officeRemote workFlexible hours
- ...Prior Authorization Specialist Our client, a leading healthcare service provider specializing in cutting-edge technology to treat skin cancer... ...Experience: Minimum of one year of experience in healthcare pre-authorizations. Familiarity with ICD-10 and CPT coding....Work from home2 days per week
$25 - $40 per hour
...Prior Authorization Specialist CentraState Medical Center is currently seeking a Prior Authorization Specialist. In this role, the specialist... ...reimbursement guidelines. Responsibilities include securing pre-certifications, prior authorizations, and medical necessity...Hourly payFull timePart timeWork at officeFlexible hoursShift work
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