Prior Authorization Specialist: Streamlined Approvals
Carle
Carle Health in Champaign, IL is seeking a Pre-Authorization Specialist to identify prior auth requirements and process authorizations for scheduled and add-on services. You will document results in Epic and communicate with ordering Providers to minimize denials and support peer-to-peer reviews as needed. The role requires a Highschool Diploma or GED and basic English skills. You will work with physicians, nurses, and care teams to ensure timely submissions while maintaining patient #J-18808-Ljbffr Carle
$100k - $150k
...minutes, we enable post-acute facilities to make faster, more accurate admission decisions, fill beds efficiently, and streamline prior authorizations. The Role As our first full-time marketing hire, you will be the engine behind Basalt’s revenue growth. You will own the...SuggestedFull time- ## Reimbursement Specialist - Days - RemoteApplylocations: Richmond, VAtime type: Full timeposted on... ...to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently...SuggestedWork experience placementRemote workAll shiftsWeekend work
$55k - $60k
...fun. We offer a base + bonus compensation package, and a competitive benefits program. Job Summary The Prior Authorization Specialist ensures timely payer approvals by managing authorizations, precertifications, predeterminations, and referrals to maximize reimbursement...SuggestedFull timeContract workRemote work- .... * Maintains open communication with other departments regarding scheduling changes. * Properly verifies and obtain prior-authorization when needed. * Follows up on any requests and/or messages left on work phone immediately. * Coordinates transportation...SuggestedWork at officeImmediate start
- ...DESCRIPTION**: The Developmental Specialist is responsible for working... ....16. 17. Implement approved Positive Behavior Supports interventions... ...is left unsupervised unless prior ISP documentation allows... ...to obtain prior authorization/permission to re-schedule training...SuggestedRelocationShift work
- ...Mid-South. The Pharmacy Revenue Cycle Specialist position is responsible for supporting... ..., this role may act as a lead for the Prior Authorization Specialists, ensuring effective team... ...and address barriers to reimbursement, streamline workflows, and maximize revenue integrity...Work experience placementWork at office
- UP Health System - Portage is seeking a Prior Authorization Specialist to obtain preauthorizations, coordinate with care teams, and ensure compliant documentation for insurance approvals. You will work with physicians, patients and payers to secure timely authorizations...
- ...The Patient Access Scheduling Specialist is responsible for... ...insurance eligibility and benefits prior to scheduling and/or appointments... .... Coordinate prior authorizations and referral requirements as... ...workflow, ensuring services are approved before the date of service....Full timeWork at officeFlexible hours
- ...is seeking a Strength and Conditioning Specialist to support Special Operations Forces (SOF... ...corrective action plans to continually streamline and improve project operations,... ...through local leadership, as documented and approved through local POTFF leadership. Preferred...Minimum wageContract workTemporary workWork experience placementLocal area
- ...skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Prior Authorization Specialist who excels in this role: Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/...Full timeTemporary workPart time
- ...TypeFull TimeCategoryAccounting## Banking Specialist**Banking Specialist****Location:**... ...and corporate account balances.* Support streamlined banking compliance processes and requirements... ...and related documentation.* Strengthen approval workflows and internal controls related...Daily paidWork at officeImmediate start
$125k - $165k
Actuarial Specialist - Commercial & Specialty Pricing Location: Chicago, IL (Hybrid - 40%... ...orientation. Applicants must be legally authorized to work in the United States. Recruitment... ...Agencies: All resumes submitted without prior HR authorization will be considered...Temporary workStart working todayWork at officeFlexible hours- Family Allergy & Asthma is seeking a detail-oriented Prior Authorization Coordinator for a remote role. You will work standard ET business hours and support our biologic and specialty medication processes, coordinating with providers, nurses, and patients. Key duties include...Remote jobMonday to Friday
- The Prior Authorization Submitter (PAS) at Tobii Dynavox works with insurance payors to obtain medical necessity and prior authorization for durable medical equipment. You will assemble submission packets and file them through online portals, faxes, and mail, then track...Remote job
$115k - $165k
...life on Mars. SENIOR PROPOSAL SPECIALIST From release of a customer’... ...and services. You’ll manage authors from across our technical... ...documents through review and approval processes Prepare documents... ...templates Help improve and streamline the proposal development...Permanent employmentContract workTemporary workWork at officeRemote workWeekend work$17.84 - $28.02 per hour
## Authorization Specialist IIApply: Remote-MO: Full time: Posted Today: 1668078**Position Purpose:** Acts as a resource and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline. Supports...Hourly payFull timeH1bRemote work- # Authorization SpecialistHot JobGrand Ledge, MI 48837## OverviewSalary Range$18.00 - $21.00... ...Description**Summary** The Authorization Specialist, a key position in the Revenue Cycle,... ...services.* Request, follow up and secure prior-authorizations prior to services being...Work at officeWork from home
- Trilogy Health Services, located in Louisville, Kentucky, is seeking a Payer Services Specialist. This role involves handling prior authorizations and insurance verifications for potential admissions and therapy services. The chosen candidate will ensure timely authorization...
- ...remain at home. We are seeking a highly motivated and dedicated Authorization Specialist to join our team at PACE. As an Authorization Specialist ,... ...delays and/or denial of payments. Prepare and complete prior authorization request forms and apply appropriate guidelines...Work at officeWeekend work
- This position is responsible for obtaining prior authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care...Hourly payReliefWork at officeShift workDay shift
- Sullivan County Community Hospital is seeking a Prior Authorization Representative to join our well‑established Revenue Cycle team in Sullivan, IN. The role focuses on verifying insurance, documenting payer policies, and ensuring prior authorizations are processed quickly...
- Stormont Vail Health in Topeka, KS, is seeking a patient access specialist focused on scheduling, insurance verification, and... ...will verify benefits, determine coverage, and assist with prior authorizations as needed. The role requires strong knowledge of medical terminology...
- Concordia Visiting Nurses in Kentucky is seeking an Authorization Specialist to manage insurance authorizations for high-volume home health and hospice services. The role requires obtaining prior and subsequent authorizations from payers and ensuring accurate documentation...Full time
- ...HIPAA-compliant practices to ensure seamless access to services. You will respond to calls, process referrals, assist with prior authorizations, coordinate between departments, and help maintain EMR documentation while contributing to a supportive, patient-centered environment...
- Boston Medical Center is seeking a Prior Authorization Specialist I to join the Insurance Verification team in a remote, part-time capacity. The role focuses on screening prior authorizations, coordinating referrals, and ensuring timely financial clearance for inpatient...Remote jobPart time
$56k - $57k
...accommodation or an alternative application process. Revenue Cycle Specialist Confidential Full-Time Drummond 10501, Philadelphia, PA, US... ...within the Evolv EHR system, including payer plans, rates, prior authorizations, service codes, and staff credentialing information....Full timeWork at office$20 - $21.96 per hour
...and Wyoming. Overview Due to growth we are adding an Intake Specialist to our team! Under direction from the Assoc. Manager,... ...and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy. The Specialty Pharmacist...Remote workFlexible hoursShift work$14k
Influencer Partnerships Specialist (Contract) Remote | Part-Time Contract (20 hrs/week)... ...from day one. Coordinate content and approvals. Work with creators on messaging, review... ...research, personalize outreach at scale, or streamline repetitive tasks. What we care about...Contract workPart timeRemote work- Senior Strength and Conditioning Specialist General information Date Friday, August 14,... ...corrective action plans to continually streamline and improve project operations, outcomes... ...local leadership, as documented and approved through local POTFF leadership. Qualifications...Minimum wageCivilian ContractorFull timeContract workTemporary workWork experience placementLocal areaRemote workHome office
- ...for driven individuals to come grow with us. As an Intake Specialist, you represent our company to referrals and patients. Our Intake... ...Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the Equipment Patient's Financial...Temporary workWork at officeShift workDay shift
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