Nursing Home Authorization Specialist
SNF Healthcare
Position Summary: Responsibilities include ensuring timely and accurate submission of initial and continued Custodial Authorization requests reviews as indicated for inpatient Managed Medicaid population. Identifying, and communicating changes in financial coverage or status to Central Billing; Acting as a liaison between the SNF/LTC and Insurers. Collaboration with Social Workers, Care Transitions team, Physicians, and other Departments to ensure patient medical status is communicated and a safe discharge plan is developed where needed. Advocacy for patients medical status and continuation of coverage as necessary; Escalating Insurance Appeals as necessary . This position reports to the Regional Director of Case Management and may be required to supervise other staff personnel. #J-18808-Ljbffr
$23 per hour
...Human Hire is seeking an Authorization Specialist for their NYC office. This full-time role offers competitive pay of up to $23/hr and health, dental, and vision benefits after 90 days. Work-life balance is prioritized with a schedule of Monday to Friday from 8:30 AM...SuggestedFull timeWork at officeMonday to Friday- ...Intellisight is hiring for the role of Eligibility, Authorizations & Referrals in US Healthcare. This work-from-home position requires candidates to process authorizations, manage referrals, and verify patient eligibility. The ideal candidate should have between 1 to...SuggestedRemote workWork from home
- ...A healthcare organization seeks a Scheduling and Prior Authorization Representative to manage scheduling tasks for surgeries and procedures. This full-time remote role requires effective communication and customer service skills, along with knowledge of hospital processes...SuggestedFull timeRemote work
- ...Complete the precertification and prior authorization process by calling insurance companies, adjusters, and patients. Communicate the approval or denial of surgeries and/or tests effectively to physicians, physicians’ staff, and patients. Complete accuracy checks between...Suggested
$18 - $22 per hour
...extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position Prior Authorization Specialist Location Norwood Office Department Billing Schedule Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after...SuggestedHourly payFull timeTemporary workWork at officeRemote workMonday to Friday$23.69 - $32 per hour
...opportunities are posted here as they become available. Authorization Specialist II #Full Time #Remote The 61st Street Service Corporation... ...of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties....Hourly payFull timeWork at officeLocal areaImmediate startRemote work- ...Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal... ...to detail. This position offers flexibility in working from home, as well as potential after-hours requirements. #J-18808-Ljbffr...Remote workWork from home
- ...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 and...
- ...Weill Cornell Medical College is seeking a Pre-Authorization Representative in New York. This role involves managing insurance verifications, obtaining necessary prior authorizations, and ensuring patient communication. Candidates should possess a high school diploma or...Work at officeWeekday work
$23.01 - $34.24 per hour
...prominent healthcare institution in New York is seeking a candidate to coordinate clinical information requests and manage payer authorizations. Responsibilities include communication with third-party payers, data entry, and reporting, as well as supporting case managers...Hourly pay- ...Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key... ...independently in a remote, fast-paced environment. Comfortable working U.S. hours Remote work from home #J-18808-Ljbffr...Full timeWork at officeRemote workWork from home
- ...LBAPS, located in New York, is seeking an Authorization Specialist to support insurance authorization and verification processes. The ideal candidate will manage multiple cases while ensuring timely access to services for individuals with Autism Spectrum Disorder. The...
- ...Ascertain, based in the United States, is seeking a Prior Authorization Assistant. In this role, you'll engage with healthcare providers and leverage AI technology to streamline prior authorizations, ensuring both accuracy and efficiency. You'll collaborate closely with...
- ...Boston Medical Center is seeking a part-time Prior Authorization Specialist to work remotely. The role involves screening prior authorization requests and coordinating with various stakeholders for financial clearance in the healthcare system. Responsibilities include...Part timeRemote work
$40k - $46k
...Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy. This remote position requires expertise in specialty infusion prior authorization and customer service skills. Candidates must have at least 2 years of relevant experience...Remote work- ...Lehigh Valley Hospital is seeking a candidate for a remote position in Pennsylvania to manage benefits and authorizations for various healthcare services. This role involves collaborating with medical staff, performing insurance verifications, and ensuring compliance...Full timeRemote workDay shift
- ...Clearway Pain Solutions is hiring for a position that requires providing quality patient care while managing prior authorizations and medication inquiries. As a Medical Assistant, you will communicate with patients and insurance companies and ensure timely processing...
- ...Preferred Home Care of New York, a fully licensed Home Care Agency serving the NY Metropolitan area including Nassau, Suffolk and Westchester counties, is seeking an experienced , Authorization Specialist for our Brooklyn Corporate Office who is a strong communicator...Work at officeFlexible hours
- ...it never breaks. Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take days into decisions made in minutes, before...Remote jobHourly payFull timeFor contractors
- ## Authorization Integrity Specialist - FT - Day - Revenue Integrity & Denials Mgmt Lawrenceville NJApplylocations: 3131 Princeton Piketime type: Full... ...significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health...Full timeTemporary workPart timeWork at officeFlexible hours
- Job Description The HMO Authorization Specialist is an essential component of the certified agency team. The HMO Authorization Specialist is responsible for requesting authorization for home care services for patients with HMO/Managed Care payment sources and acts as a...Local area
- Capital Health is seeking an Authorization Integrity Specialist responsible for authorization controls and revenue management in Lawrenceville, NJ. This full-time position involves verifying services for scheduled accounts and participating in claim quality improvement...Full time
$22 - $26 per hour
...role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:30pm...Remote jobMonday to FridayShift work- OpenLoop Health is seeking a Practice Authority Specialist to oversee and manage Collaborative Practice Agreements (CPAs) across multiple states. The role requires a Bachelor's degree in Healthcare Administration or a related field, with at least 1 year of experience in...Flexible hours
$34.78 - $37.8 per hour
Title: Pre-Authorization Specialist Location: Midtown Org Unit: Coding Administration Work Days: Monday-Friday Weekly Hours: 35.00 Exemption Status: Non-Exempt Salary Range: $34.78 - $37.80 Position Summary Under direction, is responsible for the management of insurance...Work at officeLocal areaMonday to Friday- A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
$18.92 - $23.46 per hour
...Employee Referral Program. Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence to processes... ...Two years’ experience in intake/authorizations and home infusion therapy is required. High school diploma or equivalent...Full timeContract workTemporary workLocal areaRemote workFlexible hours- ...is seeking an experienced professional for a full-time role in West Atlantic City, NJ. This position is focused on managing pre-authorization processes and requires strong leadership qualities, medical terminology knowledge, and prior experience in similar roles. Responsibilities...Full time
$18.92 - $23.46 per hour
Vital Care Infusion Services is seeking a full-time team member focused on initiating authorizations and ensuring accuracy and adherence to processes. Responsibilities include reviewing patient files, communicating with franchise partners and payers, and documenting all...Remote jobFull time- Duties Verifies and obtains all Worker's Compensation, MVA, Health insurance coverages and pre-certs/Authorizations prior to patients appointments Duties Verifies and obtains all Worker's Compensation, MVA, Health insurance coverages and pre-certs/Authorizations prior...Immediate start
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