Eligibility & Authorization Specialist - Payer Services
Trilogy Health Services
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 is obtained to reduce risks of nonpayment. Applicants should have a high school diploma and at least five years of healthcare insurance experience, ideally in a senior living setting. A bachelor's degree is preferred. #J-18808-Ljbffr Trilogy Health Services
- ## Authorization SpecialistApplylocations: COS - Remotetime... ...665Carolina Oncology Specialists has been providing... ...oncology and hematology services tailored to each... ...maintains compliance with payer requirements while... ...limitations, and patient eligibility as needed* Ensure...SuggestedWork at officeRemote work
- ...Ashland, KY seeks an Insurance Authorization Specialist to ensure accurate, timely... ...procedures. You will apply payer guidelines, ICD-10/CPT/HCPCS coding, and verify eligibility to minimize delays and denials... ...; on-site role in Customer Service, with standard daytime hours...Suggested
$19 per hour
Function: The Authorization Specialist is primarily responsible for securing prior... ...and behavioral health services by reviewing patient medical... ...appointments, and procedures per payer requirements. Reviews... ...appointments or procedures. Conducts eligibility verifications for incoming...SuggestedHourly payFull timeWork at officeImmediate startMonday to FridayFlexible hoursShift workWeekend work- ...seeking a team-oriented Prior Authorization Specialist to work in the Business... ...verify patient's insurance eligibility, benefits and requirements.... ...time allotted for medical and services. Contacts patients to... ...information required by the payer to authorize services. Maintains...SuggestedFull timeSecond jobWork at office
- Inception Fertility - Houston is seeking an Authorization Specialist to deliver a superior patient experience by verifying eligibility and initiating prior authorizations. You will review medical records, contact insurance companies, and complete authorization forms within...Suggested
- ...Houston, TX 77081, USA Our Authorization Specialist will be responsible for... ...experience by checking patient eligibility and initiating prior... ...insurance plan benefits via online payer portals and confirming with... ...internal patient financial services department, clinical staff...Extra incomeFull timeWork experience placementWork at office
- ...Children and Families Working Title: ELIGIBILITY SPECIALIST I - 60049380 Position Number:60049380... ...to fill position vacancies in Career Service. Current employees will be compensated... ...and state regulations. Computing and authorizing government assistance benefits based...Work at officeLocal areaRemote workMonday to FridayFlexible hours
- ...every stage of your career! Job Title: Eligibility Specialist 1 - Cobb County Job Requisition ID:... .... The Georgia Department of Human Services (DHS) is a dynamic state agency responsible... ...Georgia. Although employees may be authorized to telework, upon completion of...Temporary workWork at officeRemote workFlexible hours
- University of Utah Health is seeking a Prior Authorization/Insurance Verification Specialist to secure outpatient accounts by verifying eligibility, obtaining benefits and prior authorizations before services are rendered. The role collaborates with physicians, nurses,...Remote job
$72.4k - $108.6k
...Description Summary OSS/On-site Services is looking for motivated,... ..., and skilled Alignment Specialist with expertise in repairing... ...Steam turbine technologies. Eligibility Requirements: Ability and willingness... ...those who are legally authorized to work in the United States...Hourly payContract workRemote workRelocation packageAfternoon shift$47.96k - $128.94k
...exciting opportunity for a Pharmacy Tech Authorization Specialist for our offices in Newport News.... ...financial assistance, and research denied services to ensure patients receive medications... ...insurance plans, and documentation or payer issues with non-covered chemotherapy...Full timeWork at office$24.25 - $38.81 per hour
## Prior Authorization Specialist - Prior Authorization - Full timeApplyremote type: On-sitelocations... ...facilitate the process from provider through payer to patient for timely health care... ...payer authorization for medical services and optimize patient health outcomes by...Full timeCurrently hiringShift work$24.86k
...Hiring Agency: Health & Human Services - Agency 25 Location:... ...Posting: JR2026-00028490 Program Specialist - Personal Assistance... ...services Review of service authorizations Hire Rate: $ 24.862 per hour... ...Nebraska has to offer! Benefit eligibility may vary by position,...Hourly payFor contractorsCasual workMonday to Friday$19 - $23 per hour
Eligibility Specialist I Early Learning Coalition of Northwest Florida The Early Learning Coalition... ...is seeking a detail-oriented and service-driven Eligibility Specialist I to join... ...Valid Florida Driver License E-Verify authorization High-speed internet access (minimum 5...Hourly payFull timeTemporary workWork at officeWork from homeFlexible hours$20.98 - $30.12 per hour
...with third party insurance and payer contracting department to... ...of pre-certification /prior authorization procedures to validate account... ...and excellent customer service skills. Relays any patient suggestions... ...with the Medical Assistance Eligibility team to refer patients...Immediate startRemote work- ...accurate and timely insurance authorizations for diagnostic imaging as... ...procedures. Provides expertise in payer guidelines, coding... ...pre‑registration to validate eligibility, and secure approvals. Maintains... ...regulations while promoting service excellence and operational efficiency...Full timePart timeReliefInternshipShift work
- ## Prior Authorization Coordinator IApplylocations: San Diego, CAtime... ...candidate.”This position is not eligible for Sponsorship.MedImpact... ...innovative products, systems, and services that provide transparency... ...high-value solutions to payers, providers and consumers of...Full timeLocal areaRemote workMonday to FridayNight shiftWeekend work
$50k - $55k
...Insurance Eligibility And Medical Billing Assistant Ohel is seeking... ...uninterrupted access to services. In this role, you will play... ...and benefits through payer portals prior to services, including... ...Obtain or assist with pre-authorizations and prior authorizations when...Full timeWork at office- ...Georgia Department of Human Services (DHS) is seeking Eligibility Specialist 1 in Clayton County. You will determine initial and renewal eligibility for SNAP, Medicaid and TANF, process applications and verifications, and utilize Georgia Gateway for case management. The...Remote work
$19.32 - $24.13 per hour
...care, as well as hospital-based services, to patients throughout the... ...Cycle life cycle to all payers, including but not limited to... ..., then this position has the authority (delegated) to hire, terminate... ...following: N/A This position is eligible for the following benefits: Medical...Full timeTemporary workPart timeWork at officeFlexible hours- Ramey-Estep Homes, Inc. is seeking an Authorization Specialist to secure prior authorizations for medical and behavioral health services. You will verify insurance coverage, review patient histories, and confirm referral details with providers to ensure timely submissions...Work at officeMonday to Friday
- ...accommodation or an alternative application process. WIC Eligibility & Program Specialist Stamford, CT, US 7 days ago Requisition ID: 1616 Join a... ...Health Care the largest provider of primary health care services in Fairfield County is looking for dedicated professionals...Work at officeLocal area
- ...respiratory equipment and service in the durable medical... ...with us. As an Intake Specialist, you represent our... ...Insurance Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements... ...third-party payer. Logs information into...Temporary workWork at officeShift workDay shift
$47.4k - $70.15k
...Saline Posting End Date: August 17, 2026 The DHS Program Eligibility Specialist I works under general supervision and is responsible for determining... ...eligibility, obtaining client information, coordinating services with providers, and preparing information and...Work at office- Carolina Oncology Specialists-Remote is seeking an Authorization Specialist within Revenue Cycle Management. You will obtain and verify prior authorizations for oncology services, review orders for medical necessity, and coordinate with insurers to secure approvals in...Remote job
- Georgia Department of Human Services (DHS) is seeking an Eligibility Specialist 1 in Gwinnett County to determine initial and renewal eligibility for programs like SNAP, Medicaid, and TANF. You will process applications and verifications within the Georgia Gateway system...Remote job
- ## Specialist, Engineering Services-1Aplikujremote type: On-sitelocations: Hazelwood, MOtime type: Full timeposted on: Opublikowano dzisiajjob requisition... ...does not provide visa sponsorship. Candidates must be authorized to work in the United States without sponsorship.**...Work experience placementWork at officeRemote workShift workNight shiftWeekend workAfternoon shift
- This employee verifies insurance, obtaining authorizations and documents needed to confirm order; responsible for communicating directly... ...from insurance carriers within time allotted for medical and services using my meds, fax, or verbal communication In a timely manner...Work at office
$50k
...insights, patient support services and healthcare provider engagement... ...to therapy. The Benefits Specialist works in a dynamic and... .... Coordination of prior authorizations based on payer guidelines and in... ...documentation to assess patient eligibility for participation as per SOPs...Temporary workWork at officeImmediate start$19.18 - $30.14 per hour
...Recovery Specialist Associate - Call Center Anticipated End Date:... ...companies, is a healthcare services organization that takes a whole... ...general supervision. Performs all authorized duties in the processing of... .... Determine membership eligibility using various job aids and membership...Temporary workWork experience placementWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week
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