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
- ...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...SuggestedExtra incomeFull timeWork experience placementWork at office
- ## 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
- ...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
- ...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- ...every stage of your career! Job Title Eligibility Specialist 1 - Gwinnett County Job Requisition... ...Georgia. The Georgia Department of Human Services (DHS) is a dynamic state agency... ...throughout Georgia. Although employees may be authorized to telework upon completion of...Temporary workWork at officeImmediate startRemote workFlexible hoursShift 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- ...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
- 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$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$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
- Aspen Valley Health is hiring a full-time Prior Authorization Specialist in Basalt, CO, to support the Prior Authorization team and patients through the payer process. You will review health plan benefits, obtain payer authorization, and communicate clearly with providers...Full time
- Koya Medical, Inc. is seeking an Authorizations Specialist to manage prior authorizations, precertifications, predeterminations, and referrals to... ...prior authorization and reimbursement, with knowledge of payer processes and Salesforce. Strong communication, organization...Remote jobFull time
- Description Participates in patient eligibility determination for Ryan White (RW) programming. Remains current on patient eligibility requirements... ...Clinic activity and the annual completion of the Ryan White Service Data Report (RSR) DUTIES AND RESPOSIBILITIES Maintains the...
- ...strengthen individuals, families and communities through direct services and community collaborations that create solutions to poverty, is looking to hire a self motivated and organized Eligibility Specialist for our office in Skowhegan, ME . The Eligibility Specialist...Temporary workWork at officeLocal area
- ...Job Family Operations and Administrative Services # Hours Per Week 37.5 Position Overview... ...culture of respect and inclusion. The Specialist, Grants Services Center role is... ...and submit any necessary forms (Salary Authorizations, Budget Modifications, Expense Transfers...
- ## 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
- 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
$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- ...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
- ...seeks a professional to assist in evaluating student-athlete eligibility and admission eligibility, ensuring compliance with NCAA, Big... ...and CSU policies. The role emphasizes equity, student-centered service, and culturally responsive support across enrollment and athletics...
$15.92 - $19.44 per hour
Health Information Specialist I 7844 Washington Township... ..., providers, and authorized requestors Process Release... ...Strong customer service and communication skills... ...religion. This job is not eligible for employment... ..., Datavant works with payers, providers, life sciences...Hourly payFull timeWork at officeImmediate startMonday to Friday$55k - $60k
...camaraderie, and fun. We offer a base + bonus compensation package, and a competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations, precertifications, predeterminations, and referrals to maximize...Full timeContract workRemote work$102.51k - $114.57k
...for a career glow up? As Continuous Improvement Senior Specialist , you’ll support Client Services by driving operational improvements through project... ...job.Individuals employed in this position may also be eligible to earn bonuses.This job will be posted for a minimum...Full timeShift work
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