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
$29 - $31 per hour
...provides professional homecare services in the New York... ...care! Job Summary The Authorizations Specialist plays a critical role in obtaining... ...authorizations and insurance eligibility. ~Review patient... ...coordinate follow-up with patients, payers, and internal staff to...SuggestedWork experience placementWork at officeLocal area- ...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
- ...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- ...Position Overview The Regional Medicaid Specialist manages Medicaid eligibility, applications, and pending accounts... ...regions Medicaid regulations and payer timelines. Conducts resident and... ...assigned region’s Family and Social Services Administration (FSSA), county...SuggestedWeekly payWork at officeLocal area
$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- ...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
- ## 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
- 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- ...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
$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$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$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$20 per hour
...The Certified Coding Specialist (CCS) is responsible for... ...for behavioral health services within a Certified... ...Medicare, and commercial payer guidelines while supporting... ...to the appropriate authorities and RE. ||Essential... ...This positionis also eligible for our full-time employee...Full timeWork experience placementWork at officeImmediate startMonday to FridayShift workWeekend workDay shift$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...Full timeTemporary workWork at officeImmediate start- ...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
- 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...
- 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
- ...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...
$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- 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
$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- 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
$66.3k
...Customer Service Representative New York City'... ...insurance coverage, and eligibility as needed to resolve... ...requests, pre-authorization/authorization tracking... ...codes, and associated payer rules relevant to the... ...supervisor or denials specialist in a timely manner....$18.17 - $27.31 per hour
...Vehicle Operations Job Profile Fleet Client Services Specialist II Management Level Individual... ...identified herein, this role is also eligible for an annual incentive/commission target... ...disability/vets. Applicants must currently be authorized to work in the United States for any...Hourly payLive inRemote workVisa sponsorshipFlexible hoursShift work$50k
...Development, Family Support, Job Training & Employment Support Services, Health, Housing, and Legal Services. We reach more than 72,00... ...experienced community violence. Position: Lead Mediation Specialist Reports To: Assistant Program Director Location: Multiple...Full timeSeasonal workLive inWork at officeLocal areaDay shiftAfternoon shift
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