Clinical Prior Authorization Specialist
Troy Gastroenterology P.C
Obtain prior-authorization for medications, including specialty and Hepatitis B & C medications. Obtain prior-authorization for radiology, CT/US Guided biopsies, Paracentesis and Capsule Endoscopies. Schedule, review and mail instructions and medications needed for specialty procedures. Prepare orders for CT/US Guided Biopsies, Paracentesis, Pelvic Floor Therapy, Speech Therapy, Therapeutic Phlebotomy, Blood Transfusion and fax to facility. Arrange and perform teachings for fecal transplant patients. Arrange and seek prior-authorization for Home Care. What we are looking for Strong knowledge of medical terminology Demonstrated computer skills for documenting patient care in an electronic medical record Ability to communicate effectively in person, on the telephone, and in writing Ability to work independently and as a team Ability to read and comprehend patient medical charts, medical terminology, prescription medications, and physician messages Ability to multi-task What we offer A professional work environment where you can learn, enhance your skills and grow in new opportunities. Competitive pay rates A generous paid time of package prorated from your start date to the end of the year. paid holidays with 2 bonus paid floating holidays ea. year Life & Disability benefits 401k retirement plan with company match Pinnacle GI Partners is an equal opportunity employer. We participate in E-Verify for residency verification after hire. To learn more about our company please visit Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr
- ...Pinnacle GI Partners is seeking a detail-oriented medical administrative professional in Michigan to manage prior-authorization processes, schedule tests and procedures, and prepare orders for a range of specialty services. This role supports physicians and care teams,...Suggested
- Pinnacle GI Partners in Rochester, MI is seeking a part-time healthcare authorization specialist to support timely access to medications, procedures, and services behind the scenes. You will obtain prior authorizations, secure imaging and procedure approvals, coordinate...SuggestedPart time
- Job Title: Prior Authorization SpecialistJob Summary: The Prior Authorization Specialist is a key member of the healthcare team, primarily responsible for obtaining pre... ...urgent messages submitted by the SPMG team or Clinical Manager.Monitor voicemail and returning call...SuggestedWork at office
- Associate Chief Clinical Officer (most senior physician leader) for the new Troy Medical Campus Michigan Medicine / University of Michigan Health, Troy, MichiganMichigan Medicine seeks a dynamic, distinguished physician executive to serve as the inaugural Associate Chief...Suggested
- ...Description Job Description Description: Referral & Prior Authorization Specialist Arcturus Healthcare is seeking a detail-oriented and... ...prior authorization process, including gathering required clinical documentation and submitting authorization requests to...SuggestedWork at office
- The client is seeking an inaugural Associate Chief Clinical Officer (ACCO), a most-senior physician leadership role for a new medical campus scheduled to open in 2027. The ACCO will help champion the campus as a distinct, community-integrated care model emphasizing limited...
$18 - $21 per hour
...and firm-wide KPIs. Our team regularly participates in community clinics, scholarship initiatives, and volunteer opportunities, giving... ...may also be necessary to track and confirm status of claims.· No prior training is required, but experience working with the SSD or VA...Full timeWork at officeRemote workFlexible hours- ...Sterling Heights, MI. You will handle check-in, scheduling, phones, and assist clinicians on the treatment floor while keeping the clinic clean and organized. A paid training shift before your first day covers our systems and routines. The assignment runs Oct 29 – Nov...Temporary workShift workWeekday work
- ...Infertility at the University of Michigan seeks a physician for a 100% clinical, community-based position in Troy, Michigan. Contact us today... ...~ Engage in a multidisciplinary practice with leading specialists ~ The University of Michigan is the No. 21 Best College in the...Private practiceLive in
- ...Custom Home Health's Quality team as a contingent OASIS Review Specialist! We're looking for detail-oriented clinicians with... ...audits as assigned Qualifications ~12+ years of home health clinical experience required ~ Home Health ICD-10 coding certification...Full timeRemote workFlexible hours
- Job Description The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance... ...equivalent; minimum 3-5 years of related experience in a medical clinic, hospital, or corporate setting Two years of experience in...Work at office
$35 - $40 per hour
...proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most... ...rewarding career! Job Description Are you an experienced HEDIS Specialist looking for a new opportunity with a prestigious healthcare company...Private practiceWork at officeLocal areaMonday to FridayDay shift- ...Coordinator to ensure proper fitting, education, and support for durable medical equipment prescribed by providers. This role combines clinical knowledge with inventory control, insurance coordination, and precise EMR documentation to deliver an exceptional patient...
- ...procedural codes applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the... ...Medical Record Sciences Six (6) months of prior coding experience Prior experience in a...Remote work
- ...campus. Job Description CBO Coding Complex Specialist - Henry Ford Health Job Title CBO... ...procedural codes applied by front-end coding and clinical teams. Abstract information from the... ...or five (5) years coding experience. Prior experience in a healthcare revenue cycle...Work at officeLocal area
- ...necessity and utilization review. The ideal candidate will have an RN license, strong problem-solving skills, and at least 4 years of clinical nursing experience, preferably in the healthcare utilization sector. Keys to this role include assessing care needs, ensuring...
- Reproductive Endocrinology and Infertility Specialist | Southeast Michigan (Rochester Hills & Surrounding Areas)Henry Ford Reproductive Medicine... ...to help shape the future of a newly integrated fertility clinic within one of the nation’s leading academic health systems. As...Flexible hours
- ...High School Diploma/ GEDMust have excellent attendance and no prior disciplinary action(s)Ability to work holidays and overtime as... ...must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before...Hourly pay
- ....Required:High School Diploma/GED.Excellent attendance and no prior disciplinary action(s) Proficient with MS Office.Ability to work... ...have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting...
- ...Associates of Michigan is seeking a skilled Embryologist to join our compassionate and dedicated team. In this role, you'll support clinical outcomes and contribute to a mission-driven environment. Applicants should have a Bachelor's or Master's degree in a relevant...
- ...patient-centric environment and help ensure a smooth visit experience. The role emphasizes strong communication, reliability, detail orientation, and a compassionate approach to patients in pain, supporting the clinic #J-18808-Ljbffr FYZICAL Therapy & Balance Centers
- ...manufacturing and distribution of wiring harnesses, high-voltage cabling, and electric vehicle (EV) chargers. We are seeking a Customs Specialist to oversee the correct execution of all US import, exports and post entry via all transportation modes (Land/Air/Ocean).In your...Full timeRelocation package
- ...application from the approved branch sites: Ann Arbor, Farmington, Grand Blanc, Grand Rapids, Novi and Troy.The RoleAs a Trading Specialist, you will support investors with a broad range of trading, investment, and account-related needs while helping deepen client relationships...Full timeRemote work
- ...the highest priority. The protection of our data, both internal and external, from threats is paramount to our success. The Sr. Specialist - Group Cybersecurity provides leadership, operational enforcement and monitoring of all Cybersecurity policies at the Group level...Full timeWork at officeLocal areaImmediate startShift workNight shift
- ACH Specialist Financial Institutions Group Doeren Mayhew is a tax, assurance and advisory firm headquartered in Troy, Michigan with 25 offices across the country and abroad. Founded in 1932, Doeren Mayhew is recognized as the 36th largest CPA firm in the U.S. and is positioned...Work at office
- ...challenges with integrity, respect, responsibility, and professionalism.General Function:The SR Learning Management Systems (LMS) Specialist supports on-boarding, compliance, professional development, and ongoing learning technology and content management activities for...Work experience placement
- Corewell Health William Beaumont University Hospital in Royal Oak, MI, seeks a Certified Ophthalmic Assistant (COA) to support Eye Institute physicians. You will perform preliminary work-ups, prepare exam rooms, assist doctors and technologists, and coordinate patient appointments...
$25 per hour
...Job Description Job Description Preventive Maintenance Specialist (Presses & Facilities) Where: Rochester Hills, MI | Type: Contract-to-Hire | Pay: Approximately $25.00+ per hour (based on proven work history) Hours: 3rd Shift (11:00 pm – 7:00 am). Training...Hourly payPermanent employmentContract workNight shiftDay shift- ...Internal Legal Specialist - GarnishmentsThe Internal Legal Specialist is responsible for completing tasks and reviewing legal documents... ...follows through to completion.Preferred QualificationsExperience: Prior experience working in the legal fieldIf you are wondering why...Work at officeFlexible hours
- Mercedes-Benz of Rochester is seeking a detail-oriented Warranty Clerk to manage the administrative processing of all manufacturer and third-party warranty claims. You will serve as the vital link between technicians and the manufacturer, ensuring accurate coding, prompt...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Prior Authorization Specialist. Be the first to apply!
- prior authorization nurse Rochester, MI
- prior authorization coordinator Rochester, MI
- prior authorization specialist Rochester, MI
- clinical device specialist
- community health educator
- clinical implementation specialist
- clinical outcomes specialist
- clinical intake specialist
- clinical specialist crm
- clinical nurse specialist



