Prior Authorization Specialist - Medical Billing & Payer Support
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Cabinet Peaks Medical Center in Montana is seeking a team-oriented Prior Authorization Specialist to join the Business Office. You will obtain prior authorizations and pre-certifications for procedures and medications, coordinating scheduling with outpatient departments and patients. The role requires strong communication, HIPAA compliance, and accurate documentation in the EMR. Previous medical-setting experience is preferred, and a substance test may be required before employment. #J-18808-Ljbffr Jobless
- 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...Suggested
- ## Authorization SpecialistApplylocations:... ...Carolina Oncology Specialists has been... ...opportunity to support the meaningful... ...and verifying prior authorizations... ...compliance with payer requirements... ..., procedures, medications, and diagnostic... ...authorizations, medical billing, or revenue...SuggestedWork at officeRemote work
- OSIS is seeking a skilled Medical Biller to join our Revenue Cycle team in a 100% remote capacity. You... ...and files while staying current with coding and payer rules. Responsibilities include AR follow‑up, addressing billing inquiries, and collaborating with OSIS...SuggestedRemote job
$19 per hour
Function: The Authorization Specialist is primarily responsible for securing prior authorizations for medical and behavioral health... ...group (RE) clients. Supports the mission,... ...and procedures per payer requirements. Reviews... ...and timely billing. Notifies providers...SuggestedHourly payFull timeWork at officeImmediate startMonday to FridayFlexible hoursShift workWeekend work- ...Vascular is in need of a Cardiology Prior Authorizations Specialist to join our team at Willowbrook... ...information to the review organization (payer) including medical record information and/or letter... ...medical office procedures and billing practices Proficient in clinical documentation...SuggestedFull timeWork at officeShift work
- ...while fostering a supportive and collaborative... .... Join Our Prior Authorization Team at Logan Health... ...Prior Authorization Specialist to ensure a... ...HCPCS codes and medical records to insurers... ...resources related to payer requirements for... ...Communicate issues like billing concerns,...Full timeWork at officeRemote workShift work
$22.3 - $28.8 per hour
...to customers relating to medical billing, medical reimbursement, and... ...resolution. Job Summary: This Specialist role for the Wound Care... ...customer service role to support patients with Epidermolysis... ..., submit or route for prior authorization and perform final biller tasks...Hourly payFull timeContract workTemporary workWork experience placementLocal areaRemote workFlexible hours$50k
...access and adhere to critical medications. Backed by proven... ...strategic insights, patient support services and healthcare provider... ...to therapy. The Benefits Specialist works in a dynamic and... ...Summary. Coordination of prior authorizations based on payer guidelines and in...Temporary workWork at officeImmediate start- ...Coding Specialist I The Coding Specialist I... ...coding-related issues prior to claim... ...coding guidelines, payer requirements, and... ...claim rejections, support clean claim rates,... ...environment. Reviews medical records and all applicable... ...in a medical billing environment with...Hourly payWork at officeLocal area
- ...Summary The Revenue Cycle Specialist is responsible for supporting the organization's... ...cycle operations through billing, collections, payment reconciliation... ..., accounts receivable, medical billing, or a related... ...healthcare claims processing, payer workflows, denials...
$20 - $21.96 per hour
...adding an Intake Specialist to our team! Under... ...Manager, Patient Support Services and... ...demographics, allergies, medication history, comorbidities, and payer information. The... ...in triaging prior authorizations for patients of the... ...assistance programs, and billing information...Remote workFlexible hoursShift work$45k - $55k
...leading pediatric specialists with families... ...providing the support and resources... .... Senior Authorizations Specialist Position... ...: Obtain prior authorizations... ...requests through payer portals, phone... ...meets payer medical necessity criteria... ...a focus on billing, A/R, or...Work at officeRemote work$100k - $150k
...facility’s specific admission criteria, and surfaces clinical and payer risks tied directly to the source text. By reducing manual... ...admission decisions, fill beds efficiently, and streamline prior authorizations. The Role As our first full-time marketing hire, you will...Full time$50k - $55k
...that collaborates with medical groups, health plans,... ...Description The Enrollment Specialist will be the primary... ...of managing the payer enrollment process. Primary... ...ensures it is correct prior to submitting... ...successfully work remotely, supporting our patients and providers...Work at officeLocal areaRemote workWork from homeHome office- ...Field Reimbursement Specialist is a critical... ...expert guidance and support to healthcare providers... ...products, billing & reimbursement, coverage... ...of the complex payer landscape, including... ...payer policies, medical device benefit structures, prior authorization requirements, and...Work at officeWork from homeRelocationHome officeNight shift
$55k - $60k
...program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations... ...reports to the Manager, Prior Authorization within the... ...to the following: Submit medical records and documentation... ...features and benefits to support coverage and...Full timeContract workRemote work- 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 optimize reimbursement... ...and reimbursement, with knowledge of payer processes and Salesforce. Strong communication,...Remote jobFull time
$24.25 - $38.81 per hour
## Prior Authorization Specialist - Prior Authorization - Full timeApplyremote type:... ...advocate for the patient's medical needs and financial health... ...process from provider through payer to patient for timely... ...Prior Authorization Specialist supports the provider and patient's...Full timeCurrently hiringShift work$20 - $36 per hour
...Reimbursement Pharmacy Specialist will be responsible... ...ongoing follow up on prior authorizations and appeals. The role... ...structure of all major payer types including... ...process for prescriptions medications Navigate calls to... ...foundations available to support the patients'...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to FridayShift work$18.99 - $28.51 per hour
Payments and Refund Specialist (Chesapeake Specialty Care... ...Stay current on payer policies and coverage... ...Identify and resolve billing complaints, answer questions... ...years of experience in medical billing Familiarity... ...rewards package that supports our employees' health,...Hourly payFull timeWork experience placementRemote work- Quipt Home Medical is a rapidly growing leader in... ...with us. As an Intake Specialist, you represent our company... ...CMN Requirements and Prior Authorizations Documentation... ...process the third-party billing when appropriate. Informs... ...third-party payer. Logs information into...Temporary workWork at officeShift workDay shift
- ...Charge Review/Entry Specialist The Charge... ...charges into the billing system to support timely, compliant... ...per client and payer requirements, and... ...applicable) prior to claim submission... ...clinic, hospital, or medical billing company... ...commercial) and authorization/referral impacts...Work at office
$23.37 - $32.71 per hour
...package that includes medical, dental, vision, a 403... ...TITLE: Charge Capture Specialist II REPORTS TO POSITION... ...caregiver’s work, as well as support other Revenue... ...understanding and knowledge of billing, medical coding and... ..., and insurance payer reimbursement methodologies...Hourly payPart timeRemote workRelocationShift workDay shift$47.96k - $128.94k
...the largest group of medical professionals in Hampton... ...for a Pharmacy Tech Authorization Specialist for our offices in... ...Processes prescription and bills insurance for payment... .... Obtain insurance prior authorizations for... ...and documentation or payer issues with non-...Full timeWork at office- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! Reporting to... ...clinical information required by the payer to authorize services.... ...with business office staff to support appeal efforts for authorization...Full timeSecond jobWork at office
$105.5k - $175.9k
...today, we want to hear from you. Role Summary The Medically Integrated Dispensing (MID) Sr. Payer Specialist help practices optimize their medically integrated... ...of continuous improvement programs Contracting Support Assists practices with development of payer contracting...Contract workWork at office$22 - $28 per hour
...Percentage: None Job Category: Billing and Reimbursement Position... ...thorough understanding of all Payer Contracts. Essential Job Functions... .... Minimum of two (2) years of medical billing experience. Experience... ...Education & Experience Prior experience in home infusion billing...Hourly payFull timeWork at officeShift work- ...Corporate Accounts Receivable (A/R) Specialist with experience in long-term... ...will manage aging, insurance billing, and denial resolution while... ...have 2+ years in AR/medical billing, excel and billing software... ...skills to coordinate with payers and facility teams for timely...
- ...UNM Medical Group, Inc. Cancer Center seeks a Patient Services Coordinator to support Medical Records and front-end operations. This full-time role involves patient... ...demographics and insurance, referrals, and prior authorizations within the UNM Cancer Center ambulatory...Full time
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