Authorization Specialist
AMERICARE CERTIFIED SPECIAL SERVICES INC
Job Description The HMO Authorization Specialist is an essential component of the certified agency team. The HMO Authorization Specialist is responsible for requesting authorization for home care services for patients with HMO/Managed Care payment sources and acts as a liaison between community-based COC (Coordinators of Care) and the HMO/Managed Care Companies. Requirements High School Diploma Must have homecare & managed care experience Knowledge about health insurance verification Ability to communicate both in writing and verbally required Computer Literacy – Proficiency in Word and Excel required Benefits Comprehensive benefits including medical, dental, and vision 401K plan with company match Robust time off including sick, vacation, personal days, cultural heritage day and your birthday off Opportunity for advancement Employee discount program on events, movie tickets, mobile phone plan discounts and more Equal Employment Opportunity Americare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee based on race, color, sex, gender, pregnancy, religion, age, creed, marital and partnership status, national origin, ancestry, alienage, past or present physical or mental disability, genetic information, sexual orientation, gender identity, affectional preference, veteran or military status or citizenship status, or any other legally recognized protected basis under federal, state, or local law. About Americare Welcome to Americare Careers! Our commitment to providing top-notch care is deeply rooted in our passion for people — both the ones we serve and those we work alongside. When you become part of our team, you’re joining a family that’s been dedicated to the well-being of others for over 40 years. #J-18808-Ljbffr AMERICARE CERTIFIED SPECIAL SERVICES INC
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- Centene Corp. in New York is seeking an Authorization Support Specialist to assist the prior authorization request process and document information for timely determinations. This role helps ensure accuracy in the utilization management workflow and supports clinicians...Remote job
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- ...orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of that success. We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and...Contract work
- Judi Health is seeking a PA Systems Specialist to maintain and validate prior authorization criteria, decision trees, and templates within the PA system. You will translate clinical requirements into system logic, collaborate with pharmacists and cross-functional teams,...
- Allegheny Health Network is seeking a Utilization Review Support position to manage insurance verification, authorizations, payer communications, and follow-up. This role supports utilization review nurses to ensure proper documentation and payment authorization for transfers...
- ...Analysis therapy to individuals with Autism Spectrum Disorder. Our authorization team plays a crucial role in ensuring children receive timely... ...they need. PositionOverview We are seeking an Authorization Specialist to support insurance authorization and verification processes...
- We here at Licensed Behavior Analyst Professional Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption. Your work directly enables our therapists and BCBAs to serve children and...Hourly pay
$24.76 - $33.17 per hour
...Authorization-Referrals Specialist II The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors...Hourly payFull timeWork at officeLocal area$18.67 - $21.96 per hour
...South Carolina, South Dakota, Vermont, West Virginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy...TraineeshipRemote workFlexible hoursShift work- LBAPS, located in New York, is seeking an Authorization Specialist to support insurance authorization and verification processes. The ideal candidate will manage multiple cases while ensuring timely access to services for individuals with Autism Spectrum Disorder. The...
$25 - $27 per hour
Harlem Cardiology on Madison Avenue in New York City seeks a skilled medical biller and insurance authorization specialist to obtain prior authorizations for procedures. Join a dedicated cardiology team delivering cardiovascular care to East Harlem residents; compensation...Hourly payFull time- A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
- Santa Barbara Cottage Hospital is seeking a Remote Authorization Specialist to manage insurance authorizations for PHP and IOP programs, ensuring uninterrupted client access by handling pre-certifications, concurrent reviews, and appeals across payer plans. In this remote...Remote job
- OOS Management Corp. is looking for a meticulous Authorizations Specialist in New York City. You will be responsible for submitting and tracking prior authorization requests to insurance companies, helping our therapists and BCBAs serve families effectively. The ideal candidate...
- Raventra Health is seeking a Prior Authorization Specialist to coordinate requests for scheduled procedures, treatments, and services, working with payer portals, provider teams, and clinical documentation to secure timely approvals. You will submit and track authorizations...Remote job
- WellDyne is seeking a Prior Authorization Tech II to initiate clinical PA requests by phone or email, create and fax cases, and document all activity with accuracy. You will also complete PA requests via telephone with prescriber staff and work closely with pharmacies,...
- ...Job Description Job Description LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access to medications, diagnostic imaging, and specialty care by managing...
- OOS Management Corp. is seeking an Authorizations Specialist for its Brooklyn, NY location. In this full-time role, you will manage the insurance authorization process for ABA services and ensure timely care for families. The ideal candidate will have experience in insurance...Full time
- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in a...Remote jobWork from home
- Inspire Medical Systems is recruiting a Prior Authorization Specialist to implement the US-based Prior Authorization Program and collaborate with Territory Managers and the prior authorization team to resolve coding and coverage questions efficiently. The role requires...Remote job
$145k
...: We are looking for an experienced PolyPath Market Risk Specialist with strong technical and business knowledge to support pricing... ..., training, military service, or education. Work Authorization & Sponsorship: Applicants must be legally authorized to work...Hourly payFull timeContract workWork experience placementShift work$21.38 - $44.4 per hour
...Spokane, WA, which is part of Prism Vision Group Compensation Range: $21.38-$44.40/hr (Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and collecting from their assigned payor. This position ensures that all accounts are billed...- ...Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess...
- ...years of Payments experience, with understanding of the payment lifecycle across pay-in, pay-out, acceptance, fraud, chargebacks, authorization, and payment economics.An MBA or equivalent advanced exec education, and/or prior experience in consulting and strategy roles,...Work at officeRelocation package
- ...consider a career in Advisory.KPMG is currently seeking a Lead Specialist, Oracle GL/AP to join our Managed Services practice.... ...travel as necessary depending on client and business needsMust be authorized to work in the U.S. without the need for employment-based visa...H1bLocal area
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