The Pre-Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and processes and completes prior authorizations for scheduled and add on services. They determine if services are a covered benefit and documents pre-authorization information in Epic. The role involves communicating with the ordering Provider's office to reduce denials and facilitates peer to peer reviews when needed.

Pre-Authorization Specialist

The Authorization Specialist I at Fairview Health Services is responsible for completing the financial clearance process within Patient Access, including understanding and working with multiple insurance payors to secure benefits and increase the likelihood of reimbursement. This role involves articulating payor information to patients, guarantors, and family members, completing insurance and benefits verification, screening payor medical policies, submitting and managing referral and authorization requests, and providing support for appeals and denials. The specialist works closely with medical staff, nursing, ancillary departments, insurance payors, and external sources to assist families in obtaining healthcare and financial services.

Authorization Specialist I (Remote)>

Authorization Specialist I

The Patient Account Authorization Specialist at Ohio's Hospice ensures the integrity and reliability of reported data and underlying systems within the scope of insurance and verifications requirements. This role involves handling patient accounts in compliance with Ohio's Hospice policy and regulatory standards, including monitoring referrals and admissions, verifying insurance eligibility, and obtaining prior authorizations. This is a remote, full-time position with a Monday-Friday schedule.

Patient Account Authorization Specialist

The Credentialing Specialist role involves three main parts or phases of a project, including CACTUS Implementation, Core Functions: Initial Credentialing and Re-Credentialing, and Pre-Delegation Audit. Responsibilities include reviewing credentialing spreadsheets, assisting with implementation tasks in Visual Cactus, entering data into spreadsheets and Visual Cactus, processing credentialing files, and performing Pre-Delegation Audits. This is a fully remote, contract position with a duration of 6 months.

REMOTE Credentialing Specialist (Visual Cactus)

Credentialing Specialist

The Authorization Specialist II at Centene Corporation acts as a resource and supports the prior authorization request process to ensure all requests are addressed properly within the contractual timeline. This role involves aiding the utilization management team, maintaining tracking and documentation on authorizations and referrals, verifying member insurance coverage, performing data entry, and supporting the authorization review process. The position requires a high school diploma or GED, 1-2 years of related experience, and knowledge of medical terminology and insurance preferred.

Authorization Specialist II

As a Support Specialist I at Brex, your primary goal is to provide high-quality customer experience by effectively resolving customer inquiries via email, phone, and chat. You will work collaboratively with Sales, Product, and Engineering teams to identify and document bugs, and contribute to the ongoing learning and success of your team and the company through mentorship and documentation.

Support Specialist I (Remote)

Support Specialist I

The Customer Specialist I is a mid-level technical support role at DealerOn, Inc., responsible for providing outstanding technical support to customers by resolving issues through multiple contact channels. This role involves providing first level product expertise, enhancing the customer experience, and demonstrating a consultative servicing approach. The position is remote, based out of the Rockville, MD headquarters, and requires a well-organized individual with the ability to work independently in a dynamic environment.

Customer Specialist I

The Client Service Specialist I at Terracon is responsible for managing all aspects of a Stage1 project to ensure its safe completion on time, within scope, and budget. This role involves completing the Stage1 project as per its contracted scope, monitoring progress and performance against the project plan, conducting meetings, preparing reports, setting priorities, assigning tasks, and coordinating project staff to meet targets and milestones. The position also includes coordinating with the Authorized Project Reviewer, approving invoices, preparing change orders, and participating in LifeCycle Management.

Client Service Specialist I

The Document Specialist I at Carrington is responsible for drawing documents for FHA/VA and conventional loan products using various document companies and systems for both wet and dry states. This role involves ensuring compliance with RESPA/GFE regulations, verifying lock and approval information, and maintaining confidential information concerning loan applicants. The position offers a target pay range of $16.00/hr. to $19.00/hr. and allows for remote work.

Specialist, Document, I, Retail

Document Specialist I

Elara Caring is seeking a Clinical Authorization Specialist to join their team, focusing on Behavioral Health. This role involves delivering the right care at the right time in the right place, with a supportive, collaborative environment that offers competitive compensation, comprehensive onboarding, mentorship, and opportunities for advancement. The ideal candidate will have a high school diploma or equivalent, experience with Medicare/Medicaid/Commercial Insurance, a positive attitude, dedication to quality patient care, and strong communication and computer skills. A Registered Nurse or Licensed Practical Nurse is preferred, along with strong Behavioral Health knowledge, medical terminology, and ICD10 coding experience.

Clinical Authorization Specialist Remote Work From Home

Clinical Authorization Specialist

US Anesthesia Partners is seeking a Facility Credentialing Specialist II to maintain accurate records of providers' credentials, process applications for privileges and reappointments, and monitor licensure renewal activity for Physicians, CRNA's, APN's, and PA's. This remote position involves maintaining complete files of provider's licensure and credentials, updating databases, and performing other credentialing duties as requested.

Facility Credentialing Specialist II - REMOTE

Facility Credentialing Specialist II

Castle Biosciences is seeking a Reimbursement, Pre-Billing Specialist to join their team remotely, with a preferred start date of October 1, 2024. This role involves patient demographic entry, performing insurance eligibility verifications, and all aspects of the prior authorization process. The ideal candidate will strive for excellence in their work with a positive, can-do attitude.

Reimbursement, Pre-Billing Specialist

SpecialtyRx, a Long-Term Care pharmacy, is seeking an Authorization Representative to join their Billing Department. The role involves evaluating medication orders, identifying high-cost medications requiring authorization, liaising with facility staff, managing the authorization process, and maintaining accurate records. The position requires a licensed Pharmacy Technician with experience in Long-Term Care Pharmacy, computer literacy, and previous experience in retail pharmacy.

Authorization Representative

The Attorney General's Office is seeking a highly motivated Information Specialist to join their Information Services Center. This role serves as the first point of contact for most public inquiries, providing information, making referrals, and handling public complaints. The position is fully remote and requires proficiency in public service, customer service, and web-based applications. Occasional travel to the Boston office for training and meetings may be required.

INFORMATION SPECIALIST I

Information Specialist I

As a Customer Service Specialist I at HealthStream, you will provide exceptional customer service and product support, playing a crucial role in the overall customer experience. This position involves adhering to HealthStream's security policies, providing phone, email, and chat support, troubleshooting, building strong relationships with customers and colleagues, and suggesting product enhancements. You will also have the opportunity to develop skills for your individual career path within the company.

Customer Service Specialist I

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