Prior Authorization Specialist - United States

AQUA Dermatology is Florida's largest and most comprehensive full-service skincare provider in the Southeast. · Verify patient benefits and calculate out-of-pocket costs using multiple insurance resources. · Contact patients regarding out-of-pocket costs prior to patient services ...

This role manages prior authorizations for dermatology medications, including topicals, orals, injectables and specialty drugs. · You'll work closely with internal clinical teams insurance carriers and pharmacies to submit track and resolve prior authorizations and support patien ...

We are seeking a proactive and detail-oriented Prior Authorization Specialist specializing in Specialty Medications to join our dynamic healthcare team. In this vital role, you will be responsible for managing the prior authorization process for complex and high-cost medications, ...

The Orthotics Pre-Authorization Specialist is responsible for managing all aspects of Durable Medical Equipment (DME) precertification and preauthorization within the Department of Orthopedics. · ...

We are looking for an Authorization Specialist to join our team. The successful candidate will lead and support RCM training initiatives, develop training materials, and work closely with team members to ensure consistent understanding of best practices. · ...

The Medical Assistant performs basic nursing skills and serves under the direction of a physician or advanced practice professional. The job requires a high school diploma or equivalent, certification in Basic Life Support within 30 days of hire date, and current National Certifi ...

The Prior Authorization Specialist is responsible for researching and maintaining accurate prior authorization (PA) requirements for insurance payers. The role combines regulatory and operational knowledge with attention to detail to ensure the integrity of DrFirst's rules engine ...

We're looking for a detail-oriented insurance verification and prior authorization expert who thrives on research and problem-solving. · This role involves investigating payor requirements across insurance plans to uncover specific steps needed to successfully submit prior author ...

The primary focus of the Advanced Care Specialist is to successfully guide patients through AdaptHealth using a patient centered approach and effective communication. · ...

Silna Health is looking for an enterprising prior authorization and benefits verifications expert to work closely with their customers - ABA (Autism), Mental Health, IOP, and Psych Testing providers. · Work closely with behavioral health providers and their billing team to collec ...

As an Insurance Authorization Specialist you need to know how to: verify the ordering clinician credentials for add on outpatient encounters work daily reports to ensure all payer specific billing requirements and authorization requirements are met obtain and verify necessary dem ...

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric model. · Confirm insurance benefits for patients · ...

The Referral Coordinator reports to the Prior Authorization Supervisor. · ...

The Census Specialist manages census for clients with the goal of ensuring insurance coverage for patient stays and accurate data entry. · High School Diploma or GED. · 3+ years of experience submitting obtaining authorizations in a healthcare setting. · Skilled nursing admission ...

SetPoint Medical's Market Access Specialist will facilitate patient access to support the launch of the first neuroimmune modulation therapy to treat rheumatoid arthritis in the US. · ...

The Referral Specialist role is responsible for coordinating referral orders for continuation of treatment within a primary care practice. · This position provides pertinent clinical information needed for payor authorization and facility or specialist prior to services being ren ...

We are looking for a GTM & Organic Backlink Specialist to help our clients strengthen their domain authority, improve SEO rankings and drive long-term organic growth. · Develop and execute white-hat backlinking strategies focused on quality, relevance and domain authority. · Cond ...

The Referral Coordinator is responsible for coordinating referral orders for a continuation of treatment. They provide pertinent clinical information and communicate with patients on scheduling requirements. · Schedules appointments for specialty physician services and diagnostic ...

Obtains and/or verifies demographic, clinical, financial, and insurance information. · ...

This position is to provide insurance verification and reimbursement support for customers who need Atos Medical products. The Health Insurance Verification Specialist will assist with the attainment of our products through the insurance verification process and reimbursement cyc ...