- Possible extension through 9 mo.
-
Authorization Specialist
1 week ago
Mangrove Management Partners Boston, United StatesOverview · The Authorization Specialist will be responsible for financially securing scheduled surgical procedures undertaken by the Vascular Care Group by verifying insurance eligibility and coverage of incoming patients. · Responsibilities · Monitoring upcoming surgical case ...
-
Temporary Authorization Specialists
3 weeks ago
Commonwealth Care Alliance Boston, United StatesTemporary Authorization Specialists - Remote #24-285{{jcity}}{{jstate}}Area of InterestOperationsWhy This Role is Important to UsCommonwealth Care Alliances (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, app ...
-
Pre Authorization Specialist
2 weeks ago
Integrated Resources Boston, United StatesREMOTE - US Based. Must be available to work during business day hours.-Possible extension through 9 mo.Candidates must have recent pre-authorization experience, or they will be disqualified.Please do not submit candidates with only billing, claims experience. They MUST have rece ...
-
Authorization and Referrals Specialist
7 hours ago
Beth Israel Lahey Health Boston, United StatesWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · Ensures that all information necessary for proper financial reimbursement for high dollar patient care is analyzed and submitted to insurance companies for approval ...
-
Temporary Authorization Specialists
4 weeks ago
Commonwealth Care Alliance Boston, United StatesTemporary Authorization Specialists - Remote #24-287Area of InterestOperationsWhy This Role is Important to UsCommonwealth Care Alliances (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and e ...
-
Temporary Authorization Specialists
2 weeks ago
Commonwealth Care Alliance Boston, United StatesWhy This Role is Important to Us · Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities ...
-
Temporary Authorization Specialists
2 weeks ago
Commonwealth Care Alliance Boston, United StatesWhy This Role is Important to UsCommonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities unde ...
-
Authorization and Referrals Specialist
2 weeks ago
Beth Israel Lahey Health Boston, United StatesWhen you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · The work schedule is 7:30am-4:00pm Monday - Friday and on-site based in Beverly, MA. · This position completes all financial clearance activities for services rend ...
-
Boston Children's Hospital Boston, United StatesJob Posting Description · The Authorization Specialist is the Perfect job for new graduates or those who want to explore a rewarding job in pediatric health care. Leadership is willing to develop and train the right candidate. Come join a dynamic team of clinicians and administr ...
-
Boston Children's Hospital Boston, United StatesJob Posting Description · The Authorization Specialist is the Perfect job for new graduates or those who want to explore a rewarding job in pediatric health care. Leadership is willing to develop and train the right candidate. Come join a dynamic team of clinicians and administr ...
-
Regulatory Documentation Specialist
1 week ago
Digital Prospectors Boston, United StatesPosition: Regulatory Documentation Specialist · Location: Boston, MA (Onsite) · Length: 6+ months · Job Description: · Our client is seeking a Regulatory Documentation Specialist who will be responsible for overseeing, organizing, and preparing regulatory documentation essential ...
-
Insurance Coordinator
1 week ago
Suffolk Construction Boston, United StatesDepartment: Enterprise Risk Management · Reports to: Insurance Program Manager · Direct Reports: N/A · Location: 4 Days in the office/1 day remote · Responsibilities: · Review and analyze subcontractors' certificates of insurance for compliance with Suffolk subcontract agreemen ...
-
Help Desk Specialist
1 week ago
Rose International Boston, United StatesDate Posted: 05/24/2024 · Hiring Organization: Rose International · Position Number: 464706 · Job Title: Help Desk Specialist · Job Location: Boston, MA, USA, 02108 · Work Model: Hybrid · Employment Type: Temporary · Estimated Duration (In months): 13 · Min Hourly Rate($): 30.00 ...
-
Finance Associate
6 days ago
Swift Current Energy Boston, United StatesSwift Current Energy, a renewable energy project developer, owner, and operator (the "Company"), is seeking a Finance Associate to support strategic decisions across a rapidly growing business. This position affords an excellent opportunity for professional growth, working alongs ...
-
Operations Support Specialist
3 weeks ago
State of Massachusetts Boston, United StatesAbout the Office of the Comptroller The Office of the Comptroller ensures that the more than $50 billion in annual transactions authorized by the general appropriations act and supplemental appropriations are executed in accordance with all statutory Support Specialist, Operation ...
-
Medication Authorization Coordinator/ Boston
2 weeks ago
Partners Healthcare System Boston, United StatesMGH Gastroenterology has an opening for a Medication Prior Authorization Specialist. The Medication Prior Authorization Specialist is responsible for obtaining all medication prior authorizations. · Responsible for downloading PA requests and entering into CoverMyMeds · Track all ...
-
Customer Service Representative
1 day ago
TEKsystems Boston, United StatesCustomer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists works in a fast-paced environment answering inbound calls and makin ...
-
Desktop Support Specialist
3 weeks ago
Indotronix International Corporation Boston, United StatesTitle: Desktop Support Specialist · Location: 1 Marina Park Drive, Boston, MA 02210 · 12 Months contract · RESPONSIBILITIES: · • Maintains, analyzes, troubleshoots, and repairs computer systems, hardware and computer peripherals. · • Documents, maintains, upgrades or replace ...
-
TEKsystems Boston, United StatesCustomer Service Specialist · Customer Service Specialists are responsible for learning and understanding the entire front-end process to ensure successful service for our patients. The Customer Service Specialists works in a fast-paced environment answering inbound calls and mak ...
-
Insurance Coordinator
2 days ago
Massachusetts General Hospital(MGH) Boston, United StatesUnder general supervision of the Radiology Financial Clearance Manager, the Insurance Coordinator/Financial Clearance Specialist functions as primary interface between MGB Imaging sites, MGB Patient Service Center, insurance companies, patients, and referring practices. The incum ...
Pre Authorization Specialist - Boston, United States - Integrated Resources
Description
REMOTE - US Based. Must be available to work during business day hours.Please do not submit candidates with only billing, claims experience. They MUST have recent pre-authorization experience.
MUST HAVE:
High speed internet and office home setting required.
Experience working remotely is preferred.
Must be willing to attend Teams video meetings.
Must have ability to troubleshoot technical issues remotely.
Must exhibit patience and professionalism.
Job Description:
The Pre-Authorization Specialist II is responsible for performing proficient benefit verification and pre-authorization functions with insurance carriers, within an established time frame, for new pre-surgical cases submitted to the Pre-Authorization Support Department.
Your responsibilities will include:
Checking the departmental electronic inbox to coordinate the initial intake of physician and facility requests to secure prior authorization for service
Create electronic folders for new patients
Organize patient medical records in preparation for prior authorization and appeals process
Answers incoming calls received through the toll-free Pre-Authorization Support ACD and provides appropriate call/case handling
Performs benefit verification, pre-surgical authorization for new pre-surgical cases, and appeals by working closely with all payers
Utilizes proficient knowledge in Microsoft Office and database management to document case status, actions, and outcome
Communicates and builds relationships with HCP offices and Field Reimbursement Managers in regard to all inquiries for the handling of cases, i.e., missing case information, benefits etc.
Utilizes customer service skills in engaging with customers, communicating with sales representatives, and working in teams in a call center environment to expedite processing of casesCoordinates with lead and supervisor regarding complicated cases
Quality Systems Duties and Responsibilities:
Build Quality into all aspects of their work by maintaining compliance to all quality requirements.
Required qualifications:
High School Diploma
Minimum 2-3-years of recent Insurance Pre-Authorization experience. Must have recent experience
Experience working with various payors including, Medicare, Medicaid and Private Payor, as it relates to medical procedures, services, and devices
Experience building effective relationships with internal and external customers.
#J-18808-Ljbffr
&v=024){kind=logo}