- High School Diploma or equivalent
- Minimum of 2 year of clinical and/or related experience
- Well organized and able to multi-task quickly and effectively.
- Works well in high-pressure situations.
- Ability to work closely and effectively with peers across the organization and with the medical staff.
- Motivated, shows initiative, and collaborates well in a team setting.
- Ability to be flexible and meet the needs of a growing department.
- Shows strong analytical and problem-solving skills.
- Superior written and verbal communication skills
- Strong understanding and ability to work in various computing/information systems and Microsoft Office product suite.
- Bachelor's degree
- Case Management, Utilization Review or Prior Authorization experience
- Bilingual English/Spanish
- Knowledge of third-party payer rules and regulations
- Revenue Cycle experience
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Intake Screener and Authorization Specialist
1 week ago
Northeast Family Services Lawrence, United StatesJob Description · Job Description · Northeast Family Services is seeking an experienced masters-level professional to join our growing Massachusetts CBHI team as an Intake Screener and Authorization Specialist · The Intake Screener and Authorization Specialist manages all aspect ...
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Authorization Specialist
6 days ago
Randstad North America, Inc. Wellesley Hills, United StatesRandstad is working with an organization in the virtual/telemedicine space to fill a role as an authorization specialist. This person will be working often autonomously and independently to process authorizations and referrals. This will require coll Authorization, Specialist, He ...
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Authorization specialist
5 days ago
Randstad Wellesley Hills, United StatesRandstad is working with an organization in the virtual/telemedicine space to fill a role as an authorization specialist. This person will be working often autonomously and independently to process authorizations and referrals. This will require collaborating with various members ...
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Prior Authorization Specialist
1 week ago
Massachusetts General Hospital Boston, United States Full timePrior Authorization Specialist Description The Prior Authorization Specialist is a non-clinical staff member who is part of an integrated care team that focuses on coordinating the insurance coverage aspect to patient care. Beginning with an initial evaluation of insurance eligi ...
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Authorization and Referral Specialist
1 week ago
Middleton Family Medicine Urgent Care LLC Middleton, United StatesJob Description · Job Description · Authorization and Referral Specialist · Middleton Family Medicine is looking for an experienced, enthusiastic Authorization/Referral Specialist for our busy primary care office. The Authorization/Referral Specialist will work together with othe ...
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Specialist Insurance Authorizations
1 week ago
Catholic Medical Center Manchester, United StatesWho You Are: · As a Specialist, Insurance Authorization, for Catholic Medical Center (CMC), you will be responsible for identifying authorization needs by managing schedules across various ancillary departments. Your role involves gathering and entering accurate demographic and ...
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Prior Authorization Specialist
1 week ago
Complete Staffing Solutions Lynn, United StatesJob Description · Job Description · Prior Authorization Specialist · Type: · temp to hire · Hours : Part Time - 24 HPW · Flexible schedule - · 3, 8 hour days · (Office is open 8-5) · Responsibilities: · Request, track, and obtain prior auths from insurance carriers/third par ...
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Authorization and Referrals Specialist
22 hours ago
Beth Israel Lahey Health Winchester, United StatesJob Type: Regular · Time Type: Full time · Work Shift: Day (United States of America) · FLSA Status: Non-Exempt · When 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 f ...
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Authorization and Referrals Specialist
1 week ago
Beth Israel Lahey Health Winchester, United States**Job Type:** Regular · **Time Type:** Full time · **Work Shift:** Day (United States of America) · **FLSA Status:** Non-Exempt · **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** · Ensures that all information ...
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Prior Authorization Specialist
1 week ago
Complete Staffing Solutions Lynn, United StatesJob Description Job Description Prior Authorization SpecialistType: temp to hireHours : Part Time - 24 HPWFlexible schedule - 3, 8 hour days (Office is open 8-5)Responsibilities:Request, track, and obtain prior auths from insurance carriers/third party auth companies within a rea ...
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Prior Authorization Specialist
2 weeks ago
Complete Staffing Solutions Lynn, United StatesJob Description · Job DescriptionTemp to hire · Hours: Part Time - 24 HPW · Flexible schedule - 3, 8 hour days (Office is open 8-5) · Job Description: · Request, track, and obtain prior auths from insurance carriers/third party auth companies within a reasonable timeframe · Cont ...
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Prior Authorization Specialist
1 week ago
Complete Staffing Solutions Boston, United StatesJob Description · Job Description3 month contract · Location: Boston, MA - remote after training · Rate: $25-$28/hr DOE · Schedule: Monday-Friday 8am-4:30pm · Responsibilities: · Verifying insurance eligibility, benefits and ensuring and/or reviewing referral reports to verify ac ...
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Authorization and Referrals Specialist
3 weeks ago
Beth Israel Lahey Health Beverly, United StatesJob Type: Regular · Time Type: Full time · Work Shift: Day (United States of America) · FLSA Status: Non-Exempt · When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. · Job Type: · Regular · Scheduled Hours: · 40 · Work ...
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Prior Authorization Specialist
1 week ago
Complete Staffing Solutions Boston, United StatesJob Description · Job DescriptionTemp: Start late June thru August - covering leave · Hours: Monday - Friday, 8:00am-4:30pm · PRINCIPAL DUTIES AND RESPONSIBILITIES: · Verifying insurance eligibility, benefits and ensuring and/or reviewing referral reports to verify active referr ...
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Prior Authorization Specialist
3 weeks ago
Emerson Hospital Concord, United States Full timePrior Authorization Specialist - hybrid after onsite training - Full Time 8am-4:30pm · Job Ref: 29723 · Category: Clerical & Administrative Support · Location: · Emerson Hospital, · 133 Old Road to Nine Acre Corner, · Concord, · MA 01742 · Department: Patient Access · Schedule ...
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Prior Authorization Specialist
4 weeks ago
NH Eye Associates Manchester, United States**POSITION: Prior Authorization Specialist** · **DEPARTMENT**:Billing Department/Surgical Department · **REPORTS TO**:Billing Manager · **TRAVEL REQUIRED**: N/A · **Job Summary**:This individual is responsible for initiating, resolving, and following through on insurance prior au ...
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Prior Authorization Specialist
2 weeks ago
Complete Staffing Solutions Lynn, United StatesJob Description · Job DescriptionPrior Authorization Specialist · Type: temp to hire · Hours: Part Time - 24 HPW · Flexible schedule - 3, 8 hour days (Office is open 8-5) · Responsibilities: · Request, track, and obtain prior auths from insurance carriers/third party auth compa ...
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Authorization and Referrals Specialist
3 weeks ago
Beth Israel Lahey Health Beverly, United States**Job Type:** Regular · **Time Type:** Full time · **Work Shift:** Day (United States of America) · **FLSA Status:** Non-Exempt · **When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives.** · The work schedule is 7:30am- ...
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Prior Authorization Specialist, Assembly Row
2 weeks ago
Partners Healthcare System Somerville, United StatesWhat does a Prior Authorization Specialist do? · The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across enti ...
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Prior Authorization Specialist, Assembly Row
1 week ago
Brigham and Women's Hospital Somerville, United StatesWhat does a Prior Authorization Specialist do? · The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across enti ...
infusion clinical authorization specialist - Lawrence, MA , USA, United States - Lawrence General Hospital
Description
Under the direction of the Infusion Operations Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all information for proper financial reimbursement is validated prior to the date of service and if necessary submission of clinical documentation for authorizations of various high-cost pharmaceuticals.
# The Infusion Clinical Authorization Specialist collaborates with insurance companies to proactively validate benefits, eligibility, and authorization/referral requirements.#
Communicates with patients to ensure they understand their payment obligations and proactively attempts to collect payment while ensuring a positive patient experience.
EDUCATION AND RELATED EXPERIENCE:
Required:
### #High School Diploma or equivalent ### #Minimum of 2 year of clinical and/or related experience ### #Well organized and able to multi-task quickly and effectively.# ### #Works well in high-pressure situations.# ### #Ability to work closely and effectively with peers across the organization and with the medical staff. ### #Motivated, shows initiative, and collaborates well in a team setting. ### #Ability to be flexible and meet the needs of a growing department. ### #Shows strong analytical and problem-solving skills. ### #Superior written and verbal communication skills# ### #Strong understanding and ability to work in various computing/information systems and Microsoft Office product suite.
Preferred:
### #Bachelor#s degree ### #Case Management, Utilization Review or Prior Authorization experience# ### #Bilingual English/Spanish ### #Knowledge of third-party payer rules and regulations# ### #Revenue Cycle experience Lawrence General Hospital is a private, non-profit community hospital providing the Merrimack Valley # southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
For over 140 years, the dedicated doctors, nurses, and staff of Lawrence General have been committed to improving the health of the people and communities we serve.
We are an Equal Opportunity Employer committed to hiring a diverse workforce.Under the direction of the Infusion Operations Manager and Director of Integrated Care, the Infusion Clinical Authorization Specialist is responsible for ensuring all information for proper financial reimbursement is validated prior to the date of service and if necessary submission of clinical documentation for authorizations of various high-cost pharmaceuticals.
The Infusion Clinical Authorization Specialist collaborates with insurance companies to proactively validate benefits, eligibility, and authorization/referral requirements.Communicates with patients to ensure they understand their payment obligations and proactively attempts to collect payment while ensuring a positive patient experience.
EDUCATION AND RELATED EXPERIENCE:
Required:
Preferred:
Lawrence General Hospital is a private, non-profit community hospital providing the Merrimack Valley & southern New Hampshire regions with patient-centered, compassionate, and quality health care for the whole family.
For over 140 years, the dedicated doctors, nurses, and staff of Lawrence General have been committed to improving the health of the people and communities we serve.
We are an Equal Opportunity Employer committed to hiring a diverse workforce.
