306 authorization specialist jobs found

Join our Referrals team as a full-time Insurance Authorization Specialist! Location : Vancouver Innovation Center (18110 SE 34th St - Vancouver, WA 98683) Schedule: Monday through Friday, 8:00a-5:00p. Hybrid after successful training period of 3-6 months. Hiring Range: generally between $20.05-$24.05 and placement in the range depends on an evaluation of experience Position Summary: The Insurance Authorization Specialist is responsible for ensuring accurate processing of all referral requests in a timely and professional manner.The Insurance Authorization Specialist will represent TVC in a positive, courteous, and compassionate manner and aid in the delivery of high-quality health care to all patients. Must have excellent attendance! Consistent, dependable, and predictable attendance is crucial in helping us fulfill our mission of providing high-quality, compassionate care. We require our employees to adhere to our attendance standards, as frequent...

POSITION SUMMARY: Obtain proper authorization and prescription for patients to receive Physical Therapy. Interacting with varied clinics and doctor's offices throughout the area to keep them informed regarding their patient's progress and requesting continuation of treatment if needed.   REQUIREMENTS: At minimum a High School Diploma or equivalent.  Excellent communication skills. 2 years’ experience in a similar position. Previous experience working with insurance authorizations.  Basic computer skills, Excel and prior experience with electronic medical record.   PAY / BENEFITS • Estimated pay is based on qualifications (including but not limited to experience, education, certifications, and licensure where applicable). • Benefits may include medical, dental, vision, basic life and AD&D, optional supplemental life (employee, spouse, and/or child coverage),...

Job Ref:JR-1385 Location:450 Brookline Ave, BOSTON, MA 02215 Category:Quality/Risk Management/Patient Safety Employment Type:Full time Work Location:Remote: occasional onsite Salary/Pay Rate:$83,500.00 - $95,400.00 per year Overview Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology, high-cost drug, and off-label drug authorizations. The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims. Located in Boston and the surrounding communities, Dana-Farber Cancer...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a...

Nemours Children's Hospital, Delaware is seeking a Pediatric Gastroenterologist with expertise in Motility and Functional GI disorders to lead our program on Motility & Functional Gastrointestinal disorders. Our division is comprised of 11 pediatric gastroenterologists, 3 nurse practitioners, 6 office nurses, 6 fellows, 4 administrative assistants and a specialty authorization specialist. We also collaborate with a team of dietitians, social workers, psychologists, and support staff with the shared mission of improving children's health. The motility and functional gastrointestinal disorders program has a dedicated procedure nurse and support staff. New state-of-the-art motility equipment allows for the performance of esophageal, antroduodenal, colonic and anorectal manometries. We also have video capsule endoscopy and pH-impedance probe capabilities and are finalizing our introduction of Endoflip and transnasal endoscopy. The GI Division includes programs for inflammatory...

Sleep Management, LLC dba Viemed Reauthorization Specialist Job Category: Sleep Management, LLC Requisition Number: REAUT003109 Full-Time Duties: Review and obtain necessary compliant documentation, medical records and prescriptions in order to submit for prior authorization with insurance. Responsible for obtaining prior authorization from insurance payor for durable medical equipment. Verifies patient demographic and health insurance information to review & work pending task daily for authorizations &/or appeals Notify RT/Sales management teams regarding non-compliance and authorization deadlines that are not met Establishes and maintains effective communication and good working relationships with patients/family, physicians’ offices, and other internal teams for the patient’s benefit. Performs other clerical tasks as needed, such as Answering patient/Insurance calls Faxing and Emails Communicates appropriately and clearly to Manager/Supervisor,...

Nemours Children's Health is seeking a full-time, board eligible/board certified allergist/immunologist to join our team in Philadelphia, PA. This exceptional opportunity will be spent at our Philadelphia, Center City location. You will be joining an expanding, busy practice that is dedicated to meeting the growing needs of the tristate area. Our division currently has eight established satellite locations in addition to the main hospital. We are a division of 7 physicians and 2 physician assistants with a full complement of dedicated ancillary staff, including excellent administrative and clinical support by medical assistants, clinic and specialty RNs, respiratory therapists, medical secretaries, and prior authorization specialists. Additional teaching opportunity available at nearby Nemours Children's hospital in Wilmington, DE. We are the center for the well-established Thomas Jefferson University Allergy/Immunology Fellowship Program. This position includes a faculty...

Disability Benefit Specialist - Remote Make an impact from anywhere-and love what you do! What's in it for you? ✅ Work remotely - your office, your vibe! ✅ Help people when they need it most. ✅ Be part of a team that values compassion, clarity, and results. Join us as a Disability Benefit Specialist and play a key role in evaluating claims, determining benefit eligibility, and guiding employees toward successful return-to-work strategies. Use your expertise in disability policies and medical/vocational issues to deliver clear, timely decisions and exceptional support. Bachelor's degree or equivalent experience required. 2 + years of STD/LTD claims adjudication Experienced in the TPA or self-administration services is desired Experience with FMLA/State leave claims is a plus Aptitude for learning medical terminology and conditions, as well as interpreting procedures and regulations Ability to work independently while assimilating...

The Care Manager l-Non-Waiver assures that individuals and families with special health care needs receive integrated whole-person care management, including coordinating across physical health, behavioral health, pharmacy and unmet health-related resource needs to ensure they are linked to services and supports in an effort to maximize potential outcomes and decrease the unnecessary use of hospitals and emergency services by assuring that appropriate quality care is in place.  The Care Manager I – Non-Wavier focuses on a specified population of members utilizing health care services while ensuring all member health needs and referrals are attended to. The Care Manager l will collaborate with other community systems to work in partnership to support the identified population. This is a full-time remote opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office...

The E.W. Scripps NBC affiliate KTVH in Helena, MT is seeking a detail-oriented Sales Support Specialist who will be the backbone of our sales operations. This role offers an exciting opportunity to work directly with clients, support account executives, and ensure seamless advertising campaigns that help local businesses thrive. Responsible for supporting the sales department in day-to-day activities.   WHAT YOU'LL DO: Contacts clients as needed regarding ad materials, pricing, billing, or special upselling opportunities. May input ads into the ad order system. Assists in collecting and composing ad copy, maintaining account base, and ensuring high customer service. Works closely with order entry, traffic and layout as needed to ensure clients advertising schedules are met. Calculate and have the ability to communicate rate packages to client and prospects. Assists Sales manager on all special project details including but not limited to production schedule, rate...

About Us Founded in 1908, Merz is a successful, family-owned specialty healthcare company with a rich history. As a leading global aesthetics business, our award-winning portfolio of injectables, devices, and skincare products empowers healthcare professionals to enhance confidence through aesthetic medicine. Our purpose is to fuel confidence by helping people look better, feel better, and live better. We believe you do not have to choose between living life and making a living. Live your best life with Merz Aesthetics. A Brief Overview The Product Surveillance Specialist IV performs day-to-day tasks and provides technical data assessment of post-market events. This position plays an integral role in maintaining compliance with global regulations. The Product Surveillance Specialist IV works with moderate supervision and requires a high degree of interaction with customers, health care professionals, and Global Merz employees at all levels within the organization. What...

Position Title: Tissue Recovery Specialist - Part Time Variable Description AT LIFENET HEALTH, YOU ARE THE ADVANTAGE Every day, YOU help us to save lives, restore health, and bring hope to patients and families around the world . At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity. Together , we are united by a mission greater than ourselves, a purpose rooted in healing. ABOUT THIS JOB Location : Spokane , WA Department : Tissue Recovery Schedule : Part- Time Variable | Variable shift (dependent on the call schedule) minimum of 12 days of on-call shifts per month (based on the availability you provide). On-call shifts are 24 hours (2400 to 2400) and may include multiple consecutive days, during which you may be called to work a case at any hour . Holidays and weekends as needed. Clinical Status :...

Patient Access Resource Specialist US--Remote Requisition ID: 2026-38479 Position Category: Hospital/Clinic Support Position Type: Regular Full-Time Posting Department: Connected Care Center Posting Salary Range: $26.90 - $36.35 per hour with offer based on experience, education, and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday Posting Hours: 8:30am-5:00pm Department Overview The C3 Patient Access Resource Staff is responsible for providing the highest level of customer service while handling all aspects of the scheduling of clinic appointments, referral management, visit preparation, patient eligibility, and financial clearance for the Connected Care Center clinical services. This position is responsible for all aspects of scheduling and supporting patient care coordination across multiple clinical specialties. This position will respond to patient Connected Care Center scheduling requests which include but are not limited to,...

Position Title: Tissue Recovery Specialist - Full Time Description AT LIFENET HEALTH, YOU ARE THE ADVANTAGE Every day, YOU help us to save lives, restore health, and bring hope to patients and families around the world . At LifeNet Health, we cultivate growth, innovation, and collaboration, where your contributions drive solutions that benefit humanity. Together , we are united by a mission greater than ourselves, a purpose rooted in healing. ABOUT THIS JOB Location : Spokane , WA Department : Tissue Recovery Schedule : Full-Time | Variable shift , 8:15 AM - 5:00 PM Mon - Fri for office hours (dependent on the call schedule) , 12:00 AM - 12:00 AM 24-hour on-call schedule. Holidays, weekends, and overtime as needed. Clinical Status : Enhanced Clinical HOW YOULL MAKE AN IMPACT As a Tissue Recovery Specialist, youll play a vital role in advancing our mission . In...

Patient Access Resource Specialist US--Remote Requisition ID: 2026-38479 Position Category: Hospital/Clinic Support Position Type: Regular Full-Time Posting Department: Connected Care Center Posting Salary Range: $26.90 - $36.35 per hour with offer based on experience, education, and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday Posting Hours: 8:30am-5:00pm Department Overview The C3 Patient Access Resource Staff is responsible for providing the highest level of customer service while handling all aspects of the scheduling of clinic appointments, referral management, visit preparation, patient eligibility, and financial clearance for the Connected Care Center clinical services. This position is responsible for all aspects of scheduling and supporting patient care coordination across multiple clinical specialties. This position will respond to patient Connected Care Center scheduling requests which include but are not limited to,...

Position Title: Production Control Specialist Location: Baltimore, MD, US, 21220 Company Name: STENA Description: Who YOU are and what YOU can become As a Production Control Specialist, you will coordinate and expedite the flow of materials (from suppliers and also within departments) according to production schedules. Plan and schedule material/production needs. Requires mastery of a body of theoretical knowledge. Requires developed and strong foundation of function skills and knowledge of relevant technologies. Who WE are and where WE are going At ST Engineering MRAS, our employees have amazing opportunities to work on advanced technologies and systems that support thousands of customers and millions of people worldwide every day. From the first flight across the Pacific Ocean to developing highly complex structures for the most popular aircraft in the world, we have come a long way always with a can-do approach to problem solving...

Position Title: Enrollment Specialist Location: Aliquippa, PA 15001, USA• South Hills, PA 15216, USA• Pittsburgh, PA 15218, USA• McKees Rocks, PA 15136, USA Requisition Number: Req #287 Job Description Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. The agency, through its programs and services, encourages the inclusion of people with disabilities into the mainstream of society, including social, recreational, family and work activities. This is a community-based Enrollment Specialist for our Pennsylvania Self Directed Program. The Enrollment Specialist will educate participants and their direct care workers on how to successfully enroll and utilize services under the Community HealthChoices Participant-Directed Services Program. $21 an hour 35 hours a week full time...

DCI Donor Services New Mexico Donor Services (NMDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at NMDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! We want people to join our team in the role of Inhouse Recovery Coordinator with previous experience as a registered nurse (RN) in an ICU or critical care setting. SUMMARY FUNCTION: The In-house Organ Recovery Coordinator is responsible for providing support for organ donation activities within the assigned facility/facilities to maximize opportunities for organ donation. Provides consistency and promotes trust in the donation process by ensuring excellent donor evaluation, management, and organ yield. The In-house Organ Recovery Coordinator works with potential donor families, hospital personnel and transplant hospitals to facilitate efficient recovery of organs and tissues for transplantation....

DCI Donor Services Sierra Donor Services (SDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at SDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! The Birth Tissue Coordinator will obtain authorization from a new mother (after cesarean delivery) to recover donated placenta. Strong interpersonal skills and the ability to communicate effectively in both oral and written formats are a must. While a nursing license is not required to perform in this role, this is an excellent opportunity for an LPN or CNA! COMPANY OVERVIEW AND MISSION Sierra Donor Services is part of the DCI Donor Services family. For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining...

We’re unique.  You should be, too. We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Medical Assistant (Care Promoter 1) at our Olney location is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the medical centers running smoothly. The duties of Care Promoter 1 vary from setting to setting, depending on the size, location and type. In addition to administrative duties, Care Promoters perform clinical duties under direct physician supervision in accordance with state medical practice acts. The Care Promoter 1 is an integral member of a Physician-lead Care Team that is focused on providing excellent and comprehensive...