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Prior Authorization Specialist
Insight Global - Charlottesville, Virginia, United States 1 days ago
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ weekInsight Global is seeking a Prior Authorization Specialist for one of the Top ra...
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Prior Authorization Specialist
Insight Global - Charlottesville, Virginia, United States, 22904 1 days ago
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ weekInsight Global is seeking a Prior Authorization Specialist for one of the Top ra...
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AUTHORIZATION SPECIALIST
Cooper University Health Care - Camden, New Jersey, United States, 08100 4 days ago
AUTHORIZATION SPECIALIST
Camden, NJ
Job ID34188Job TypeFull Time
ShiftDay
SpecialtyFinance/Accounti...
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AUTHORIZATION SPECIALIST
Mt. Washington Pediatric Hospital - Baltimore, Maryland, United States, 21276 4 days ago
DescriptionINSURANCE VERIFICATION SPECIALISTJOB SUMMARYAuthorization Specialists work on site at Mt. Washington Pediatri...
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Authorization Specialist
TEKsystems - Frederick, Maryland, United States, 21701 3 days ago
*Insurance Administrative Specialist*
* *
*Frederick, MD | $16-19 USD/hour*
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*Highlight:*
** Industry: Insurance & Healthcare*
** Employment Type: ...
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Authorization Specialist
New York Cancer & Blood Specialists - New York, New York, us, 10261 1 days ago
Authorization Specialist
Ridge, NY
Hours: Monday-FridayWhy Join Us?AtNew York Cancer & Blood Specialists (NYCBS) , we cr...
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Authorization Specialist
WMCHealth - Valhalla, New York, United States, 10595 1 days ago
Authorization SpecialistCompany: NorthEast Provider Solutions Inc.City/State: Valhalla, NYCategory: Clerical/Administrat...
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Prior Authorization Specialist
Blink Health - Pittsburgh, PA, United States 4 days ago
Company Overview:Blink Health is the fastest growing healthcare technology company that builds products to make prescriptio...
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Authorization Specialist I
Centene Corporation - New York, New York, us, 10261 3 days ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Cent...
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Prior Authorization Specialist
Medavie Health Services - New York, New York, us, 10261 13 hours ago
PURPOSE OF POSITION:The Prior Authorization Specialist ensures patients receive services and medications that requires pre-authorization fro...
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Go to next pageInsight Global - Charlottesville, Virginia, United States
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ week
Insight Global is seeking a Prior Authorization Specialist for one of the Top ranked transplant programs in the state. This role is local to Charlottesville, Virginia. The Prior Authorization Specialist will be responsible for managing future and current transplant recipients financial journey. This includes initial screening of potential transplant patient, working with clinicals on the selection committee for transplants and reporting on potential patients financial standing. Once a patient is identified they will work with the patient and insurance companies on the financial clearance. The day to day responsibilities are:
Performs financial screening/interview of all patients presenting for transplantation.
Researches and verifies insurance for hospital professional and pharmacy coverage
Acts as a contact for insurance case managers primarily including but limited to obtaining pre-certification. Collects and submits necessary documentation and correspondence. Performs and communicates related follow-up.
Assists finance department by providing data about transplant program and financial activities to support insurance contacts.
Implements and coordinates the reimbursement of approved contracts with Director of Patient Accounts
Sit in on selection committee meetings and present the transplant candidates financial background
Meet with patients in clinic and clear them for the transplant and explain the additional costs associated with receiving a transplant.
Must Haves:
-High School Diploma
-Insurance Verification/ prior authorization experience in transplant, surgery, or cardiology departments
-Epic experience
-presentation experience
Nice to have:
-Experience with verifying immunosuppressant medication
See details and apply
Prior Authorization Specialist