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Anchor Health CT
Overview
This role manages prior authorization workflows, patient-specific electronic fax management, and provides clinical support within the EPIC EMR to ensure timely coordination between patients, providers, and staff. Core duties include completing medication and procedural prior authorizations using various systems and communicating with insurance companies to clarify coverage requirements.
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Compensation
$48,000 - $62,000 / YEAR
Posted
15 days ago
Legacy Health
The specialist reviews medical services for appropriateness, medical necessity, and efficiency to ensure alignment with payer policies. They collaborate with providers and insurance companies to facilitate authorizations and appeals.
$30 - $43 / HOUR
29 days ago
COMPREHENSIVE EYECARE PARTNERS LLC GROUP
The Credentialing Specialist provides administrative support to the Regional Credentialing Team by maintaining provider data accuracy and managing payer-related updates. Key duties include coordinating insurance directory rosters, managing CAQH attestations, and collaborating with practice leadership to ensure compliance.
Salary not listed
1 month ago
American Family Care
Medical Assistants blend clinical skills, patient service, and front-desk expertise to manage patient flow, including triaging, performing venipuncture, conducting point-of-care testing, and assisting with minor procedures. They are also responsible for registering patients, verifying insurance eligibility, collecting co-pays, and ensuring EMR accuracy.
$21 - $25 / HOUR
Medical Assistants are responsible for blending clinical skills, such as triaging patients, performing venipuncture, and conducting point-of-care testing, with administrative duties like insurance verification and front desk operations. They also ensure accurate patient registration, collect co-pays, and provide clear patient education and discharge instructions.
UNITED MEDICAL DOCTORS MASTER
The role involves managing prior authorizations for sleep-related services and coordinating insurance eligibility. Additionally, the candidate will perform medical assistant duties such as rooming patients, obtaining vital signs, and assisting providers with examinations.
RURAL HEALTH CARE INC dba Aza Health
The Clinical Pharmacy Technician coordinates and processes medication prior authorizations to ensure patients have timely access to essential therapies. This role acts as a liaison between patients, providers, insurance companies, and pharmacies to overcome access barriers.
Heart and Vascular Care Inc
The specialist is responsible for obtaining complete and accurate insurance information, verifying benefits, and accurately interpreting benefit plans to ensure proper authorization for procedures. Duties also include explaining financial responsibilities to patients and maintaining accurate documentation of authorizations and related information.
2 months ago
Samaritan
The specialist coordinates and secures prior authorizations for hospital and clinic services, manages outgoing referrals, and ensures compliance with payer requirements to support patient care and reimbursement. This role acts as a liaison between providers, patients, payers, and internal departments to minimize care delays and documentation errors.
$44,179 - $59,987 / YEAR
The specialist coordinates and secures prior authorizations for hospital and clinic services, manages outgoing referrals, and ensures compliance with payer requirements to support patient care and reimbursement. This role acts as a liaison between providers, patients, payers, and internal departments to minimize denials and care delays.
Curalta Health
The Medical Biller will provide administrative support to the Revenue Cycle team by determining appropriate codes for charges to maximize reimbursement and preparing electronic and manual bills for primary and secondary claim submission. This role also involves reviewing claim denials, logging into payer portals, and ensuring adherence to all regulatory billing requirements.
$20 - $25 / HOUR
Urology Centers of Alabama
The Prior Authorization Specialist coordinates and secures necessary insurance authorizations for medications, injections, and imaging to ensure timely patient care. This involves reviewing payer requirements, gathering clinical documentation, and communicating with various stakeholders to facilitate approval.
Medix Infusion
The Insurance Specialist is responsible for verifying insurance eligibility and benefits for infusion services, reviewing payer medical necessity guidelines, and ensuring proper documentation is on file to support therapy. This role involves submitting and following up on authorization, predetermination, and appeal requests while coordinating with internal departments to manage patient care.
3 months ago
The Medical Biller will provide administrative support to the Revenue Cycle team by determining appropriate codes for charges to maximize reimbursement and preparing electronic and manual medical bills for claim submission. Essential duties also include reviewing insurance claim denials, preparing claims for resubmission, and logging into payer portals as necessary.
Larkin Community Hospital
The Case Manager performs and documents patient assessments, manages concurrent reviews, and contacts HMOs daily to obtain insurance authorization for patient admissions and continued stays. Responsibilities also include developing comprehensive plans of care from admission to discharge, ensuring efficient service use, and managing discharge planning coordination with physicians.
Altais
The Provider Enrollment Specialist II independently manages the full lifecycle of provider credentialing, recredentialing, and payer enrollment for specified medical groups, ensuring compliance with various policies and standards. This role involves coordinating payer enrollment, maintaining government payer records, collaborating on EHR system issues, and managing credentialing processes for health plans and medical staff.
Aspire Fertility Austin
The Authorization Specialist is primarily responsible for ensuring a positive patient experience by verifying patient eligibility and initiating necessary prior authorizations using online resources and direct communication with insurance providers. This role also involves reviewing medical records, updating information in the EMR system, and coordinating peer-to-peer meetings for physicians.
