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Essential Duties and Responsibilities:
Patient Authorization Coordinator-Field Specialist (PAC Field Specialist) serves as a field extension of the Patient Authorization Coordinator (PAC) team. This role supports patients at risk of therapy interruption during reauthorization and insurance change processes by obtaining required clinical documentation directly from physician offices, clinics, ho...

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...

Exciting Patient Services Specialist Opportunity! Be the critical link between patients and life-changing care-help veterans and injured workers access the support they need to heal and move forward.
At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our in-home, multidisciplinary programs for chronic low back and neck p...

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Infusion benefit verification and prior authorization experience required, including running test claims and calculating HCPC codes.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Refe...

Carolina Oncology Specialists has been providing compassionate, patient-centered care since 1983, delivering high-quality oncology and hematology services tailored to each individual's needs. Patients benefit from the convenience of receiving chemotherapy treatments in our clinics, along with expert diagnosis, treatment, and management of a wide range of blood disorders.
Why Join Us?
We are see...

Coral Connect, LLC ("Coral") is a technology-enabled service provider focused on reducing healthcare costs through intelligent data management, pharmacy optimization, and value-driven sourcing. Our mission is to make specialty care more accessible, efficient, and equitable by improving operations at community care organizations, infusion centers, and specialty providers.
Job Overview:
The Intak...

Prior Authorization Specialist
Behind every approved infusion treatment is a Prior Authorization Specialist who navigated payer policy, step therapy requirements, and paperwork so the patient never had to. We're looking for someone who thrives on solving that puzzle quickly and accurately.
Why This Role Feels Different
This isn't a repetitive data-entry job. Every case is its own investigatio...

Top Healthcare Provider Network
The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors• practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 spec...

This role is for one of our clients
Compensation: $40 - $50 per hour
We are seeking experienced healthcare administrative professionals with deep, hands-on expertise in the operational and back-office functions that keep healthcare organizations running efficiently. This fully remote opportunity is ideal for individuals who understand the complete administrative lifecycle of healthcare operatio...

Job Type
Full-time
Description
Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Acute home infusion experience required, and must be able to work 8.00-4:30pm Central Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time Off
...

State of Location:
New York
Position Summary:
At Ivy Rehab, we're "All About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest.
Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in ...

Thank you for considering a career at Ensemble!
Ensemble 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 hea...

Location:
Avera Health
Worker Type:
PRN
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$19.50 - $25.50
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Br...

The Benefits Coordinator/Authorization Specialist serves as a vital link between insurance companies and clinical staff. This position is responsible for verifying patient insurance benefits, obtaining prior authorizations, and communicating information to the appropriate office personnel. The Benefits Coordinator/Authorization Specialist plays a key role in the revenue cycle by ensuring accura...

New Horizons is the largest mental health and addiction recovery provider on the Treasure Coast (and beyond), serving 15,000 children and adults annually through inpatient crisis services, 24-hour help line and mobile response team, and outpatient programs conveniently located across Indian River, Martin, Okeechobee and St. Lucie counties. In addition, New Horizons assists 22,000 students in ar...

Job Description
Nemours is seeking an Access Center Specialist II (Full-Time), to join our Jacksonville, Florida team.
This is a hybrid position.
The Access Specialist II communicates with patients/providers via telephone to ensure accurate, prompt and courteous scheduling of specialty appointments according to established division guidelines. This position is responsible for obtaining and ent...

The Payor Specialist is responsible for verifying and reverifying insurance coverage and eligibility, submitting and following up on authorization requests, and maintaining follow-up communication with insurance companies.
More specifically, this role verifies patient insurance benefits for specific procedure coverage, updates eligibility information, submits and follows up on authorizations an...

***Must have BOTH a current VA Pharmacy and PTCB License***
The Reimbursement Specialist improves revenue collection pertaining to high cost medications that require prior authorization. This job will initiate, follow-up, and proceed with approval and/or denials of prior authorizations efficiently via phone, fax, or electronically.
The Reimbursement Specialist carries out benefit investigation ...