Adolescent Wellness Academy: Provide intensive mental health therapy programs for teenagers.
2+ YOE2+ years UR/authorization experience in PHP/IOP behavioral health; working knowledge of ASAM/LOCUS/CALOCUS; EMR and authorization software familiarity; strong organizational and communication skills.
Lehigh Valley Health Network: Provides comprehensive hospital and clinical healthcare services in Pennsylvania.
1+ YOEObtain benefits/authorizations, verify insurance and benefits, perform medical necessity checks, and determine estimated patient financial responsibility; 1 year experience in insurance verification/authorizations required.
Seaport Scripps Home HealthNASDAQ: PNTG: Provides home health, hospice, and rehabilitative therapy services.
1+ YOEVerify insurance eligibility, obtain authorizations, support intake and scheduling, maintain clinical records; requires 1+ year authorization/eligibility experience, knowledge of information systems and regulations, strong communication.
Integral Care: Local mental health and disability authority for Travis County.
Verify insurance eligibility, obtain and renew authorizations for MAT and behavioral health services, maintain EHR authorization records; HS/GED and valid driver's license required; insurance verification or billing experience preferred.
Cooper University Health Care: Academic health system providing comprehensive medical and specialty care.
2+ YOEVerify insurance eligibility, obtain authorizations/referrals, explain benefits, collect patient liability; high school diploma and 2 years insurance/registration experience preferred; familiarity with authorizations and payor portals required.
NaviNet, Passport, IDX Flowcast, Imagecast, EPIC EMR, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access
The Pennant GroupNASDAQ: PNTG: Provides home health, hospice, and senior living care.
Verify insurance coverage, obtain authorizations, enter insurance and visit authorization data into HCHB, communicate with payers and clinical staff, and maintain audit/tracking systems; strong written/verbal communication and customer service skills required.
AQUA Dermatology: Provides medical, surgical, and cosmetic dermatology and skincare services.
1+ YOEVerify patient benefits, calculate out-of-pocket costs, obtain and track insurance authorizations/referrals, proficient with ICD-10 and CPT, 1 year medical office authorization experience, high school or GED, strong computer and communication skills.
WMCHealth: Provides inpatient and outpatient healthcare through a hospital network.
2+ YOEKnowledge of insurance requirements, ICD-10/CPT, medical terminology, clinical documentation interpretation, scheduling and authorization processes; associate degree or equivalent; intermediate computer skills; 2+ years experience preferred (3-5 years pre-authorization preferred).
MedBest Medical Management: Provides administrative and staffing services for healthcare providers.
2+ YOEReview EPIC work queues, obtain insurance benefits/authorization, process pre-service authorizations for imaging, injectable meds, DME and surgery; communicate with carriers and physician offices; HS diploma and 2 years medical billing clerical experience required.
Stony Brook Clinical Practice Management Plan: Manages clinical and administrative operations for Stony Brook physicians.
1+ YOEAdministrative support in medical setting; pre-authorization/referral experience preferred; strong organization and communications; MS Office proficiency.
Learning Ladders ABA: Provides personalized ABA therapy services for children with autism.
Experience with insurance authorization and verification preferred; strong communication, organization, multitasking, attention to detail, and ability to manage multiple cases.
PainPoint Health: Operates a network of interventional pain management clinics.
Verify insurance eligibility, obtain prior authorizations and referrals, document records in eCW, communicate insurance issues, and assist with patient financial arrangements.
KPC Health: Operates a network of hospitals and diagnostic laboratories.
2+ YOEHigh school diploma or equivalent, minimum 2 years scheduling/authorization/referral experience in a healthcare setting, strong attention to detail and communication skills.