No prior authorization or billing experience required; training provided. Must be highly organized, dependable, and able to communicate with insurers and track authorizations.
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.
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.
Cooper University Health Care: Academic health system providing comprehensive medical and specialty care.
2+ YOEVerifies insurance eligibility and benefits, secures authorizations and referrals, explains coverage to patients, collects patient liability payments, and coordinates benefits between payors.
NaviNet, Passport, IDX Flowcast, Imagecast, EPIC EMR, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Access
Raleigh Medical Group: Provides multi-specialty medical care and diagnostic outpatient services.
1+ YOEHigh school diploma or equivalent; 1+ year medical office/EHR experience; prior authorization experience; strong communication and organization; ability to work independently.