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Mangrove Management Partners
Burlington
Job Description Job Description Overview The Authorization Specialist will be responsible for financially securing scheduled surgical procedures undertaken by the Vascular Care Group by verifying insurance eligibility and coverage of incoming patients. Responsibilities Monitoring upcoming surgical cases, procedures and imaging on the physician's
Job Source: Mangrove Management PartnersReliable Respiratory
Norwood, MA, United States
Equal Opportunity Employer/Disability/Veterans This is a full-time remote opportunity. To qualify for this position, you must reside within the Commonwealth of MA or the state of CT About Reliable Respiratory Reliable Respiratory is a Durable Medical Equipment (DME) company that provides the highest quality level of service for patients in need
Job Source: Reliable RespiratoryBeth Israel Lahey Health
Boston, MA, United States
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Ensures that all information necessary for proper financial reimbursement for high dollar patient care is analyzed and submitted to insurance companies for approval prior to the patient's date of service. Collaborates with insurance com
Job Source: Beth Israel Lahey HealthMiddleton Family Medicine Urgent Care LLC
Middleton
Job Description Job Description Authorization and Referral Specialist Middleton Family Medicine is looking for an experienced, enthusiastic Authorization/Referral Specialist for our busy primary care office. The Authorization/Referral Specialist will work together with other members of our Authorization and Referral Team to perform all referra
Job Source: Middleton Family Medicine Urgent Care LLCDana-Farber Cancer Institute
Brookline, MA, United States
The Drug Authorization Specialist, with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug authorizations for all injectable drug treatment plans ordered by Dana Farber Cancer Institute providers using knowledge of payer coverage policies and applies appropriate payer guidelines to all asp
Job Source: Dana-Farber Cancer InstituteDana-Farber Cancer Institute
Boston, MA, United States
Job ID: 39258 Location: 10 Brookline Place West, Brookline, MA 02445 Category: Finance/Accounting Employment Type: Full time Work Location: Remote: occasional time on campus Overview The Drug Authorization Specialist, with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug auth
Job Source: Dana-Farber Cancer InstituteBeth Israel Lahey Health
Winchester, MA, United States
Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Ensures that all information necessary for proper financial reimbursement for high dollar patient care is analyzed and submitt
Job Source: Beth Israel Lahey HealthNortheast Family Services
Dorchester
Job Description Job Description Northeast Family Services is seeking an experienced masters-level professional to join our growing Massachusetts CBHI team as an I ntake Screener and Authorization Specialist! The Intake Screener and Authorization Specialist manages all aspects of the registration and admissions process for Northeast Family Service
Job Source: Northeast Family ServicesBoston, MA, United States
Overview
The Authorization Specialist will be responsible for financially securing scheduled surgical procedures undertaken by the Vascular Care Group by verifying insurance eligibility and coverage of incoming patients.
Responsibilities
Monitoring upcoming surgical cases, procedures and imaging on the physician's calendars
Responsible for identification and authorization of all codes that may be used throughout complex and variable patient treatments
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans
Collaborates with other departments to ensure documentation is received prior to services
Assists with medical necessity documentation to expedite approvals and ensure the appropriate follow-up
Obtains, distributes, and documents referral authorization numbers
Helps monitor cancellations, expirations, and changes to authorizations and referrals
Documents authorizations and progress of authorizations in the patient's chart
Ensures all updates to documentation in client's file are completed in a timely manner
Assists with the resolution of authorization related denials and billing holds
Participates in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases
Ensures compliance with appropriate industry regulations and State and Federal regulations
Safeguard strict confidentiality of all health records, member information and meet HIPAA guidelines
Assists with medical record requests, front desk tasks, and patient collections as needed
Performs other duties as assigned
Requirements Bachelor's degree preferred
1+ years of surgical insurance verification experience required
Vascular experience preferred
Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers and other funding sources
Proficiency in establishing good working relationships with both internal and external vendors/customers, both in person and over the phone
Outstanding written and verbal communication skills, with close attention to detail
Demonstrated ability to analyze data and work independently within a fast-paced work environment
Proficiency in technology, in particular Microsoft Office Suite
Excellent organizational and prioritization skills
Email Alert for Authorization Specialist jobs in Boston, MA, United States
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