Top 34 Prior authorization specialist Jobs in Middletown, Ct

Prior Authorizations Specialist - Bariatrics
Hartford HealthCare Medical Group —Glastonbury, CT
- Full-time
- Urgent Care
- Mid-level
- High school diploma or GED
Quick Apply
12d
Prior Authorizations Specialist - Neuro Muscular
Hartford HealthCare Medical Group —Hartford, CT
- Full-time
- Urgent Care
- Mid-level
- High school diploma or GED
Quick Apply
Specialist, Authorization
Starling Physicians —Wethersfield, CT
- $16.22 - $23.00 an hour
- Full-time
- Customer service
- Computer literacy
- Medical office experience
- Health insurance
- Dental insurance
Quick Apply
5d
Prior Authorizations Specialist - Pulmonary
Hartford HealthCare Medical Group —Glastonbury, CT
- Full-time
- Children
- Cleaning
- Entry level
Quick Apply
Prior Authorization Specialist - Radiation Oncology
Hartford Hospital —Hartford, CT
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Quick Apply
Referral Representative - MA
Trinity Health Of New England —Hartford, CT
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- Benefits from day one
Medical Contact Center Representative, Inside Sales
Guidehealth —Hartford, CT
- $20 - $22 an hour
- Full-time
- Remote
- HIPAA
- English
- Research
- Paid parental leave
- Disability insurance
11d
Surgical Scheduler
Trinity Health Of New England —Hartford, CT
- Full-time
- Surgery
- Medical office experience
- Mid-level
- Benefits from day one
Patient Services Coordinator - Oncology (Per Diem)
Hartford Hospital —Manchester, CT
- Monday to Friday
- 5 years
- High school diploma or GED
- Children
Quick Apply
Surgical Scheduler - Bariatric Surgery - Waterbury
Trinity Health Of New England —Waterbury, CT
- $18.70 - $28.05 an hour
- Full-time
- Microsoft Outlook
- Surgery
- Medical office experience
- Benefits from day one
Lead Patient Service Representative - Outpatient Rehab
The Hospital of Central Connecticut —New Britain, CT
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
12d
Medical Receptionist - Rocky Hill Access Center
Trinity Health Of New England —Rocky Hill, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one
Patient Service Representative - Outpatient Rehab
Hartford Hospital —Wethersfield, CT
- Full-time
- Bilingual
- High school diploma or GED
- Rehabilitation center
Quick Apply
13d
Patient Service Representative - Outpatient Rehab (Per Diem)
The Hospital of Central Connecticut —North Haven, CT
- Per diem
- Bilingual
- High school diploma or GED
- Clinic
Quick Apply
3d
Patient Service Representative - Outpatient Rehab (Per Diem)
Hartford Hospital —Hartford, CT
- Per diem
- Bilingual
- High school diploma or GED
- Rehabilitation center
Quick Apply
Patient Service Representative - Outpatient Rehab (Float Per Diem)
Hartford Hospital —South Windsor, CT
- Per diem
- Bilingual
- Float pool
- High school diploma or GED
Quick Apply
Registration Specialist
Connecticut Orthopaedic Specialists Pc —Wallingford, CT
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- 401(k)
Lead Patient Service Representative - Outpatient Rehab
Hartford Hospital —South Windsor, CT
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
11d
Medical Scribe
Oak Street Health —Waterbury, CT
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Receptionist
Trinity Health Of New England —Hartford, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one

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Prior Authorizations Specialist - Bariatrics

Hartford HealthCare Medical Group -
Glastonbury, CT

Quick Apply

Job Details

Full-time
12 days ago

Qualifications

Epic

Full Job Description

Location Detail: 330 Western Blvd Glastonbury (10109)

Shift Detail: Monday -Friday Travel required as needed

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

Hartford HealthCare Medical Group is one of the largest medical practices in New England with multiple locations throughout Connecticut and Rhode Island. We consist of a team of professionals ranging from Medical Assistants to Physician Assistants and everything in between. Our physician led medical group enjoys an excellent reputation with patients and the medical community, offering primary care, urgent care and more than 30 different specialties.

Job Description
Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all in office procedures, medications, and any surgical services in a timely manner. Responsible for creating, maintaining and managing resources, including insurance portal access. Must have consistent documentation in EPIC to support the obtained insurance authorization. Will communicates changes in payer and or federal regulatory guidelines to their manager, providers and other clinical departments, as applicable.

Monitors and reviews the prior authorization work queue daily to verify accuracy of patient’s insurance information and to interpret insurance pre-authorization requirements for scheduled procedure, surgery and or medication.
Contacts insurance companies to obtain prior authorization via telephone and/or portals and provides necessary clinical documentation to ensure authorization is obtained prior to the scheduled date of procedure.
Documents in EPIC prior authorization information obtained such as number of treatments authorized, length of time treatment is authorized, authorization numbers, and insurance company contact or call reference number.
Immediately communicates to provider when a procedure, medication or surgery is denied by the insurance company. Assists in setting up peer to peer reviews
Collaborates and communicates with pharmacy regarding preferred drugs on the particular insurance plan and notifies providers of alternatives
Maintains log of missed prior authorizations and assists manager with timely retro authorizations or appeals to recoup revenue.
Collaborates with various hospital departments around billing, information management, policies, procedures and general operations related to prior authorizations.
When time allows can help out in the office with managing incoming phone calls, baskets and other front desk coverage, answering phones and transcribing orders and referrals.
Monitoring referral work queue, registering arriving patients, answering incoming calls as well as other assigned duties as needed.

Qualifications

High School Graduate/Diploma preferred
At least one year experience working with insurances and prior authorizations, preferred
Experience and knowledge of insurances and prior authorizations
Ability to effectively and professionally communicate with physicians, clinical and administrative staff, managers, patients and insurance companies
Must be self-motivated and have the ability to work independently and within a team
Demonstrates excellent telephone, computer, organization and customer service skills

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is your moment.

Quick Apply

Refine Your Search

prior authorization specialist jobs in middletown, ct

Prior Authorizations Specialist - Bariatrics

Prior Authorizations Specialist - Neuro Muscular

Specialist, Authorization

Prior Authorizations Specialist - Pulmonary

Prior Authorization Specialist - Radiation Oncology

Referral Representative - MA

Medical Contact Center Representative, Inside Sales

Surgical Scheduler

Patient Services Coordinator - Oncology (Per Diem)

Surgical Scheduler - Bariatric Surgery - Waterbury

Lead Patient Service Representative - Outpatient Rehab

Medical Receptionist - Rocky Hill Access Center

Patient Service Representative - Outpatient Rehab

Patient Service Representative - Outpatient Rehab (Per Diem)

Patient Service Representative - Outpatient Rehab (Per Diem)

Patient Service Representative - Outpatient Rehab (Float Per Diem)

Registration Specialist

Lead Patient Service Representative - Outpatient Rehab

Medical Scribe

Medical Receptionist

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