Top 27 Prior authorization specialist Jobs in West Hartford, Ct

Prior Authorizations Specialist - Neuro Muscular
Hartford HealthCare Medical Group —Hartford, CT
- Full-time
- Urgent Care
- Mid-level
- High school diploma or GED
Quick Apply
Prior Authorizations Specialist - Bariatrics
Hartford HealthCare Medical Group —Glastonbury, CT
- Full-time
- Urgent Care
- Mid-level
- High school diploma or GED
Quick Apply
Prior Authorizations Specialist - Pulmonary
Hartford HealthCare Medical Group —Glastonbury, CT
- Full-time
- Children
- Cleaning
- Entry level
Quick Apply
Referral Representative
Trinity Health Of New England —Hartford, CT
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- Benefits from day one
2d
Medical Contact Center Representative, Inbound and Outbound
Guidehealth —Hartford, CT
- $20 - $22 an hour
- Full-time
- Remote
- HIPAA
- English
- Research
- Paid parental leave
- Disability insurance
Referral Representative - MA
Trinity Health Of New England —Hartford, CT
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Medical office experience
- 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
Patient Services Coordinator - Adult Psych
Hartford Hospital —Hartford, CT
- Full-time
- 5 years
- Medical office experience
- Adults
- Health insurance
- Dental insurance
Quick Apply
5h
Patient Service Representative - Outpatient Rehab
Hartford Hospital —Wethersfield, CT
- Full-time
- Bilingual
- High school diploma or GED
- Rehabilitation center
Quick Apply
Patient Service Representative - Outpatient Rehab (Per Diem)
Hartford Hospital —West Hartford, CT
- Evening shift
- Bilingual
- High school diploma or GED
- Clinic
Quick Apply
10d
Medical Receptionist
Trinity Health Of New England —Hartford, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one
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
Lead Patient Service Representative - Outpatient Rehab
Hartford Hospital —South Windsor, CT
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
Patient Services Coordinator
Rushford —Meriden, CT
- Full-time
- Residential
- High school diploma or GED
- Clinic
- Travel reimbursement
- Paid holidays
Quick Apply
2d
Surgical Scheduler
Trinity Health Of New England —Waterbury, CT
- Full-time
- Surgery
- Medical office experience
- Mid-level
- Benefits from day one
Registration Specialist
Waterbury Hospital —Waterbury, CT
- Full-time
- Hospital
- Computer literacy
- HIPAA
Quick Apply
Medical Receptionist - Neurosurgery - Hartford
Trinity Health Of New England —Hartford, CT
- Full-time
- Windows
- High school diploma or GED
- Neurology
- Benefits from day one
2d
Customer Technical Support Representative 3 (SCA)
Peraton —Springfield, MA
- $20 - $25 an hour
- Remote
- High school
- Writing skills
- Mid-level
- Travel reimbursement
- Health savings account
3d
Medical Scribe
Oak Street Health —Waterbury, CT
- $17.00 - $31.30 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Business Office Manager
Waterbury Surgery Center —Waterbury, CT
- $70,000 - $90,000 a year
- Full-time
- Surgery
- HIPAA
- Office
- Health insurance
- 401(k) matching
Quick Apply

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Prior Authorizations Specialist - Neuro Muscular

Hartford HealthCare Medical Group -
Hartford, CT

Quick Apply

Job Details

Full-time

Qualifications

Epic

Full Job Description

Location Detail: 85 Seymour Street - HHMOB (10117)

Shift Detail: Monday - Friday

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 west hartford, ct

Prior Authorizations Specialist - Neuro Muscular

Prior Authorizations Specialist - Bariatrics

Prior Authorizations Specialist - Pulmonary

Referral Representative

Medical Contact Center Representative, Inbound and Outbound

Referral Representative - MA

Patient Services Coordinator - Oncology (Per Diem)

Patient Services Coordinator - Adult Psych

Patient Service Representative - Outpatient Rehab

Patient Service Representative - Outpatient Rehab (Per Diem)

Medical Receptionist

Patient Service Representative - Outpatient Rehab (Float Per Diem)

Lead Patient Service Representative - Outpatient Rehab

Patient Services Coordinator

Surgical Scheduler

Registration Specialist

Medical Receptionist - Neurosurgery - Hartford

Customer Technical Support Representative 3 (SCA)

Medical Scribe

Business Office Manager

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