- Pinehurst Medical (Pinehurst, NC)
- …130 providers, approximately 750 employees, and 16 locations. What will you do as a PMC Prior Authorization Specialist As a PMC Prior Authorization ... all PMC Primary Care locations. A day in the life of a PMC Prior Authorization Specialist may include: Review Electronic Medical Records to verify patient's… more
- Advanced Pain Care (Austin, TX)
- Job Type Full-time Description Prior Authorization Job Purpose: Assists patients in prior authorization process, including reviewing of medications and ... within the scope of approved protocols *Contacts insurance companies to obtain prior authorization on medications and documents coverage determination in… more
- NY CREATES (Albany, NY)
- …Other reasonable duties as assigned. Requirements: Minimum Requirements for IT Support Specialist Has the ability to quickly learn and use new technologies, as ... technical data, technology, software, or restricted programs where US Government authorization may be required. For positions requiring such access, offers of… more
- BayCare Health System (Clearwater, FL)
- …time Shift: 8:00 AM to 4:30 PM Days: Monday through Friday This Central Authorization Specialist II opportunity is a full-time remote (following onsite training) ... team member will work the hours listed above) Responsibilities: The Central Authorization Specialist II is responsible for verifying health insurance information… more
- Community Health Systems (La Porte, IN)
- Job Description Job Summary The Care Management Specialist provides administrative and operational support to the Care Management team, assisting with care ... care and timely access to necessary resources. The Care Management Specialist helps facilitate communication, gather patient information, and coordinate services to… more
- Breg (Carlsbad, CA)
- …help people move forward with confidence. We are currently seeking a Medical Billing Specialist (Workers' Compensation) to join our team in Carlsbad, CA . If you ... exceptional patient outcomes. What You'll Do As a Medical Billing Specialist , you will: Prepares and reviews Durable Medical Equipment, Prosthetics/Orthotics &… more
- Intermountain Healthcare (Cedar City, UT)
- …orders are proposed, signed off and sent for hospital orders. Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior ... go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for...includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any… more
- Upstate University Hospital (Syracuse, NY)
- Job Summary: The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. May assist in the preparation of ... a resource for providers and staff relative to the referral and authorization processes. Assist with patient check-in and check-out procedures including registration… more
- Yamaha Motor Corporation (Phoenix, AZ)
- Yamaha has an excellent opportunity for a Transaction Specialist to join our Financial Services team in Phoenix, AZ. The Transaction Specialist will be ... with reporting and other tasks. What you'll be doing: Research prior payments, allocations, payment disputes and identify potential inaccurate payment transactions.… more
- Texas Health and Human Services Commission (Conroe, TX)
- …Programs under the Employees Retirement System of Texas. Functional Title: CPS Legal Support Specialist Job Title: CPS CVS Spec IV Agency: Dept of Family & Protectve ... 66R 67D, L24A, 001387 Brief Job Description: CPS Legal Support Specialist facilitates and expedites Child Protective services conservatorship cases to permanency… more
- Umpqua Bank (Federal Way, WA)
- …and payment plans arranged with Lessees. Collects and resolves ending residuals prior to NPA. Prepares repossession authorization packets as needed. Meets ... individual call volume as assigned by management and calls are made in a professional manner. Performs extensions, rewrites, purchase agreements and forbearance agreements as needed within their authority level or with approval of management. Maintains current… more
- Community Guidance Center (Greensburg, PA)
- …for client and/or insurance companies requesting account information. Process necessary authorization requests. Scan and attach all received authorizations to the ... departments as directed. Communicate with managed care companies for authorization when insurance changes occur. Communicate when write-offs/authorizations are in… more
- Pennsylvania Medicine (Elizabethtown, PA)
- …day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Hospital Location: Norlanco Outpatient Center- 424 Cloverleaf ... guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable tests. Understands… more
- COMPREHENSIVE HEALTHCARE (Yakima, WA)
- …recovery-oriented services. What are we looking for in a Clinical Review Specialist ? The Clinical Review Specialist is responsible for ensuring that ... Comprehensive Healthcare receives treatment authorization from their designated payor for each client admitted...bill for the services we provide. The Clinical Review Specialist coordinates with insurance companies and managed care organizations… more
- Family Support Services (Largo, FL)
- …Full Time Education Level 4 Year Degree/BA or BS Description Quality Management Specialist Join our team at FSS and enjoy comprehensive benefits including but not ... substance abuse screen Provide a copy of all degrees prior to your first day of employment Clear an...the successful candidate meets the Department of Homeland Security authorization requirements to work in the United States (for… more
- Northwestern Memorial Healthcare (Warrenville, IL)
- …unified under one mission - Patients First. Job Description The Rehab Techs/Admin Specialist reflects the mission, vision, and values of NM, adheres to the ... guidelines and all other regulatory and accreditation standards. The Rehab Tech/Admin Specialist is a non-licensed staff member who assists the professional staff… more
- Beth Israel Lahey Health (Boston, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... making a difference in people's lives. The Medication Access Specialist will fulfill all of the job responsibilities as...and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for… more
- Insight Pest Solutions LLC (Agawam, MA)
- …the Service Manager of the branch, located in Millbury, MA. NO EXPERIENCE REQUIRED: Prior experience in Pest Control and sales experience is a plus but not required ... authorized to take the company vehicle home. An employee will likely be given authorization to take a company vehicle home after 60-Days of employment. All vehicle… more
- Pennsylvania Medicine (Lancaster, PA)
- …guarantor, coverage and hospital account information. Performs required referral authorization processes and enters orders for applicable tests. Understands ... insurance company coverage and referral authorization requirements of payors. Performs electronic and manual verification...and order release process es . One 1 year prior experience of Revenue Cycle in a Hospital Medical… more
- Pennsylvania Medicine (Lancaster, PA)
- …patient, guarantor, coverage and hospital account information. Performs required referral/ authorization processes and enters orders for applicable tests. Understands ... insurance company coverage and referral/ authorization requirements of payors. Performs electronic and manual verification of insurance coverage and understands how… more
