- Molina Healthcare (Akron, OH)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... **JOB DESCRIPTION** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Rio Rancho, NM)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Orem, UT)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that … more
- Molina Healthcare (North Las Vegas, NV)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... residents preferred.** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that … more
- Molina Healthcare (Vancouver, WA)
- …least 2 years health care experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (CA)
- …* At least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization , managed care, or equivalent combination ... business hours.** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that … more
- Molina Healthcare (Fort Worth, TX)
- …Required Qualifications * At least 2 years experience in a hospital acute care, inpatient review , prior authorization , and/or managed care setting, or ... before you apply to this role. Job Summary Provides support for member services review assessment activities for a specific area of specialty. Responsible… more
- Molina Healthcare (Rio Rancho, NM)
- …to plan members. * Provides leadership and expertise in performance of prior authorization , inpatient concurrent review , discharge planning, care management ... directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropriate… more
- Mount Sinai Health System (New York, NY)
- …routine meetings with health system business leaders and managed care teams to review authorization performance, payer issues, and denials. . Build effective, ... **Job Description** **Director of Authorization -Patient Financial Services Mount Sinai Health...Cycle Management team, responsible for overseeing all aspects of authorization across the healthcare system. This includes inpatient… more
- MD Anderson Cancer Center (Houston, TX)
- …responsibility with other department advanced practice professionals for coverage of inpatient services , triage new patients and consultations, and coordination ... for working with department faculty physicians to assist in covering the inpatient clinical practice for the Endocrinology Service -Diabetes. Clinical aspects… more
- University of Utah Health (Salt Lake City, UT)
- …authorize the visit. + Secures prior authorization for high dollar services such as scheduled day surgeries, planned inpatient admissions, urgent admissions, ... verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, ... and/or prior authorization to support insurance specific plan requirements for all...for all commercial, government and other payors across hospital ( inpatient & outpatient), ED, ancillary and clinic/ambulatory environments. In… more
- Bozeman Health (Bozeman, MT)
- …patients and participation as a member of the nursing care team in direct services to patients. The Tele-Companion is responsible for the safety of a patient ... may also include but are not limited to performance of chart review , pre-visit planning, patient intake, production and management of schedule tracking and… more
- Cedars-Sinai (CA)
- …assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered and ... for continued review and follow up. + Authorizes all appropriate services based upon covered benefits and necessity of care provided. + Coordinates discharge… more
- MD Anderson Cancer Center (Houston, TX)
- …6 weeks)** * *The ideal candidate with have prior Oncology and/or inpatient experience. Leukemia, Lymphoma, or Stem Cell experience preferred.* *KEY FUNCTIONS* ... resources. Facilitates communication between patient/family and interdisciplinary team and coordinates services related to patient care. This may involve sitting at… more
- Trinity Health (Troy, NY)
- …Managed Care Organization that is responsible for approving a client's treatment. The Authorization Clinician for inpatient is responsible for managing the ... Type:** Full time **Shift:** Day Shift **Description:** **Position Summary** : The Authorization Clinician for outpatient is responsible for the tracking and … more
- Select Medical (Scottsdale, AZ)
- …insurance verification? Read more to unlock your future career!_** Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care ... joint-venture partnership between Select Medical and HonorHealth. This hospital provides inpatient physical rehabilitation for patients who are medically complex and… more
- Select Medical (Henderson, NV)
- …**Part Time | Sunday, Monday & Tuesday | 8am - 5pm** Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care to best ... direction of the Director of Business Development - providing support, customer service and timely resolution of all aspects for admissions and seeking assistance… more
- Highland Hospital (Rochester, NY)
- **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and perform quality...quality control function for all preadmission visits on surgical inpatient , short stay 23 (SS23), Endo and ambulatory procedures… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to promote cost savings. Supports and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. + ... or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other… more