- Pinehurst Medical (Pinehurst, NC)
- …A day in the life of a PMC Prior Authorization Specialist may include: Review Electronic Medical Records to verify patient's insurance eligibility, ... Pinehurst Medical Clinic (PMC) PMC is a recognized healthcare...16 locations. What will you do as a PMC Prior Authorization Specialist As a...will you do as a PMC Prior Authorization Specialist As a PMC Prior… more
- Advanced Pain Care (Austin, TX)
- … authorization on medications and documents coverage determination in patient's electronic medical record. *Obtains prior authorization on imaging orders. ... Job Type Full-time Description Prior Authorization Job Purpose: Assists patients...information and maintains patient confidence by completing and safeguarding medical records. *Completes diagnostic and procedure coding as required/needed.… 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
- Breg (Carlsbad, CA)
- …that help people move forward with confidence. We are currently seeking a Medical Billing Specialist (Workers' Compensation) to join our team in Carlsbad, ... that is committed to delivering exceptional patient outcomes. What You'll Do As a Medical Billing Specialist , you will: Prepares and reviews Durable Medical … 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
- Beth Israel Lahey Health (Boston, MA)
- …Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic ... making a difference in people's lives. The Medication Access Specialist will fulfill all of the job responsibilities as...years related work experience required in specialty pharmacy and medical prior authorization experience or… 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 ... or a fit for another role at NY Creates. Additional Information: Benefits Medical , Vision, and Dental Competitive Pay and PTO Flexible Heath Spending and Dependent… 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
- 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
- Baptist Memorial Health Care Corporation (Memphis, TN)
- Overview Specialist -Denial Mitigation II RN Job Code : 21432 FLSA Status Job Family : FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in a key role of...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- Intermountain Healthcare (Cedar City, UT)
- …explain the process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag ... orders are proposed, signed off and sent for hospital orders. Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior … 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
- 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
- Pennsylvania Medicine (Elizabethtown, PA)
- …(Required) One (1) year prior experience of Revenue Cycle in a Hospital Medical Office Setting AND OR one (1) year administrative data entry experience in a ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- HCA Healthcare (Tampa, FL)
- …department to qualify patients for current or continued care needs, obtaining pre-admission authorization prior to admission. Requirements: Must be licensed as a ... have the career opportunities as a RN Psych Intake Specialist you want in your current role? We invest...to ensure all patients receive accurate placement according to medical criteria facilitating high quality, efficient care in a… more
- State of Colorado (Denver, CO)
- …If yes, consider turning your passions into a career as a Highway Maintenance Specialist . CDOT has a vacancy for a Highway Maintenance Specialist in Southeast ... patrol location has at least one lead highway maintenance specialist and multiple highway maintenance specialists. Your main job...test (ie, drug test), and DOT physical through our medical provider. On-call work (rotating basis as well as… 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
- Northwestern Memorial Healthcare (Oak Brook, IL)
- …better? Job Description We are seeking a dedicated and detail-oriented Rehab Tech/Admin Specialist to join our Rehab Services team in our Outpatient Clinic in ... patient care. American Heart Association BLS certification required. The Rehab Techs/Admin Specialist reflects the mission, vision, and values of NM, adheres to the… 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 (Lancaster, PA)
- …One 1 year prior experience of Revenue Cycle in a Hospital Medical Office Setting. Previous Epic or equivalent Electronic Medical Record experience. ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
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