- BrightSpring Health Services (Totowa, NJ)
- …working knowledge of pharmacy benefits and prior authorization process. The Prior Authorization Specialist will report to the Manager and work in ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer… more
- RWJBarnabas Health (Old Bridge, NJ)
- …educational background, skills and professional experience. Job Overview: The Surgery Scheduler & Prior Authorization Specialist plays a critical role in ... procedures. The specialist ensures timely and accurate submission of prior authorization requests and follows up until approvals are secured. Attention to… more
- City of New York (New York, NY)
- …employees serving in a permanent (not provisional) Civil Service title of Claim Specialist . To be considered for this position, PLEASE CLEARLY INDICATE YOUR CURRENT ... BLA furthers this goal in its review, evaluation, and authorization of requests to settle litigated cases involving the...letter to medical providers as per the required rules prior to coverage being confirmed, and within the mandated… more
- RWJBarnabas Health (Elizabeth, NJ)
- Specialist , Mental Health-Adult OPReq #:0000203907 Category:Behavioral and Mental Health Status:Full-Time Shift:Day Facility:Trinitas Regional Medical Center ... NPC Plaza Building, 654 E. Jersey Street, Elizabeth, NJ 07206 Job Title: Specialist Location: NPC PLAZA BLDG Department Name: Mental Health-Adult OP Req #:… more
- NBC Universal (New York, NY)
- …spin-off is expected to be completed during 2025. As a Digital Billing Specialist you will be responsible for providing invoicing support for NBCUniversal digital ... alignment with our clients' advertising schedules. Additionally, the Digital Billing Specialist will work with internal clients including Sales, Strategic Planning,… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for ... overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD) treatment at Britelife… more
- NBC Universal (New York, NY)
- …spin-off is expected to be completed during 2025. The Programmatic Sales Operations Specialist is responsible for the gathering of all digital campaign media assets ... required Desired Characteristics + Excellent client relationship & interpersonal skills + Prior experience trafficking in an ad server (Google Ad Manager, FreeWheel)… more
- Nestle (Bridgewater, NJ)
- …future of health and nutrition for patients and consumers. **POSITION SUMMARY:** The Specialist , Customer Solutions serves as the primary point of contact for the ... compliance of Return Requests according to Market Return Policy Conditions. Obtain authorization from Sales for return requests that exceed Market Return Policy… more
- Atlantic Health System (Morristown, NJ)
- …available on site for hospital based procedures. + Confirms patient's insurance and obtains prior authorization or communicates prior authorization to ... + Assists with referrals of patients to the appropriate specialist for diagnosis or treatment. + Performs other related...Diploma or equivalent. + 1 to 3 years of prior experience. + National Certification CCMA from: NHA, AAMA,… more
- Abbott (New York, NY)
- …and regional demands. This role assist's territory managers and clinical sales specialist to identify and evaluate market opportunities and sales potential to ... Director also leads and coaches the activities of territory managers, clinical sales specialist to develop a high performing team for commercial and clinical trial… more
- RWJBarnabas Health (Newark, NJ)
- …history and medications to ensure accuracy in EMR and verify medical and or specialist clearance requirements prior to surgery, + Demonstrates a high degree of ... Knowledge of health insurance coverage including verification of benefits, pre-certification/pre- authorization for imaging and procedures, etc, + Making confirmation… more
- Medtronic (New York, NY)
- …+ Certified Diabetes Educator (CDE) or Certified Diabetes Care and Education Specialist (CDCES) preferred. + Prior sales experience. + Experience utilizing ... or more of the following fields: + Certified Diabetes Care and Education Specialist (CDCES) + Registered Nurse (RN) + Registered Dietitian (RD) + Physician Assistant… more
- Gilead Sciences, Inc. (Manhattan, NY)
- …problem solving and execution. + Launch experience within academic hospitals preferred. + Prior experience in a hematology or oncology specialist therapy area is ... ATC is operational and work with the ATC Onboarding Director for site authorization . + **Patient access and reimbursement support** + Identify and map patient… more
- Atlantic Health System (Morristown, NJ)
- …diagnosis or treatment. 9. Performs other related duties as assigned. 10. Handles Prior Authorization request 11. Handles Forms and letters request Required: 1. ... High School Diploma or equivalent. 2. National Certification from an accredited Medical Assistant program. **National Certification CCMA from: NHA, AAMA, NAHP, ARMA, AMT, AMCA, or NCCT. OR Precertification agreement must be signed if expired or receiving… more