- Methodist Health System (Richardson, TX)
- …nurses, insurance utilization management staff, and patients to initiate pre - authorization and resolve issues that arise during the prior authorizations ... (United States of America) **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage,… more
- WesleyLife (Urbandale, IA)
- …and various payers. + Ensures that cases are effectively managed according to utilization and authorization , as defined by payer. This includes documentation and ... and Medicare/Medicaid. + Maintains written and verbal communication regarding authorization , re- authorization , and retro- authorization of visits.… more
- Trinity Health (Ann Arbor, MI)
- …as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides ... financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy… more
- Trinity Health (Troy, NY)
- …the clinical utilization reviews with the facilities Per Diem- Insurance Specialist to assist with authorizations for Substance abuse and Mental Health Service ... **Employment Type:** Part time **Shift:** Day Shift **Description:** **Insurance Specialist - Samaritan Hospital - PD Days** **Position Summary:** The Insurance … more
- Abbott (Plano, TX)
- … you are responsible for facilitating and assisting Abbott patients with the pre -certification, pre -determination and authorization process necessary as a ... currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days...policies as outlined by Abbott. + Verify benefits, complete authorization requests promptly. + Timely follow up for requested… more
- Integra Partners (Troy, MI)
- …experience with Utilization Management within the healthcare industry, including pre - authorization and utilization reviews, along with medical claims ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited...the case management plans such as clinical needs, barriers, utilization of resources via assessments and/or progress notes. *… more
- Trinity Health (Howell, MI)
- …as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides ... financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy… more
- Army National Guard Units (Virginia Beach, VA)
- …SERVICE POSITION. This National Guard position is for a Range Operations Specialist (Title 32) (Permanent), Position Description Number D2798000 and is part of ... VA MTC, National Guard. Responsibilities As a Range Operations Specialist (Title 32), GS-0301-09, you will perform the below...operations functions directly related to the safe and efficient utilization of the Range and Training Area (RTA) complex… more
- Boehringer Ingelheim (Atlanta, GA)
- …**This territory consists of Stockbridge and Conyers, GA.** The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net ... and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and… more
- Penn Medicine (Philadelphia, PA)
- …West Tower - 1500 Market Street Hours: Full Time Summary: + The Pre -Registration Specialist reports to the Supervisor of Financial Clearance. This individual ... regard to financially clearing inpatient and outpatient based procedures. The Pre -Registration Specialist is responsible for insurance verification, benefit… more
- Penn Medicine (Bala Cynwyd, PA)
- …in regard to financially clearing inpatient and outpatient-based procedures. The Pre -Registration Specialist III is responsible for insurance verification, ... clinical and demographic information to payer to obtain the proper authorization / pre -certification for the services being rendered. + Identifies potential… more
- L3Harris (San Antonio, TX)
- …day, 5 days a week L3Harris is currently searching for a Sr. Network Specialist , Information Assurance for our San Antonio, TX site. The Senior Network Specialist ... on the overall security level of the network. The Information Assurance specialist will be required to collaborate planning, security and engineering with the… more
- Cummins Inc. (Columbus, IN)
- …with us, you will be provided with an opportunity to use your specialist skills, expertise, interests, and abilities on meaningful projects. Following the six ... #RPIT #RPSC We are looking for a **Thermal and Fluid Systems Technical Specialist ** to join our team specializing in **Engineering** for our **Columbus, IN**… more
- Air National Guard Units (Robins AFB, GA)
- …EXCEPTED SERVICE POSITION. This position is for a AVIATION RESOURCE MANAGEMENT SPECIALIST , Position Description Number D2934000 at the 128th ACCS located in Robins ... Air National Guard membership. Responsibilities As a Aviation Resource Management Specialist , GS-0301-09, you will: Serve as a management analyst with responsibility… 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 ... have the career opportunities as a RN Psych Intake Specialist you want in your current role? We invest...and Qualifications** **We are seeking a Behavioral Health Intake Specialist to join our team. You will conduct patient… more
- Transdev (Pearl City, HI)
- Transdev is seeking a customer-focused and detail-oriented Travel Specialist to support our Non-Emergency Medical Transportation (NEMT) operations. The Travel ... Specialist plays a key role in coordinating transportation services...status + Reconcile monthly concur reports + Create various utilization and reconciliation reports monthly + Assist with call… more
- Veterans Affairs, Veterans Health Administration (Atlanta, GA)
- …failure, hypothyroidism, etc. Maintain required bookable hours and appropriate clinic utilization . Participate in non-formulary and prior authorization requests ... outcomes, and team member growth and development. Monitoring drug utilization (formulary, non-formulary, restricted) and intervene to ensure formulary adherence… more
- Penn Medicine (Lititz, PA)
- …each day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Health Location: Kissel Hill Outpatient Center- 51 Peters ... information with the patients regarding co-pays, out of pocket expenses, pre -appointment preparation, arrival times, etc. E-Health Record Verification + Verifies… more
- Pfizer (Harrisburg, PA)
- …and patients in this dynamic ecosystem. The Health and Science System Specialist (HSSS) is responsible for launching new products, deciding on optimal strategies ... and F2F environments; demonstrates advanced capabilities toward call objectives (eg, pre call planning, selling skills, clear next steps and appropriate… more