- Merck & Co. (Durham, NC)
- Job DescriptionThe Quality Control Senior Specialist plays a critical role in ensuring the quality of our products by managing laboratory data and overseeing the ... to support manufacturing processes. Responsibilities of the Quality Control Senior Specialist include leading routine testing of products, driving continuous process… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Fairview Health Services (St. Paul, MN)
- …computer systems, including Microsoft Office 365 **Preferred** **Experience** + Referrals and/or prior authorization experience + Epic experience + Knowledge of ... **Overview** This is a remote position under Revenue Cycle Management that is...appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization … more
- Randstad US (Woodland Hills, CA)
- …job details A trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote role, but the right ... authorization specialist . + woodland hills ,... authorization specialist . + woodland hills , california + posted... requests for services in accordance with the insurance prior authorization list and routes to the… more
- Randstad US (Woodland Hills, CA)
- authorization specialist . + woodland hills , california ( remote ) + posted 8 days ago **job details** summary + $22.99 - $23 per hour + temp to perm + high ... of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote...for outpatient and inpatient services in accordance with the prior authorization list. + Route to appropriate… more
- Option Care Health (Denver, CO)
- …responsibilities. **Basic Qualifications** + Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies preferred. ... developing, and retaining a diverse workforce. **Job Description Summary:** The Specialist , Pharma Support Services serves as the designated representative on their… more
- Marshfield Clinic (Marshfield, WI)
- …Specific Responsibilities: + Interpret clinical guideline criteria to make clinical prior authorization and appeal determinations in accordance with medical ... Pharmacy Specialist - Temporary Position from Mid-May to Mid-August ( Remote or Hybrid Option) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:**… more
- AbbVie (Mettawa, IL)
- …the larger Cyber Security Operations (CSO) function. Join us as Senior Security Specialist , Application Security to support and improve our efforts to identify and ... our business continue to have remarkable impacts on people's lives. The Senior Security Specialist is a key member of the Application Security team and works with… more
- Option Care Health (Springfield, IL)
- …insurance verification information and payer contracts and/or self-pay guidelines. Obtains initial authorization prior to admitting the patient for all services ... patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services and testing and… more
- Alight (Lincolnshire, IL)
- …and will collaborate with marketing peers across the globe. This role requires prior international event management experience. While remote position, the ideal ... possible. Alight has been a leader in the flexible workspace and "Top 100 Company for Remote Jobs" 5 years in a row. **Benefits** We offer programs and plans for a… more
- Umpqua Bank (OR)
- Senior Collection Specialist - Financial Pacific Leasing - Remote Asset Based Lending United States NA, Arizona NA, Nevada NA, CA NA, Colorado NA, Washington NA, ... arranged with Lessees. + Collect and resolve ending residuals prior to NPA. + Prepare repossession authorization ...residuals prior to NPA. + Prepare repossession authorization packets as needed. + Meet individual call volume… more
- CDI (Chesterfield, MO)
- …of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as ... formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- AdventHealth (Altamonte Springs, FL)
- …: Full-time; 8:30am- 5pm CST and 9:30-6pm CST **Job Location** : Remote **The role you'll contribute:** Ensures patients are appropriately registered for all ... meetings and promotes positive dialogue within the team . Insurance Verification/ Authorization : . Contacts insurance companies by phone, fax, online portal, and… more
- Sharecare, Inc. (Tallahassee, FL)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Sharecare, Inc. (Austin, TX)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... and accurate manner. **Qualifications:** + High School Diploma (GED) required + 1 year prior experience in a medical records department or like setting + Must have… more
- Health First (Rockledge, FL)
- …determinations for the clinical reviewer; which includes, all Formulary Exception, Prior Authorization and Administrative Authorization requests for ... transitions of care and disease management. *Primary Accountabilities * 1. Apply proper authorization requirements to all prior authorization requests. 2.… more
- CareOregon (Portland, OR)
- …process. + Follow policy & procedures to facilitate a resolution for prior authorization , formulary exception and coverage determinations requests. Notify ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...members, providers or providers staff of prior authorization and formulary exception decisions. +… more
- Ramsey County (St. Paul, MN)
- Account Specialist 2 Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4487418) Apply Account Specialist 2 Salary $44,441.81 - $66,311.97 ... County Courthouse) Saint Paul, MN Job Type Full Time Remote Employment Flexible/Hybrid Job Number 2024-00427 Department 22H01-CtywideOp/Safety&Justice Opening Date… more
- Trinity Health (Newtown, PA)
- …**Shift:** Evening Shift **Description:** Trinity Health, Mid-Atlantic, is looking for a Remote Full Time Insurance Verification Specialist to join our team! ... Full Time **Schedule:** 1 FTE, Monday-Friday 10:30am-7pm w/ rotating weekends. Remote opportunity* The Insurance Verification Specialist will be responsible… more