- Option Care Health (Sacramento, CA)
- …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
- Option Care Health (Sacramento, CA)
- …and quantities within guidelines established and promotes formulary conversion where indicated.Ensures authorization and order are not expired prior to refill, ... and communicates with teammates responsible for authorization as needed.Takes payment from patients/caregivers as required, and escalates payment questions/concerns… more
- Scripps Health (San Diego, CA)
- …processes prior authorizations for medications for all our clinics. The Pharmacy Prior Authorization Specialist is responsible for supporting the Scripps ... 6am and 6pm, including weekends. This is a partial remote position with some flexibility to work from home....of pharmacy technician licensure. To be successful, the Pharmacy Prior Authorization Specialist will be… more
- UT Health (Houston, TX)
- REMOTE - Insurance Authorization Verification Specialist III (Rev Cycle) **Location:** Houston, Texas **Category:** Professional/Managerial McGovern Medical ... That's where you come in. **This position is fully REMOTE !** **Must be located in Texas.** **Once you join...responsible for verifying insurance policy benefit information and obtaining Authorization / Precertification, prior to the patient's… 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
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Patient Services Intermediate-Outpatient Authorization Specialist Apply Now **Summary** The...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- TEKsystems (Mcallen, TX)
- … authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and ... Hiring For Medical Coordinator! 100% REMOTE Note: Candidates from McAllen can only apply!...responsibility. Supports the prior authorization request to ensure all … more
- Sanford Health (ND)
- …dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Central Time) **Location:** City - Remote ND, ND **Address:** ... Collection of clinical information necessary to initiate commercial payor authorization . Obtain and maintain appropriate documentation concerning services in… more
- RTX Corporation (El Segundo, CA)
- Date Posted: 2024-03-26 Country: United States of America Location: RCA99: RTN Remote , California Position Role Type: Remote About Us: At Raytheon, the ... (EX/IM) regulations in all the company's global business transactions. The Principal Specialist , Global Trade position reports to the APS Sr. Manager for Global… more
- AbbVie (Chicago, IL)
- …calls to drive first call resolution. Provide insurance coverage, verification details prior authorization statues and alternate funding options for existing and ... any state or city in the US The Insurance Specialist II acts as the primary point of contact...medical insurance programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty… more
- RTX Corporation (Austin, TX)
- …levels of leadership. Additional Information: + This position is grade P3, Principal Specialist , Program Cost Controls. + Remote : Employees who are working in ... 2024-04-03 Country: United States of America Location: RTX99: RTN Remote , Texas Position Role Type: Remote At...Supply Chain (OSC) Finance team is seeking a Principal Specialist , Operations Program Cost Controls (P3) to support our… more
- Marshfield Clinic (Marshfield, WI)
- …improved patient outcomes. + Interpret clinical guideline criteria to make clinical prior authorization and appeals determinations in accordance with medical ... exciting missions in the world!** **Job Title:** SHP Clinical Pharmacy Specialist ( Remote /hybrid) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly… more
- Carle (Urbana, IL)
- …a Friend Save Save Apply Now Position Summary: The Pre- Authorization Specialist is responsible for identifying prior auth requirements by insurance/payer and ... Pre- Authorization Spec Team A + Department: Registration Center...Education Required: HS Diploma/GED + Shift: Day + Location: Remote + Usual Schedule: 8a-5p + On Call Requirements:… more
- RTX Corporation (Tallahassee, FL)
- Date Posted: 2024-04-04 Country: United States of America Location: RFL99: RTN Remote , Florida Position Role Type: Remote At Raytheon, the foundation of ... secure world. Position Overview: Raytheon Company is hiring for a Principal Specialist , Global Trade to support the Global Trade-Global Strategic Alignment (GTGSA)… 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 (Sacramento, CA)
- …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
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Accounts Payable Specialist I for a Full Time, 1.00 FTE, Day position. **This is a remote role. The incumbent must ... audits invoices, check requests, and caregiver reimbursement requests for proper authorization , exempt coding and tax status and disburse checks as requested.… more
- CDI (St. Louis Park, MN)
- …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
- Amentum (Columbus, OH)
- …working in a dynamic and high-energy environment. This position will be remote . Performance Location: The individual filling this position will work report ... office software. + Perform other duties as assigned. **MINIMUM QUALIFICATIONS** + Prior experience in an operations and maintenance or construction environment is… more
