• Insurance Authorization Specialist-…

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …of other front-end processes, including scheduling, pre-registration, financial counseling, insurance authorization , medical necessity, and registration. ... The Insurance Authorization Specialist supports the Patient...clerical duties as assigned by Patient Access Director and/or manager + Exhibits professionalism in appearance, speech, and conduct;… more
    Jennie Stuart Medical Center, Inc. (09/27/24)
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  • Medical Authorization Specialist

    Methodist Health System (Dallas, TX)
    …8X5 Day (United States of America) **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical ... authorization , and/or pre-determination of healthcare benefits for proposed medical services, to ensure reimbursement for rendered care. This position routinely… more
    Methodist Health System (11/12/24)
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  • Insurance Authorization Specialist…

    Actalent (Fairfield, NJ)
    …from the intake manager . Essential Skills + Experience in prior authorization review. + Knowledge of insurance verification and benefits. + Understanding ... label as requested by pharmacy staff. + Utilize prior authorization and insurance knowledge to support the...on upcoming infusion dates, in coordination with the intake manager and pharmacy team. + Make general assignments for… more
    Actalent (11/12/24)
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  • Prior Authorization Specialist - ( RN , LPN…

    Select Medical (St. Charles, MO)
    …**Select Specialty Hospitals - St Louis** **Critical Illness Recovery Hospital** **Prior Authorization Specialist / Payor Relations Specialist ( RN , LPN )** At ... Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or post-ICU patients who require extended hospital care.… more
    Select Medical (11/09/24)
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  • Authorization Specialist

    WMCHealth (Goshen, NY)
    Authorization Specialist Company: Bon Secours Charity Medical Group City/State: Goshen, NY Category: Clerical/Administrative Support Department: Goshen ... is responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for hospital procedures and… more
    WMCHealth (10/30/24)
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  • Authorization Coordinator - $23.50/hr

    Fallon Health (Worcester, MA)
    …Supervisors, Manager and/or Director, or Clinical Staff including the Medical Directors to resolve issues; formulates improvement measures and response to ... **Overview** **The Authorization Coordinator works M - F 8 am...strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive… more
    Fallon Health (10/02/24)
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  • Supervisor, Authorization Technician

    LA Care Health Plan (Los Angeles, CA)
    …years in Medi-Cal managed supervisory experience in a health plan/health insurance authorization processes and/or as a Medical Assistant. At least 1 year of ... required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in...information in a timely manner and using the approved Authorization Request form with complete medical information… more
    LA Care Health Plan (10/26/24)
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  • Associate Manager - Duals Utilization…

    CVS Health (Springfield, IL)
    …more personal, convenient and affordable. **Position Summary:** The Associate Manager is responsible for oversight of Utilization Management/Case Management staff. ... Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders such as program design/product, Medical more
    CVS Health (10/26/24)
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  • Clinical Authorization Specialist

    Actalent (Montville, NJ)
    …special assignments from the intake manager . Essential Skills + Prior authorization experience + Insurance verification expertise + Knowledge of healthcare ... label as requested by pharmacy staff. + Utilize prior authorization and insurance knowledge to support the...+ Patient care skills + Pharmacy technician license OR medical assistant certification + Experience with insurance more
    Actalent (11/09/24)
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  • Infusion Authorization Coordinator- On Call

    HonorHealth (Phoenix, AZ)
    …prior authorization for patients served by infusion clinics. Reviews medical records for submission to insurances, abstracting information from patient ... reviews the applicable payer reimbursement criteria to ensure that the specific payer's medical necessity criteria is met. Obtains approval, authorization and or… more
    HonorHealth (08/21/24)
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  • Benefits and Authorization Specialist…

    Option Care Health (Orlando, FL)
    …every step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and… more
    Option Care Health (11/09/24)
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  • Pre Authorization Representative - Case…

    Arnot Health (Elmira, NY)
    …and prior anatomy education. Reports directly to the Central Scheduling/Pre- Authorization Supervisor. DUTIES AND RESPONSIBILITIES: COMMUNICATION: 1. Promptly answers ... external customers. 5. Demonstrates an understanding of both CPT , ICD9 and medical terminology. 6. Demonstrates the ability to check appointment schedules daily to… more
    Arnot Health (11/06/24)
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  • Senior Financial Clearance Coordinator - PFS-Pasc-…

    Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
    …Clearance Coordinator serves as the on-site subject matter expert for insurance -related matters and works closely with the Hospital's Financial Counselors and ... for resolving account issues, addressing patient concerns, and answering insurance billing questions, escalating matters to relevant Revenue Cycle departments… more
    Lucile Packard Children's Hospital Stanford (10/16/24)
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  • Risk Insurance OCIP Manager (Analyst…

    City of Portland (Portland, OR)
    Risk Insurance OCIP Manager (Analyst III - CPPW) Print (https://www.governmentjobs.com/careers/portlandor/jobs/newprint/4699704) Apply  Risk Insurance OCIP ... of Environmental Services (BES) is seeking a Risk Insurance Owner Control Insurance Program (OCIP) Manager to join the Financial Services Division. This… more
    City of Portland (10/29/24)
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  • Targeted Case Manager - Blended Case…

    Penn Medicine (Philadelphia, PA)
    …Treatment Form, HIPAA Acknowledgement of Receipt Form, Complaint & Grievance From, CBH Authorization to Release Info, Medical Eval, Psych Eval, and Prescription ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
    Penn Medicine (08/22/24)
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  • Information Systems Security Manager (ISSM)…

    General Dynamics Information Technology (Hanscom AFB, MA)
    …experience **US Citizenship Required:** Yes **Job Description:** Information Systems Security Manager (ISSM) II The ISSM's primary function serves as a principal ... with emphasize on Joint. + Special Access Program Implementation Guide (JSIG) authorization process. + Advise customer on Risk Management Framework (RMF) assessment… more
    General Dynamics Information Technology (11/08/24)
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  • Medical Meeting Event Manager

    Maritz (Plainsboro, NJ)
    EXCITED TO GROW YOUR CAREER? WE'RE GLAD YOU'RE HERE!​ The Medical Meeting Event Manager (Pharma/Life Science focused) is the client liaison and project leader ... in Plainsboro, NJ 2-3 days a week PURPOSE: The Medical Meeting Manager w orks effectively with...offers a comprehensive benefits package for full-time employees including medical , dental, vision, life insurance , disability, 401k,… more
    Maritz (10/24/24)
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  • Manager , Product Management

    Mastercard (Harrison, NY)
    …benefits for full time (and certain part time) employees generally include: insurance (including medical , prescription drug, dental, vision, disability, life ... drives innovation and delivers better business results. **Title and Summary** Manager , Product Management Overview: Mastercard is a global technology company. Our… more
    Mastercard (09/27/24)
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  • Medical Case Manager

    Crawford & Company (Los Angeles, CA)
    …effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health,… more
    Crawford & Company (09/19/24)
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  • Medical Case Manager - Hybrid

    Crawford & Company (Columbus, GA)
    …effective case management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards and ... Assurance (QA) Guidelines to patients/employees who are receiving benefits under an Insurance Line including but not limited to Workers' Compensation, Group Health,… more
    Crawford & Company (10/29/24)
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