- Christus Health (Ruidoso, NM)
- Description Assist Doctor with patients. Demonstrate knowledge in a medical office. Anticipate doctor's needs for each patient based upon patient complaints and ... that patient results, x-rays, labs and procedure reports are in patient charts prior to seeing doctor. Gather patient's vitals and complaints, document in patient … more
- Altru Health (Grand Forks, ND)
- …90 days of start date | Learning Management SystemNotes:Temporary RN license accepted prior to start.ND RN Graduate Work Authorization considered prior ... Completes and submits all incident reports (patient, visitor, staff) prior to the completion of each shift.Establishes and maintains...Board of Nursing (NDBON) or Compact State Agreement | Prior to start date | HR Primary SourcesBasic Life… more
- New Hanover Regional Medical Center (Wilmington, NC)
- …Density exams using appropriate protocols. 3.Assists in scheduling exams and ensuring pre- authorization is obtained prior to performing exams. 4.Starts IV and ... 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best… more
- SunCrest Home Health - Manchester PD (Manchester, TN)
- …therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of ... patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs...indicated by the physician. Receives report from field clinicians prior to scheduled days off on patient status and… more
- Assured Home Health (Tualatin, OR)
- …of care visits. Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals. Ensures patient needs are continually ... therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.Coordinates determination of… more
- Brookdale Home Health St. Louis (Creve Coeur, MO)
- …therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of ... patient home health benefits, medical necessity, and ongoing insurance approvals.Ensures patient needs are...indicated by the physician. Receives report from field clinicians prior to scheduled days off on patient status and… more
- Brookdale Home Health St. Louis (Creve Coeur, MO)
- …therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.Coordinates determination of ... patient home health benefits, medical necessity, and ongoing insurance approvals.Ensures patient needs are...as indicated by the physician.Receives report from field clinicians prior to scheduled days off on patient status and… more
- Atrium Health (Charlotte, NC)
- …and organizational tasks. Assists with appointment scheduling and maintaining medical record. Major Responsibilities * Demonstrates the knowledge and skills ... with patient inquiries for prescription refills, appointment scheduling, and referral authorization as needed. * Participates in electronic documentation of care at… more
- Yakima Valley Farm Workers Clinic (Lake Oswego, OR)
- …for reverse billing. Completes third party billing form and contacts Provider if prior authorization is required. Performs other duties as assigned. Performs ... citizenship status. We serve over 197,000 patients across 28 medical clinics, 15 dental clinics, 11 pharmacies, and 49...states. We are Level 3 Certified as a Patient-Centered Medical Home (PCMH). With integrated services including medical… more
- St. Peters Health (Helena, MT)
- …but are not limited to: + Applying medical knowledge and experience for prior authorization requests; + Performing detailed medical reviews of prior ... JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient,… more
- Adecco US, Inc. (Woonsocket, RI)
- …team + Utilization of clinical skills to support the documentation and communication of medical services and prior authorization determinations + Ability to ... pharmacists, other clinical colleagues, healthcare professionals and members + Follow all prior authorization procedures to guarantee an accurate process on each… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …provides Utilization Management services to its clients. The Utilization Management Nurse - Prior Authorization performs medical necessity reviews on ... duties to meet required turnaround times. * Prepares and presents cases to Medical Director (MD) for medical director oversight and necessity determinations.… more
- Beth Israel Lahey Health (Beverly, MA)
- …experience in Financial Clearance activities. Knowledge of payer policies for medical necessity/ authorization requirements. Prior experience working with ... for services rendered in outpatient departments. Monitors outcomes to ensure medical necessity and authorization requirements are met. Provides feedback… more
- Beth Israel Lahey Health (Beverly, MA)
- …experience in Financial Clearance activities.2. Knowledge of payer policies for medical necessity/ authorization requirements.3. Prior experience working with ... proper individuals of patients that do not have a prior referral and/or authorization for the test,...services rendered in outpatient departments. Monitors outcomes to ensure medical necessity and authorization requirements are met.… more
- Beth Israel Lahey Health (Burlington, MA)
- …Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic ... required. 3. 3-5 years related work experience required in specialty pharmacy and medical prior authorization experience or a minimum of 4 years of pharmacy… more
- Adecco US, Inc. (Woonsocket, RI)
- … prior authorization (PA) requests reviewed by the Caremark Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations ... customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee...criteria for a determination in a clinical setting ie medical office or Pharmacy Benefits Manager (PBM) + Must… more
- US Tech Solutions (May, OK)
- … prior authorization (PA) requests reviewed by the Caremark Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations ... staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and… more
- US Tech Solutions (GA)
- …medication prior authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations ... staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and… more
- Milford Regional Medical Center (Milford, MA)
- …Milford Regional Hospital. Qualifications: Education: High School Diploma or GED 2 years medical prior authorization experience preferred 2 years' experience ... About Us: Milford Regional Medical Center is a full-service, community and regional...medical related field required Experience: Knowledge of procedure authorization and its direct impact on the practice's revenue… more
- TEKsystems (Louisville, KY)
- …assignment to ensure all tasks and coordination notes are completed. Skills: Prior Authorization , Insurance Verification, medical billing, insurance follow ... up, epic, Heealhcare, customer service, data entry Top Skills Details: Prior Authorization ,Insurance Verification, medical billing,insurance follow up,epic… more
