• Spectraforce Technologies Inc (Atlanta, GA)
    …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
    JobGet (07/01/24)
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  • Spectraforce Technologies Inc (Atlanta, GA)
    …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings:...general supervision of an Operations Manager, the Customer Access Specialist will be providing advanced services to patients, providers,… more
    JobGet (07/01/24)
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  • Stellantis Financial (Houston, TX)
    …be made to enable individuals with disabilities to perform the essential functions. Prior Credit Dispute or Compliance experience. Knowledge of FCRA. Minimum of 1 ... of sex, and/or transgender status or any protected status. Candidates must possess authorization to work in the United States. This policy applies to recruitment and… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Pittsburgh, PA)
    …for immediate consideration! Or call at ###. Job Description: Billing Specialist I will be responsible for qualifying, preparing and submitting claims ... to Medicare Part B, Major Medical and Medicaid. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors. This position requires… more
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  • Accounting Now (Tampa, FL)
    The Denials Specialist performs advanced-level work related to clinical and coding denial management and appeals follow-upThe individual is responsible for ... to submit appeals or corrected claims in a timely mannerThis position applies prior knowledge of denials to assess and ensure services/items billed are reasonable… more
    JobGet (07/01/24)
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  • Compass Health Network (Wentzville, MO)
    …referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule ... need you to make this happen! The Patient Care Specialist is part of the person-centered integrated care team...Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* Obtaining… more
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  • Compass Health Network (Wentzville, MO)
    …referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule ... required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as neededObtaining results from… more
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  • Creative Financial Staffing (Houston, TX)
    Accounts Payable Specialist About the Company and Opportunity: Our client manages public terminals that are 2 of the most efficient in the country. This ... while helping employees reach their career goals. Overview of the Accounts Payable Specialist role: Open, stamp, and sort all incoming accounts payable mail Log,… more
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  • Creative Financial Staffing (Houston, TX)
    Accounts Payable Specialist About the Company and Opportunity: Manages multiple public facilities along a major waterway, including key cargo and container ... while helping employees reach their career goals Overview of the Accounts Payable Specialist role: Open, stamp, and sort all incoming accounts payable mail Log,… more
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  • Creative Financial Staffing (Stamford, CT)
    …well as IRS regulations. Perform vendor Tax ID Number matching on IRS website prior to setting up vendors. Perform vendor review and cleansing in preparation for ... and audit all wire transfers to ensure accuracy and appropriate sign-off authorization . Coordinate and review offshore T&E expense report audits to ensure compliance… more
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  • A-Line Staffing Solutions (San Antonio, TX)
    …this role, the coordinator will provide support to the Aetna Commercial Prior Authorization Department in meeting client expectations regarding efficiency, ... service levels and privacy maintenance. The ideal candidate must maintain complete, timely, and accurate documentation and transfer all clinical questions to the pharmacist. more
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  • Stellantis Financial (Houston, TX)
    …which is enhancing our customer's experience Position Summary: The Resolution Specialist l will be responsible for investigating and resolving complaints, analyzing ... underwriting, collections, titles processing and account services.) Skills Required Prior experience in operations adept in complaint handling, resolving complex… more
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  • Prestige Staffing (Atlanta, GA)
    …EOBs from all commercial carriers including Medicare and self-pay. Someone who fully understand modifiers, familiar with pre-cert and prior authorization . ... Physician Insurance Follow-up Specialist This is a great facility that allows culture and growth potential. This facility is looking for a medical biller who can… more
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  • Option Care Health (Nashville, TN)
    …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
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  • A-Line Staffing Solutions (Tempe, AZ)
    …Assistant, Call Center, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization , Reimbursement Counselor, Medical Customer Service, ... H. with A-Line! Summary: The main function of a call center/customer service specialist is to interact with customers to provide information in response to inquiries… more
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  • A-Line Staffing Solutions (Des Moines, IA)
    …EOB, Benefit, Patient Service, PBM, Enrollment, Provider Services, Pharmacy, prior authorization , reimbursement counselor, Medical customer service, inbound ... proof of vaccination Summary: The main function of a call center/customer service specialist is to interact with customers to provide information in response to… more
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  • Compass Health Network (Union, MO)
    …maintain accurate logs on all medications received and dispensed Assist with Prior Authorization , maintain injection list, ordering and delivery, verify orders ... This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This Outpatient Nurse will… more
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  • Compass Health Network (Union, MO)
    …samples, maintain accurate logs on all medications received and dispensedAssist with Prior Authorization , maintain injection list, ordering and delivery, verify ... This role will actively communicate with their Clinical Doctor and Customer Relations Specialist to ensure our clients are taken care of. This Outpatient Nurse will… more
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  • Prior Authorization

    Montrose Memorial Hospital (Montrose, CO)
    …day to day direction from the leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
    Montrose Memorial Hospital (06/18/24)
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  • Prior Authorization

    Valor Health (Emmett, ID)
    PRIOR AUTHORIZATION SPECIALIST WFH Flexible * Emmett, ID (http://maps.google.com/maps?q=OFF-SITE+Emmett+ID+USA) Apply Description Position Title: Prior ... Business Office Supervisor's Title: HIM/Business Office Manager IHA# Position Summary: The Prior Authorization Specialist is responsible for obtaining… more
    Valor Health (06/14/24)
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