- Emory Healthcare/Emory University (Atlanta, GA)
- …CMS important. Intermediate messages with requesting insurance authorizations preferred.** + The ** Case Management Authorization Specialist ** follows ... as it relates to clinical authorization and review. + The Case Management Authorization Specialist functions with minimal oversight and guidance… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... medical billing, customer service, and Health Information Management (HIM)! If you are looking to make an...can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist - Cancer Center - Medical… more
- Glens Falls Hospital (Glens Falls, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... can be found here. **Job:** **Administrative/Clerical* **Title:** *Referral & Authorization Specialist * **Location:** *NY-Glens Falls* **Requisition ID:**… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews.… more
- AdventHealth (Denver, CO)
- …as a liaison between the patients, physicians, centralized billing office, hospital case management , Atlas drug program and AdventHealth Porter Specialty ... or altered. After gathering clinical information, responsible for obtaining prior authorization for infusion and injectable medications based on provider orders and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... Familiarity with Third Party Payor requirements preferred. Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** +… more
- UNC Health Care (Goldsboro, NC)
- …and well-being of the unique communities we serve. Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by ... that require attention to Pre-Arrival Team Lead/Manager. 7. Notify Utilization Review & Case Management regarding any admissions that need Clinical Review. 8.… more
- MyFlorida (Miami, FL)
- OPS MEDICAL DISABILITY CASE RECORD SPECIALIST - 64858447 Date: Nov 1, 2024 The State Personnel System is an E-Verify employer. For more information click on our ... Agency: Department of Health Working Title: OPS MEDICAL DISABILITY CASE RECORD SPECIALIST - 64858447 Pay Plan:...duties assigned. Initiates, develops, and maintains the electronic record management activities involved with the Case Coding,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …above. + If the authorization /precert information is missing or incorrect, the Case Management Specialist will contact admitting to obtain the necessary ... healthcare and serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance… more
- TEKsystems (Jeffersonville, IN)
- …and communicate coverage options to patients and physicians. + Provide personalized case management , including communicating benefits coverage and next steps. + ... with healthcare regulations, including HIPAA and insurance guidelines. + Inbound Call & Case Management : + Handle inbound calls based on program-approved FAQs,… more
- US Tech Solutions (May, OK)
- …phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or lines of… more
- Trinity Health (South Bend, IN)
- …wrong encounters by clinical staff. Notifies various departments such as Health Information Management and Utilization/ Case Management of material changes to ... time **Shift:** Day Shift **Description:** **JOB SUMMARY** The Data Integrity Specialist (DIS) is responsible for assisting with revenue cycle performance… more
- Lilly (Indianapolis, IN)
- …are determined to make life better for people around the world. Our Litigation Case Management Team is looking for an experienced, hardworking legal team member ... talents to Lilly and make an impact today! **Litigation Case Management ** + Provide legal support for...Lilly will not provide support for or sponsor work authorization and/or visas for this role **Additional Skills/Preferences:** +… more
- City of Norfolk, Virginia (Norfolk, VA)
- …services field related to the area of assignment, to include work in case management . Some assignments also require specific experience working with various ... Case Manager II - Housing Stabilization Specialist...or more years of experience 08 Please describe your Case Management /Housing Stabilization/skill building experience. 09 Please… more
- TEKsystems (Sellersburg, IN)
- …training! Great Company Benefits! A day in the role . Provides personalized case management to patients and HCP's including outbound communication to HCP's ... We are looking to hire MULTIPLE Patient Case Managers for a growing team! + Will be working fully in office! You'll enjoy Multiple shifts to choose from 8 weeks of… more
- Berkshire Health Systems (Pittsfield, MA)
- …providers, inter and intra department staff, Government and third party payers, case management companies, patient accounting, clinical department staff, and ... case managers until the time of billing. Acts as a patient advocate for patients with self-pay liabilities by informing them of hospital collection policy, and referring them to the Advocacy for Access Office. + POSITION QUALIFICATIONS (Minimum… more
- Adecco US, Inc. (Cambridge, MA)
- …first in line for inbound calls. This role is an essential part of the case management process that requires a high level of organization and strong ... Resource Specialist Job Purpose: The Reimbursement Support Specialist will support and work collaboratively with Case... processes and provide necessary documents and requirements to Case Management team members * Re-verify insurance… more
- Pfizer (New York, NY)
- …data, reviews of the medical literature, and similar related activities. + Review case criteria to determine the appropriate workflow for case processing. ... and, where appropriate, aggregate safety reports. **Primary Responsibilities** + Carry out case processing activities. + Review, rank, verify, process and document … more
- Fairview Health Services (St. Paul, MN)
- **Overview** M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, planning, ... implementation, and reporting of complex clinical data. The Utilization Management Specialist is responsible for the completion...licensure in MN + 3-5 years utilization review or case management experience in hospital, clinic, insurance… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS) - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of background ... Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and adjudications… more
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