- CommonSpirit Health Mountain Region (Frisco, CO)
- …standards will be measured through various reporting mechanisms. + Insurance Authorization : Initiates the pre - authorization process and documents ... actions taken in the Clinical Information Systems (CIS). Obtains authorization for assigned patients. + Patient Estimates & Pre -Screening: Assists the… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …year call center experience or prior knowledge of a health insurance pre -service authorization required **Skills and Abilities** + Excellent listening, reading, ... people + This role reports to this job: SUPERVISOR, CLINICAL INQUIRY + Necessary Contacts: All levels of BCBSLA...and answer calls for prolonged periods of time with pre -determined breaks required + Facets experience preferred **Licenses and… more
- UNC Health Care (Goldsboro, NC)
- …the health and well-being of the unique communities we serve. Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and physician ... or mail out to insurance payers to complete and obtain the pre -certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts… more
- Tidelands Health (Pawleys Island, SC)
- …for review; this may include referring stakeholders to a member of the clinical authorization team. Takes the appropriate actions when it appears that ... be not be provided on a timely basis; to include escalation to the clinical authorization team. + Understands the critical delineations of patient status… more
- Tidelands Health (Myrtle Beach, SC)
- …for review; this may include referring stakeholders to a member of the clinical authorization team. Takes the appropriate actions when it appears that ... will be not be provided on a timely basis; to include escalation to the clinical authorization team. 6 - Understands the critical delineations of patient status… more
- University of Miami (Miami, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 3 The ... of Miami/UHealth Department of Neurology has an exciting opportunity for a Full Time Clinical Business Operations Representative 3 to work Hybrid at the UHealth… more
- University of Miami (Boca Raton, FL)
- …please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Clinical Business Operations Representative 3 ... of Neurology has an exciting opportunity for a full-time Clinical Business Operations Representative 3 to work...as well as internal and external customers. + Obtain pre - authorization for oral medications and patient procedures,… more
- University of Miami (Miami, FL)
- …of Miami/UHealth Department of Physical Therapy is currently seeking a full time Clinical Business Operations Representative 2 to work in Kendall, FL. The ... Clinical Business Operations Representative 2 facilitates the prompt resolution of problems related...pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist… more
- University of Miami (Miami, FL)
- …. The department of Medicine has an exciting opportunity for a full-time Clinical Business Operations Representative 3 to work at the UHealth campus. ... The Clinical Business Operations Representative 3 (H) facilitates...(H) facilitates the prompt resolution of problems related to pre - and post-care that arise in daily clinical… more
- University of Miami (Miami, FL)
- …Medicine, division of Infectious Diseases has an exciting opportunity for a full-time Clinical Business Operations Representative 2 to work on the UHealth ... campus. The Clinical Business Operations Representative 2 facilitates the...pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist… more
- University of Miami (Miami, FL)
- …Critical Care, and Sleep Medicine has an exciting opportunity for a Full-Time Clinical Business Operations Representative 3 to work on the UHealth Campus. ... The Clinical Business Operations Representative 3 facilitates the...as well as internal and external customers. + Obtain pre - authorization for oral medications, diagnostic exams, and… more
- University of Miami (Miami, FL)
- …Department of Pediatrics-Infectious Diseases has an exciting opportunity for a Full-time Clinical Business Operations Representative 2 to work in Miami. The ... Clinical Business Operations Representative 2 facilitates the prompt resolution of problems related...pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist… more
- University of Miami (Miami, FL)
- …. The Department of Dermatology has an exciting opportunity for a full-time Clinical Business Operations Representative 1 to work in Miami, FL. The ... Clinical Business Operations Representative 1 facilitates the prompt resolution of problems related...pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist… more
- University of Miami (Miami, FL)
- …University of Miami/UHealth Department of Otolaryngology is currently seeking a full time Clinical Business Operations Representative to work in Miami, FL. The ... Clinical Business Operations Representative 1 for the Children's Hearing Program facilitates the...pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist… more
- University of Miami (Doral, FL)
- …. UHealth Doral is currently seeking a full time Clinical Business Operations Representative 3. The Clinical ... (H) facilitates the prompt resolution of problems related to pre - and post-care that arise in daily clinical...the acquisition of necessary patient care and records. The Clinical Business Operations Representative 3 (H) assists… more
- University of Miami (Doral, FL)
- …. UHealth Doral is currently seeking a full time Clinical Business Operations Representative 2. The Clinical ... related to pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist functions, to include… more
- University of Miami (Miami, FL)
- …The Department of Medicine, Hematology Division has four (4) exciting opportunities for Clinical Business Operation Representative 3 to work on the UHealth ... Campus. The Clinical Business Operations Representative 3 facilitates the...pre and post care that arise in daily clinical operations. The incumbent performs general administrative and receptionist… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... (HCPCs) codes. Technical Support to UM Specialist: Processing of time sensitive authorization and pre -certification requests to meet department timeframes and… more
- University of Miami (Miami, FL)
- …Endocrinology, Diabetes and Metabolism has an exciting opportunity for a Full-time Clinical Business Operations Representative 2 to work in Miami. Hybrid-Remote ... position. The Clinical Business Operations Representative 2 facilitates the...2 facilitates the prompt resolution of problems related to pre - and post-care that arise in daily clinical… more
- Tidelands Health (Myrtle Beach, SC)
- …key to securing reimbursement and minimizing organizational write offs. The Pre -Services Representative must consistently demonstrate skilled communication and ... tasks as this position directly impacts hospital and physician reimbursement. The Pre -Services Representative I is responsible for accurate and complete… more
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