- US Tech Solutions (Providence, RI)
- …medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization Establishes and maintains communication among, health plan… more
- CVS Health (Boston, MA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. Position Summary The Senior Service Advocate will perform research inquiries, issues, and escalations… more
- Christus Health (Red Lick, TX)
- …(no later than the end of assigned shift). Responds promptly to all service requests relayed by supervisor, telephone, pass-on, e-mail, radio, cell phone and other ... according to policy. Enforces all rules, regulations, policies, and procedures of CHRISTUS Health and the laws of the state in which CHRISTUS is doing business.… more
- Christus Health (Castle Hills, TX)
- …Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Summary: Performs a variety of complex administrative duties for patients ... and insurance/billing information Collaborates with insurers to obtain patients' prior -authorizations for procedures and tests as needed Follows guidelines… more
- Christus Health (New Braunfels, TX)
- …and insurance/billing information Collaborates with insurers to obtain patients' prior -authorizations for procedures and tests as needed Follows guidelines ... that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Verifies eligibility for procedures or tests… more
- Mount Sinai Health System (New York, NY)
- …through patient and payer-preferred specialty pharmacy and, if not, coordinates service with the correct pharmacy group. 11.Obtains prior authorizations ... but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work done in… more
- Christus Health (Olmos Park, TX)
- …and insurance/billing information Collaborates with insurers to obtain patients' prior -authorizations for procedures and tests as needed Follows guidelines ... that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits Reviews and audits billing discrepancy reports… more
- Prairie Band, LLC (Nespelem, WA)
- …provide immunization records and meet IHS health requirements Preferred Qualifications: * Prior Indian Health Service or Tribal Health experience ... Scientist (CLS) looking for a meaningful opportunity? The Indian Health Service (IHS) Colville Service ...certification required * Previous Medical/Clinical lab experience needed * Prior Travel experience a plus * Previous IHS experience… more
- Option Care Health (Dallas, TX)
- …provider, there is no limit to the growth of your career. Option Care Health , Inc. is the largest independent home and alternate site infusion services provider in ... our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients,...marketing campaigns and materials that reflect the analysis of prior marketing data to build on the success or… more
- Intermountain Health (Las Vegas, NV)
- Job Description: The Patient Service Representative (PSR) serves as the first connection between Intermountain and patients. This role embodies Intermountain values ... accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . Assists patients in completing necessary forms to… more
- CVS Health (Oklahoma City, OK)
- …Ability to navigate multiple systems and tools. Preferred Qualifications Knowledge of health plan benefits and regulatory requirements. Prior experience in ... At CVS Health , we're building a world of health...with heart, each and every day. Position Summary Customer Service Representatives are the face of Aetna and impact… more
- Intermountain Health (Salt Lake City, UT)
- …authorization for surgeries/hospital procedures by researching coverage and obtain prior auth for them. Verifies eligibility and benefits. Coordinates referral ... process. This includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any red flag pre-operative… more
- Cardinal Health (Austin, TX)
- What Customer Operations Support contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business ... research and order problem/dispute resolution. Responsibilities Offer professional and timely service as a representative of Cardinal Health at-Home Support… more
- Bon Secours Mercy Health (Cincinnati, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... clinicians are recognized for clinical and operational excellence. Mercy Health Intro paragraph As a faith-based and patient-focused organization, Mercy Health … more
- Penn State Health (Hershey, PA)
- …and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH MILTON HERSHEY ... Penn State Health - Hershey Medical Center Location: US:PA: Hershey...customers following department policies and procedures. MINIMUM QUALIFICATION(S): No prior experience necessary. PREFERRED QUALIFICATION(S): High school diploma or… more
- Christus Health (Jasper, TX)
- …the LVN practice setting. Reinforces teaching plan for patients with common health problems and well-defined learning needs. Completes assignments in an organized, ... and questions in a timely and appropriate manner. Keeps patients/family informed prior to, during, and after treatments/procedures are performed. Uses supplies and… more
- Ardent Health Services (Tyler, TX)
- …and methods of process improvement as evidenced by achieving desired outcomes. ? Prior leadership roles within a health system related to clinical operations ... UT Health East Texas (UTHET) is seeking a dynamic...critical indicators. ? Work closely with the CMO and service line chairs to establish annual quality metrics that… more
- ARAMARK (Houston, TX)
- Job Description As a Food Service Worker, you?ll assist with food prep, portioning meals, and serving our loyal customers. With guidance from your manager, you?ll ... taking samples of all food items on the line prior to serving the customers. Alert management and pull...serving line Ask customers about the quality of their service and handle any complaints while maintaining a positive… more
- UNC Health Care (Hendersonville, NC)
- …inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary The Behavioral ... Health Referral Coordinator is responsible for managing and facilitating...trends; support internal initiatives focused on reducing delays in service initiation. Interdisciplinary Collaboration Participate in daily multidisciplinary rounds… more
- Nuvance Health (Danbury, CT)
- Description At Nuvance Health , we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and ... the advantages of being a part of a large health system while working in a more intimate setting...including a thorough understanding of differences in place of service and the different contracted insurance payors for ASCs.… more
