- Albany Medical Center (Albany, NY)
- …operations of the Pre-Service functions of the Patient Engagement Center Insurance and Authorization complement- related to eligibility verification, ... staff are executing actions necessary to timely scheduling and authorization /financial clearing meet our patients and provider expectations. Significant attention… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …of other front-end processes, including scheduling, pre-registration, financial counseling, insurance authorization , medical necessity, and registration. ... The Insurance Authorization Specialist supports the Patient...clerical duties as assigned by Patient Access Director and/or manager + Exhibits professionalism in appearance, speech, and conduct;… more
- University of Michigan (Ann Arbor, MI)
- …due to no authorization . + Act as a subject matter expert in insurance authorization requirements and timeframes including but not limited to in office ... Specialist is responsible for facilitating and successfully procuring outpatient insurance authorizations. The Authorization Specialist will be accountable to… more
- Prime Healthcare (Aurora, IL)
- …https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Infusion Insurance and Prior Authorization ... the daily operations of patient scheduling, registration, admission and prior authorization . This manager ensures effective communication with internal and… more
- Fallon Health (Worcester, MA)
- …LinkedIn. **Brief summary of purpose** : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted ... processing authorization information in order to facilitate the member's medical services or the providers' claims. Interprets and triages information to ensure… more
- Henry Ford Health System (Troy, MI)
- …a wide variety of operational and personnel functions related to the central authorization department. Has a comprehensive knowledge of a wide range of processes and ... experience preferred, including but not limited to billing, registration, insurance verification, point of service collection related. + Comprehensive knowledge… more
- Select Medical (Columbus, OH)
- …Hospitals - Columbus** **Critical Illness Recovery Hospital** **Columbus, OH** **Prior Authorization Specialist / Payor Relations Specialist (Precert Nurse)** **( RN ... or LPN )** At Select Specialty/Regency Hospitals, a division of Select Medical , we care for chronically and critically ill or post-ICU patients who require extended… more
- WMCHealth (Goshen, NY)
- Authorization Specialist Company: Bon Secours Charity Medical Group City/State: Goshen, NY Category: Clerical/Administrative Support Department: Goshen ... is responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for hospital procedures and… more
- Fallon Health (Worcester, MA)
- …Supervisors, Manager and/or Director, or Clinical Staff including the Medical Directors to resolve issues; formulates improvement measures and response to ... **Overview** **The Authorization Coordinator works M - F 8 am...strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive… more
- LA Care Health Plan (Los Angeles, CA)
- …years in Medi-Cal managed supervisory experience in a health plan/health insurance authorization processes and/or as a Medical Assistant. At least 1 year of ... required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in...information in a timely manner and using the approved Authorization Request form with complete medical information… more
- Hartford HealthCare (Trumbull, CT)
- …access, and provides consistent documentation in EPIC to support the obtained insurance authorization . Communicates changes in payer and or federal regulatory ... than 30 different specialties. *_Job Description_* Under the direction of the Manager , Prior Authorization Services, HHC Cancer Institute, performs all clerical… more
- CVS Health (Austin, TX)
- …and problem-solving skills to support the research of documentation, communication of medical services, and prior authorization determinations. * Ability to ... Candidates **MUST HAVE AT LEAST TWO YEARS OF** prior authorization experience. Schedule: For training there is a set...a determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM).… more
- BrightSpring Health Services (Englewood, CO)
- …our growing network of branches and healthcare professionals. The Prior Authorization Supervisor will monitor and provide staffing direction in their specific ... program and working knowledge of pharmacy benefits and prior authorization process and will provide quality control by routinely...and denial rates and trends, and process reviews. * Medical , Dental & Vision Benefits plus, HSA & FSA… more
- VNS Health (Manhattan, NY)
- …holidays + Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life Disability + Employer-matched retirement saving funds + Personal and ... operations and coordinates all work activities of the non-clinical authorization team. Ensures a customer-focused operation that meets organizational standards,… more
- Elevance Health (Mason, OH)
- …by putting the patient first. **Title** : Clinical Pharmacist - Prior Authorization **Location** : Remote position **Candidates must reside within 50 miles or ... (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with internal stakeholders or health plan… more
- Penn Medicine (Philadelphia, PA)
- …Treatment Form, HIPAA Acknowledgement of Receipt Form, Complaint & Grievance From, CBH Authorization to Release Info, Medical Eval, Psych Eval, and Prescription ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- General Dynamics Information Technology (Bedford, MA)
- …experience **US Citizenship Required:** Yes **Job Description:** **Information Systems Security Manager (ISSM) I** The ISSM's primary function serves as a principal ... with emphasize on Joint. + Special Access Program Implementation Guide (JSIG) authorization process. + Advise customer on Risk Management Framework (RMF) assessment… more
- Global Resource Solutions (VA)
- …opportunities and a comprehensive slate of employee benefits to our employees including medical , dental, vision, short/long term disability, life insurance and a ... orientated, and talented individual for the position of Information System Security Manager (ISSM) III. Job Description: Summary: The ISSM III's primary function… more
- General Dynamics Information Technology (Washington, DC)
- …with emphasize on Joint Special Access Program Implementation Guide (JSIG) authorization process + Advise customer on Risk Management Framework (RMF) assessment ... and authorization issues + Develop and implement a security assessment...package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental… more
- Medtronic (Atlanta, GA)
- …**Careers that Change Lives** We have an exciting opportunity for a **Sr. Group Medical Education Manager ** within the Neuromodulation Operating Unit. The Sr. ... a foundational pillar to this role. The Sr. Manager of Medical Education will lead a...work 20+ hours per week: Health, Dental and vision insurance , Health Savings Account, Healthcare Flexible Spending Account, Life… more
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