- US Tech Solutions, Inc. (Atlanta, GA)
- … prior authorization (PA) requests reviewed by the Caremark Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations ... staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and… more
- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Licensed Practical Nurse - Prior Authorization Location: Fully remote Duration: 6 months contract Job Description: This is a remote position and ... pharmacists, other clinical colleagues, healthcare professionals and members. . Follow all prior authorization procedures to guarantee an accurate process on… more
- Compass Health Network (Wentzville, MO)
- …trainings and/or staff meetings as required by Compass HealthComplete Medication and Durable Medical Equipment (DME) prior authorization and documentation as ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Compass Health Network (Wentzville, MO)
- …and/or staff meetings as required by Compass Health* Complete Medication and Durable Medical Equipment (DME) prior authorization and documentation as needed* ... referral requestso Prepare and process all referral paperwork, including pre-certification and prior authorization requestso Work with the patient to schedule… more
- Ohio Hospital for Psychiatry (Columbus, OH)
- …promptly.Ensure all clinical information from referral sources or patient (including medical comorbidity information) is received, when possible, prior to ... to patient or their family.Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the… more
- Lane County (Cottage Grove, OR)
- …documenting and ordering labs in EMR, drug assistance applications, prior authorization applications and supporting provider with procedures.About ... Medical Assistant 1 - Bilingual: $20.63 - $27.53...you to join a talented and passionate team! The Medical Assistant position will include the following: rooming patients,… more
- Lane County (Eugene, OR)
- …documenting and ordering labs in EMR, drug assistance applications, prior authorization applications and supporting provider with procedures.About ... Medical Assistant 1: $19.60 - $26.18 Hourly Medical Assistant 2: $21.15 - $28.23 Hourly About the PositionDo you have a passion and dedication to caring and… more
- New Hanover Regional Medical Center (Wilmington, NC)
- …Density exams using appropriate protocols. 3.Assists in scheduling exams and ensuring pre- authorization is obtained prior to performing exams. 4.Starts IV and ... 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best… more
- Merck & Co. (Rahway, NJ)
- …revenue and productivity, thereby advancing our company's contribution to global medical innovation.Enterprise IT (EIT) is an essential component of the current ... Their expertise in SAP Security will include SAP Security authorization concepts, and overall role administration. This role reports...of twelve (12) months of service in current position prior to applying for open positions.If you have been… more
- Community Health Plan of Washington (Medford, OR)
- …and Roles and Responsibilities: * Conduct review of hospital notification or prior authorization care requests against established clinical guidelines and health ... The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies,… more
- 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. ... limited: Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of benefits. Benefit… more
- US Tech Solutions, Inc. (Columbia, SC)
- …Monitors process's timeliness in accordance with contractor standards. . Performs authorization process, ensuring coverage for appropriate medical services ... skill sets/qualities: I would love to have someone with prior insurance/utilization review experience but I know that is...The nurse would work remotely from their home reviewing authorization requests from providers for home health visits or… more
- Arthrex (Naples, FL)
- …(eg, CPT, HCPCS, ICD-10) Detailed knowledge of payer coverage requirements, Prior Authorization , claim submission, adjudication and appeals processes Knowledge ... Knowledge and Skill Requirements/Specialized Courses and/or Training: Experience in Orthopedic medical device desired, but not required Prior field reimbursement… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …that admission information is completed and made available to program personnel prior to admission.Ensures that appropriate medical records are sent with ... rehabilitation program. Conducts detailed pre-admission assessments in collaboration with the medical director in order to determine medical necessity for… more
- 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
- Idaho Home Health & Hospice (Meridian, ID)
- …are hiring for a Patient Care Manager/ Registered Nurse. Sign on Bonus Available $5000 Prior Home Health Experience Preferred No Prior Home Health? On the Job ... therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of… more
- Merck & Co. (Rahway, NJ)
- …product or cross-functional impact, including drug device/combination products and software-as- medical device platforms.- Reviews and resolves issues that span ... that accelerate and maintain access of product through market authorization , execute of post marketing commitments and meet compliance...of twelve (12) months of service in current position prior to applying for open positions.If you have been… more
- MUSC (Charleston, SC)
- …a positive attitude and developing a sense of teamwork.Entity Medical University Hospital Authority (MUHA)Worker Type EmployeeWorker Sub-Type RegularCost Center ... two years of Vascular specific scanning experience and acceptable references from prior Supervisors/Managers to be hired into a Vascular Sonographer II position.… more
- MUSC (Charleston, SC)
- …patient's/family's self-care abilities and supporting their consumer rights.Entity Medical University Hospital Authority (MUHA)Worker Type EmployeeWorker Sub-Type ... three years work experience as a Registered Nurse required. Prior leadership experience preferred. One year of case management...individuals, you will enjoy your career with us! The Medical University of South Carolina is an Equal Opportunity… more
- Atrium Health (Charlotte, NC)
- …and organizational tasks. Assists with appointment scheduling and maintaining medical record. Major Responsibilities * Demonstrates the knowledge and skills ... with patient inquiries for prescription refills, appointment scheduling, and referral authorization as needed. * Participates in electronic documentation of care at… more
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