- CEENTA (Huntersville, NC)
- …Understanding of payer medical policy and guidelines pertaining to prior authorization requirements + Detailed oriented + Excellent customer service skills; ... Registrations N/A Work Environment The work environment characteristics described are representative of those an employee may encounter while performing the… more
- Ochsner Health (New Orleans, LA)
- …(excluding ED) accounts for the company's patients by obtaining/initiating prior authorization of ordered services based on payer requirements, after benefits and ... and Environmental Demands** The physical demands described here are representative of those that must be met by an...work from the following areas are not eligible for remote work position_ _: Colorado, California, Hawaii, Maryland, New… more
- Elevance Health (Columbus, OH)
- **Utilization Management Representative II** **Location:** This is a remote position but candidates should live within 50 miles of one of our PulsePoint ... services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification , prior … more
- Elevance Health (Latham, NY)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an ... services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification , prior … more
- Elevance Health (Louisville, KY)
- …services claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification , prior ... **Title: Utilization Management Representative II** **Location:** This position will work a...utilizing scripts to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits… more
- Ochsner Health (Lafayette, LA)
- …a better, more effective leader. + Manages the implementation controls for all precertification , continued stay, authorization and billing processes as well as ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more