• Prior Authorization

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    **39311BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible ... + High school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access Associate (CHAA),… more
    Texas Tech University Health Sciences Center - El Paso (11/09/24)
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  • Specialist , Info Sec Sys Eng

    L3Harris (Greenville, TX)
    Job Title: Specialist , Info Sec Sys Engrg Job Code 16959 Job Location: Greenville, Texas Schedule: 9/80 L3Harris is dedicated to recruiting and developing diverse, ... system that will allow for the security assessment and authorization of the system of interest. Works with systems...knowledge of project management. At least 5 years of prior relevant experience, or Bachelor's Degree and minimum 3… more
    L3Harris (10/16/24)
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  • Utilization Review Specialist (LVN)

    Kelsey-Seybold Clinic (Houston, TX)
    …applying criteria to determine medical necessity for health care services requiring authorization prior to services being rendered for members. The Utilization ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible for conducting medical reviews,...Review Specialist (LVN) serves as a liaison in reviewing requests… more
    Kelsey-Seybold Clinic (11/08/24)
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  • Referral Specialist - Family Health Clinic…

    Moore County Hospital District (Dumas, TX)
    …Referral Specialist coordinates, processes and documents medical referrals and prior authorizations for a variety of medical services for clinic patients. This ... minimal delay in securing referral appointments or pre-authorizations. The Referral Specialist manages a high volume of referrals and pre-authorizations for multiple… more
    Moore County Hospital District (11/02/24)
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  • Referral Specialist III - Paragon…

    Elevance Health (Plano, TX)
    …**Referral Specialist III** is responsible for issues involving the precertification and prior authorization review. This level is expected to be able to ... concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of… more
    Elevance Health (11/06/24)
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  • Clinical Pharmacist Specialist BMT PRN

    HCA Healthcare (Dallas, TX)
    **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** **PRN Position** **Introduction** Are you looking for a work environment where ... inclusion thrive? Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with Medical City Dallas today...pharmacy Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more
    HCA Healthcare (11/13/24)
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  • Clinical Pharmacist Specialist Behavioral…

    HCA Healthcare (San Antonio, TX)
    …**Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your current employer? We have an ... Do you want to work as a(an) Clinical Pharmacist Specialist Behavioral Health where your passion for creating positive...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more
    HCA Healthcare (09/21/24)
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  • Clinical Pharmacist Specialist Oncology

    HCA Healthcare (San Antonio, TX)
    **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist BMT Onc you want with your current employer? We have an ... Do you want to work as a(an) Clinical Pharmacist Specialist BMT Onc where your passion for creating positive...(BPS) certification + **ONE** of the following is required prior to the first day of employment: Current Registered… more
    HCA Healthcare (08/23/24)
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  • ServiceNow Quality Assurance Specialist

    Entergy (The Woodlands, TX)
    **Job Title:** ServiceNow Quality Assurance Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please Note:** Only US Persons ... considered. These positions can be filled as an IT Specialist - IT Specialist SR depending on...tools. + Highly proficient SQL and scripting skills. + Prior ServiceNow exposure **Any certificates, licenses, etc. required of… more
    Entergy (10/22/24)
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  • Contract Specialist

    Entergy (The Woodlands, TX)
    **Job Title:** Contract Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **This is a Hybrid position based out of New Orleans ... is not provided for this position.** **Job Summary/Purpose** The Contracts Specialist position utilizes and applies advanced supply chain and contracting knowledge… more
    Entergy (10/18/24)
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  • Appeal Support Specialist - Denial Resource…

    Baylor Scott & White Health (Dallas, TX)
    **JOB SUMMARY** The Denial Resource Center Appeal Support Specialist is responsible for ensuring that complete and accurate appeals of denied claims are submitted to ... to guidelines set forth by the payer. The Appeal Support Specialist processes submissions of reconsiderations, redeterminations, appeals, resubmissions of previously… more
    Baylor Scott & White Health (11/06/24)
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  • Insurance Verification Specialist 2

    Baylor Scott & White Health (Dallas, TX)
    **JOB SUMMARY** The Insurance Verification Specialist 2 provides patients, physicians and internal hospital personnel with insurance benefit information. This ... timeframe. + Completes appropriate payor forms related to notification and authorization . + Coordinates the submission of clinical documentation from physicians to… more
    Baylor Scott & White Health (11/12/24)
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  • Principal Specialist , Global Trade…

    RTX Corporation (Mckinney, TX)
    …& Solutions (APS) Global Trade has an outstanding career opportunity for a Principal Specialist , Global Trade (GT) Professional to grow their skills as part of the ... Export Administration Regulations (EAR) to Raytheon employees + Provide export authorization status updates to the programs/requestors + Facilitate approvals for the… more
    RTX Corporation (10/25/24)
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  • Content and Digital Marketing Specialist

    Consolidated Electrical Distributors (TX)
    Summary Job title: Content and Digital Marketing Specialist Job ID: 202498860002 Department: ISN Market Access Team Location: TX- Description Summary: We are ... 80 industrial solution locations through digital content marketing. No prior industry experience is necessary as we help give...will consider related experience in lieu of degree + Authorization to work in the United States (without requiring… more
    Consolidated Electrical Distributors (09/11/24)
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  • Client Services Specialist II

    US Tech Solutions (San Antonio, TX)
    …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
    US Tech Solutions (10/18/24)
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  • Clinical Pharmacy Specialist

    MD Anderson Cancer Center (Houston, TX)
    …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... Obtains/maintains required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to preceptor… more
    MD Anderson Cancer Center (11/05/24)
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  • Accounts Payable Specialist

    Texas Instruments (Dallas, TX)
    …accounts payable or accounting experience? As a Texas Instruments Accounts Payable Specialist , you'll be assigned challenging projects that will allow you to apply ... experience **Preferred Qualifications:** + Experience building Business Objects reports + Prior experience with AP processing + Understanding of standard accounting… more
    Texas Instruments (11/01/24)
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  • Patient Registration Specialist I - RCO…

    UTMB Health (Angleton, TX)
    Patient Registration Specialist I - RCO Registration ADC **Angleton, Texas, United States** **New** Business, Managerial & Finance UTMB Health Requisition # 2405487 ... tool. . Verifies all patient demographic, insurance coverage, benefits, and authorization requirements for all services. . Screens patient for financial… more
    UTMB Health (11/13/24)
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  • Laboratory Revenue Cycle Specialist

    TEKsystems (Austin, TX)
    …revenue cycle performance. * Works closely with various vendor operations teams ( Prior authorization , Claims and Appeals) to oversee operations activity that ... Position Summary: As a Revenue Cycle Specialist , you will be responsible for building and maintaining collaborative and productive relationships within the… more
    TEKsystems (11/09/24)
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  • Patient Registration Specialist I - Revenue…

    UTMB Health (Galveston, TX)
    Patient Registration Specialist I - Revenue Cycle Financial Clearance **Galveston, Texas, United States** **New** Business, Managerial & Finance UTMB Health ... tool. + Verifies all patient demographic, insurance coverage, benefits, and authorization requirements for all services. + Screens patient for financial… more
    UTMB Health (11/08/24)
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