- CaroMont Health (Gastonia, NC)
- Job Summary: The Pre - Authorization Specialist is a member of the Utilization Review Department who is responsible for verifying eligibility, obtaining ... necessary authorizations for care, via phone, fax, or payer websites. The Pre - Authorization Specialist provides detailed and timely communication to both… more
- UNC Health Care (Goldsboro, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Pre - Arrival Authorization Specialist I will serve patients/customers and ... and retro authorizations. 6. Escalate matters/scheduled accounts that require attention to Pre -Arrival Team Lead/Manager. 7. Notify Utilization Review & Case… more
- Sanford Health (SD)
- …- 28.00 **Department Details** opportunity to work remote **Job Summary** Monitors the utilization of resources, risk management and quality of care for patients in ... Collection of clinical information necessary to initiate commercial payor authorization . Obtain and maintain appropriate documentation concerning services in… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and ... plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all work related to molecular… more
- FLACRA (Clifton Springs, NY)
- Utilization Management Specialist Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.50/Hour Apply Now ... (https://flacra.jobs.net/apply/jqz2y66dbpwnhxyz1qp?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Utilization Management Specialist Location:Finger Lakes Region, NY… more
- Sanford Health (Fargo, ND)
- …Range:** $ 16.50 - $ 26.50 **Job Summary** The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral ... of medication, procedures, etc.; determines if insurance meets prior authorization criteria. Collects necessary documentation and communicates with third party… more
- University of Michigan (Ann Arbor, MI)
- Pre -Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page ... based on level of care determination. + Complete all aspects of the pre - authorization process and negotiate the appropriate level of care for patient… more
- LA Care Health Plan (Los Angeles, CA)
- …that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical ... Technical Support to UM Specialist : Processing of time sensitive authorization and pre -certification requests to meet department timeframes and regulatory… more
- LA Care Health Plan (Los Angeles, CA)
- …purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling all administrative and ... Supervisor, Authorization Technician Job Category: Clinical Department: Utilization...to UM Specialist : Processing of time sensitive authorization and pre -certification requests to meet department… more
- Hackensack Meridian Health (Neptune, NJ)
- …performs selected services and functions related Transitions of Care & Utilization Management, including insurance authorization , payer communications, Appeals ... A day in the life of a **Care Coordination Specialist ** at **Hackensack Meridian** **_Health_** includes: ** Utilization ...problems with any of the above. + If the authorization /precert information is missing or incorrect, the Specialist… more
- Integra Partners (Troy, MI)
- …experience with Utilization Management within the healthcare industry, including pre - authorization and utilization reviews, along with medical claims ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate… more
- Entergy (Beaumont, TX)
- **Job Title:** Materials Management Specialist **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Texas, Inc.-GTX This is an onsite role based out of our ... Command implement in Transmission. The primary difference in the material management specialist roles is the additional level of expertise in the operating… more
- Entergy (The Woodlands, TX)
- **Job Title:** Category Management Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **_ This is a hybrid role, requiring in ... _** **_**Selected candidate will be placed as either a Category Management Specialist , III or_** **Category Management Specialist , Sr** **based on education,… more
- Trinity Health (Chelsea, MI)
- …as appropriate. Under limited supervision; determines need for and obtains authorization for treatment /procedures and assignment of benefits required. Provides ... financial assistance. Secures and documents payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy… more
- Boehringer Ingelheim (Little Rock, AR)
- **Description** The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes ... and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and… more
- Boehringer Ingelheim (Los Angeles, CA)
- **Description** The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes ... and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and… more
- Penn Medicine (Cherry Hill, NJ)
- …Route 70 E **Entity:** CPUP **Hours:** Full time regular **Summary:** + The Pre -Registration Specialist reports to the Supervisor of Financial Clearance. This ... regard to financially clearing inpatient and outpatient based procedures. The Pre -Registration Specialist is responsible for insurance verification, benefit… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The Integrated Case Management Specialist performs selected services and functions related to insurance management with various ... **Responsibilities** A day in the life of an Integrated Case Management Specialist at Hackensack Meridian _Health_ includes: 1. In collaboration with the Care… more
- Panasonic North America (De Soto, KS)
- …to join our dynamic team as the Facilities CMMS & Planning Specialist . The Facilities CMMS (Computerized Maintenance Management System) & Planning Specialist ... to join our dynamic team as the Facilities CMMS & Planning Specialist . The Facilities CMMS (Computerized Maintenance Management System) & Planning Specialist… more
- Vanderbilt University Medical Center (Hingham, MA)
- …or coordination with outside facilities or providers. Facilitates required pre - authorization , precertification or predetermination for procedures or ... or surgery. * Schedules appointments, procedures and diagnostic testing. * Pre - authorization , precertification or predetermination of procedure and resolves… more