• Precertification and Authorization

    Mayo Clinic (Rochester, MN)
    …Retirement: Competitive retirement package to secure your future. **Responsibilities** The Precertification and Authorization Representative is an ... intermediate level position that is responsible for resolving referral, precertification , and/or prior authorization to support insurance specific plan… more
    Mayo Clinic (01/22/25)
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  • Precertification Specialist

    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
    CEENTA (12/29/24)
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  • Utilization Management Representative I

    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 (01/15/25)
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  • Utilization Management Representative I

    Elevance Health (Norfolk, VA)
    …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an ... **Title: Utilization Management Representative I** **Location:** This position will work a...claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification , prior… more
    Elevance Health (01/04/25)
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  • Clerk - Utilization Management…

    Elevance Health (NY)
    …- Utilization Management Representative ** is responsible for coordinating cases for precertification and prior authorization review. **How You Will Make an ... **Clerk - Utilization Management Representative I** **Location:** Elevance Health supports a hybrid...sites used for collaboration, community, and connection. This includes remote work and 2 days in-office per week at… more
    Elevance Health (01/22/25)
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  • Utilization Management Reprsentative II

    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
    Elevance Health (01/15/25)
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  • Senior Financial Clearance Specialist

    Beth Israel Lahey Health (Burlington, MA)
    …in Burlington, the Senior Financial Clearance Specialist position has a primarily remote schedule, with occasional on site attendance in Burlington. This position ... patient contact information is complete and verified with the patient or patient representative . + Verifies the guarantor type and information and ensures it is… more
    Beth Israel Lahey Health (12/10/24)
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