- Elevance Health (Seattle, WA)
- …Management Representative I** is responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact** : + ... **Utilization Management Representative I** **Location:** This position will work a...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- Elevance Health (Costa Mesa, CA)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Helps connect ... **Utilization Management Representative II** **Location** : This is a remote...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- CVS Health (Austin, TX)
- …affordable. **Position Summary** CVS Health has an exciting opportunity for a Senior Representative within our Prior Authorization & Appeals Administration ... 1 plus years of experience in the CVS Caremark Prior Authorization and Appeals Administration department -...also available for eligible employees. The Company provides a fully -paid term life insurance plan to eligible employees, and… more
- Indian Health Service (Shiprock, NM)
- …Identifies and verifies those patients with 3rd party coverage. Obtains authorization with appropriate signature for required forms. Obtains Certificate of Indian ... are Indian Health Service recipients. Performs a variety of patient representative functions. Assists and initiates applications for alternate resources. Initiates… more
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …using AIS software. + Knowledge of Behavioral Health carve out insurance and prior authorization /coordination of benefits. + Follow-up with each patient on their ... Healthcare Hospital is recruiting for two Fulltime Patient Financial Representative (Saturday-Wednesday, 8am-5pm). The Patient Financial Representative will… more
- UNC Health Care (Chapel Hill, NC)
- …and customer service related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of ... prior debt, obtaining authorizations, addressing billing questions, establishing payment...Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements. 2. Contact patient pre-service providing benefit and… more
- Tidelands Health (Murrells Inlet, SC)
- …multiple resources for patient services. Will also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... collections. Fully competent at performing the common tasks and responsibilities under general supervision, this is the full level of proficiency that all employees… more
- CVS Health (Chandler, AZ)
- …a successful and team-focused onboarding experience. As a Benefits Verification Representative , you are a critical liaison between our patients, healthcare ... - Pharmacy or Healthcare Benefits experience. - Previous experience working with Prior Authorizations. - Experience with various insurance plans offered by both… more
- TEKsystems (Beaverton, OR)
- …You will also perform general patient account management duties, such as obtaining prior authorization for services, processing items in the appropriate work ... center + Healthcare + Data entry + Patient access representative + Patient access specialist + Scheduler + Scheduling...duration of 3 Month(s). Work Site This is a fully on-site position in HILLSBORO, OR. Work Environment Work… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The Contact Center Representative will handle multi-channel requests in a fast-paced centralized contact center ... from home and 10% working onsite after completing the fully onsite training period** **Onsite training first 4 weeks...A day in the life of a Contact Center Representative with Hackensack Meridian Health includes: + Answer incoming… more
- Architect of the Capitol (Washington, DC)
- …following responsibilities: - Serves as a Contracting Officer's Technical Representative with responsibilities for providing construction oversight on multi ... expected outcome. - Monitors AOC staff and contractors' safety protocols and fully enforces all applicable safety standards and regulations. Must follow all relevant… more
- CVS Health (Phoenix, AZ)
- …will be responsible to verify insurance coverage, perform benefit investigation, and obtain prior authorization for both new and existing patients in order to ... medical terminology. - Knowledge of Medicare, Medicaid, and third-party vendors - Prior direct customer service experience (medical field preferred) - Knowledge of… more
- CVS Health (St. Paul, MN)
- …will be responsible to verify insurance coverage, perform benefit investigation, and obtain prior authorization for both new and existing patients in order to ... terminology. - Knowledge of Medicare, Medicaid, and third-party vendors - Prior direct customer service experience (medical field preferred) - Epic experience… more
- TEKsystems (Vancouver, WA)
- …insurance coverage. Perform general patient account management duties, such as, obtain prior authorization for services, process items in the appropriate work ... Hiring for a top healthcare company in Oregon! Location: Fully Remote, must be an hour away from Hillsboro to apply - Must pick up equipment onsite. Hours of… more
- Veolia North America (Richmond, VA)
- …will include assistance during the Factory Acceptance Testing (FAT) of piloting equipment prior to shipment to and upon return from Customer sites to ensure ... US or Canada immediately; employer will not sponsor applicants for work authorization for this opportunity **VWTS does not accept unsolicited resumes from external… more
- BAE Systems (San Diego, CA)
- …to support adjudicating each request for deviation. + Submit each hot work authorization form to the Commanding Officer's designated representative no later than ... will: + Receive, review, and coordinate each hot work authorization form submitted by each Repair Activity (RA), no...daily, when hot work is scheduled with each designated representative from each RA, the Commanding Officer's designated … more
- InnovaCare (San Juan, PR)
- …CMS requirements to the members and prescribing physicians. Perform system overrides (eg, prior authorization ) on the PBM claims processing system to ensure that ... other job related duties as assigned by the Supervisor. General knowledge of Prior authorization criteria and pharmacy claims processing. Provide support to… more
- Air National Guard Units (Reno, NV)
- …historical records. (7) Prepares and reviews Product Quality Deficiency Reports (QDR) prior to releasing to the Air Logistics Center (ALC) or Aircraft Sustainment ... Contract Field Team (CFT). Serves as the government's on-site Quality Assurance Representative (QAR) and is the liaison between contractor and government personnel.… more
- Air National Guard Units (Reno, NV)
- …Conditions of Employment MILITARY REQUIREMENTS: Compatible military grade and assignment required prior to the effective date of placement. In compliance with Title ... are eligible for military membership, please contact a National Guard recruiter prior to applying for this position. Compatible Military Assignment: ENLISTED: E4 to… more
- Army National Guard Units (Hartford, CT)
- …Incentive, and the employee must have a rating of record of at least fully successful to be eligible. A signed three-year service agreement is required before the ... of contact for the State. Acts as the State Adjutant General's representative in third-party proceedings under the Federal Labor-Management Relations Statute. Serves… more