. Responsible for managing the authorization process for participating plan members ensuring that all services are performed.... Essential functions must occur simultaneously; therefore, the specialist must be able to appropriately handle and prioritize...
Sanford Health, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating... to determination of medical necessity, authorization, continued stay review including diagnosis and procedural coding for working...
Sanford HealthAuthorization Specialist is primarily responsible for requesting authorizations from insurance companies on initial and continuation... and collaborates with other members of the home health care team to ensure physician orders are submitted to the authorization...
UnitedHealth Groupactivities relating to the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes... with applicable. Completes activities relating to determination of medical necessity, authorization, continued stay review including...
Sanford Healthto caring for those in our community. Job Summary: The Authorization Specialist is responsible for managing the care... Detail oriented mindset as the authorization is the starting point for care services Prior knowledge of healthcare industry...
New Horizons In Home Care - Eugene: Required: 2 years of experience working in a medical office setting Certifications: Preferred: Healthcare management.... Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time...
Tenet HealthcareWhat we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific... Specialist II to join the dynamic Neurology team at UTHealth Houston. In this position, you will be verifying insurance...
University of Texas Health Science Center at...Who You Are: As a Specialist, Insurance Authorization, for Catholic Medical Center (CMC), you will be responsible... healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute...
Catholic Medical CenterROLE SUMMARY Medicare Advantage Post-Acute Care Specialist: Support healthcare providers and UM reviewers with prior... authorization requests for post-acute care services. Includes manually entering authorization requests into healthcare system...
Strategic Staffing SolutionsROLE SUMMARY Medicare Advantage Post-Acute Care Specialist: Support healthcare providers and UM reviewers with prior... authorization requests for post-acute care services. Includes manually entering authorization requests into healthcare system...
Strategic Staffing Solutions. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations... verification, obtain prior authorizations, and bring the authorization process to resolution. We are exclusively considering...
St. Luke's University Health NetworkVerification Specialist to join their team of professionals. Authorization of surgery experience and EPIC experience...UTHealth Houston Department of Surgery - Colorectal Surgery Bellaire Clinic is hiring an Insurance Authorization...
University of Texas Health Science Center at...Who You Are: As a Specialist, Insurance Authorization, for Catholic Medical Center (CMC), you will be responsible... healthcare to patients across New Hampshire. CMC is the home of the nationally-renowned New England Heart & Vascular Institute...
Catholic Medical CenterWhat we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific... rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus: 100...
University of Texas Health Science Center at...reimbursement. Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization... Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed for proper...
St. Luke's University Health Networkreimbursement. Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization... Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed for proper...
St. Luke's University Health NetworkRepresentative I is responsible to determine insurance eligibility and, as appropriate benefits, pre-authorization / pre... for inpatients into Epic. If authorization is not obtained as required, contact physician office and department regarding...
Edward-Elmhurst Health