- Elevance Health (FL)
- …Representative I** is responsible for coordinating cases for precertification and prior authorization review. **How will you make an impact:** + Managing incoming ... claims work. + Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization ,… more
- Copeland (FL)
- …+ Ability to travel up to 40%, including international travel. + Legal work authorization in the United States - Sponsorship will not be provided for this role ... role in culture and community building at Copeland. **Work Authorization ** Copeland will only employ those who are legally...J or TN, or who need sponsorship for work authorization now or in the future, are not eligible… more
- AdventHealth (Orlando, FL)
- …and medication coverage in the database, initiating, and obtaining prior authorization requests, facilitate patient assistance, appeals, peer reviews, and co-pay ... as specialist for outpatient pharmacies with prescriptions requiring prior authorization , patient assistance, appeals and co-pay assistance. Develop content and… more
- Cardinal Health (Tallahassee, FL)
- …to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to be given ... for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling to determine… more
- Akumin (FL)
- The **Schedule Coordinator** checks patients pre-scan to ensure that, authorization (if needed) is obtained, order is compliant, and the exam is scheduled properly. ... but are not limited to:** + Check patients pre-scan to ensure that, authorization (if needed) isobtained, order is compliant, and the exam is scheduled properly.… more
- Copeland (Palm Beach Gardens, FL)
- …with a collaborative mindset. + Proficiency in Microsoft Office, especially Excel. + Authorization to work in the United States without sponsorship now and in the ... role in culture and community building at Copeland. **Work Authorization ** Copeland will only employ those who are legally...J or TN, or who need sponsorship for work authorization now or in the future, are not eligible… more
- Emerson (Tallahassee, FL)
- …at a high technical level + Ability to travel 40-50% of time + Legal authorization to work in the United States **Preferred Qualifications That Set You Apart:** + ... Speed up to break through. Let's go, together. **Work Authorization ** Emerson will only employ those who are legally...J or TN, or who need sponsorship for work authorization now or in the future, are not eligible… more
- PSEG (FL)
- …with and in certain circumstances it is necessary to obtain specific authorization before the Company can share this information. Accordingly, if the position ... offer is made. If there is a need for specific authorization , due to the time it takes to obtain authorization from the government, we will likely not be able to… more
- SIMEDHealth (Gainesville, FL)
- …+ Regularly checking and responding to voicemail and faxes. + Submitting authorization requests to insurance providers with accuracy. + Maintaining comprehensive and ... accurate documentation of all referral and authorization activities within the EHR. What We're Looking For: + High School diploma or equivalent (Required). +… more
- Molina Healthcare (Jacksonville, FL)
- …licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with a Behavioral ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and… more