- TEKsystems (Morrisville, NC)
- Description Care Coordinator may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and ... information regarding a program and/or a patient Skills Prior authorization , Pharmacy, Medicare, Insurance verification, reimbursement, Care coordination, insurance… more
- TEKsystems (Morrisville, NC)
- Description Care Coordinator may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and ... necessary resources for conflict resolution as needed. Skills Prior authorization , Pharmacy, Medicare, Insurance verification, reimbursement, Care coordination, insurance… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The UM Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit ... members of the organization. Primary Responsibilities + Research and confirm authorization requirements and communicate to member, providers, and facility staff. +… more
- Humana (Raleigh, NC)
- …our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring best ... experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization , preferably within a managed care organization. **Additional Information** +… more
- Kelly Services (Charlotte, NC)
- **Job title:** Supply Chain Coordinator /Specialist **Location:** 7300 Reames Rd., Charlotte, NC 28216. **Pay:** $28ph **Shift:** MO-FRI 8am to 5pm. **Duration:** ... partners. + Review detention and other accessorial charge requests and get authorization key Owens Corning stakeholders. ?Provide payment status to carrier's and… more
- Kellanova (Cary, NC)
- Join our Maintenance Department as an Inventory Coordinator and play a vital role in supporting our plant's operations. This position is essential to ensuring that ... and more about what we offer. All applicants must have permanent legal authorization to work in the United States. Kellanova does not sponsor employment visas… more
- Publix (Greensboro, NC)
- **34576BR** **Position Title:** Maintenance Procurement Coordinator , AM, Ind. Maint. - Greensboro **Department:** Industrial Maintenance **Location:** Greensboro, NC ... nights, weekends, holidays, and extended periods of time + a valid driver's license and authorization to drive a company vehicle (on or before his or her start date… more
- Clark Construction Group, LLC (Charlotte, NC)
- The Safety Coordinator plays a critical role in ensuring the safety of thousands of team members on our jobsites each day. Whether working in general construction or ... one of our affiliate companies, you'll work alongside Clark leaders to advance our policies, programs, and procedures governing safe work practices and promote our 24/7 culture of care. Implementing safe working practices and ensuring the well-being of… more
- Highmark Health (Raleigh, NC)
- …history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments necessary to… more
- UNC Health Care (Kinston, NC)
- …accurate collection of referral, denial, and admission's data * Seeks pre- authorization from insurance companies and communicates availability of rehab benefits to ... care * Ensures accurate collection of data related to the insurance authorization process * Works with referral sources, physicians, and the interdisciplinary team… more
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