- Sharecare (Tallahassee, FL)
- …**Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + ... privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the… more
- Molina Healthcare (Miami, FL)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests… more
- Mayo Clinic (Jacksonville, FL)
- …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- Mayo Clinic (Jacksonville, FL)
- …to unpredictable situations within the work setting. Computer skills required, prior experience with electronic medical record systems preferred. Demonstrated ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
- L3Harris (Palm Bay, FL)
- …throughout the life cycle of system that will allow for the security authorization of the system of interest. Works with systems developers or commercial product ... and Accreditation documentation, using multiple standards, to achieve security authorization of supported systems. Represents program security needs, concerns and… more
- CVS Health (Tallahassee, FL)
- …to 4 hours a day working with providers to secure additional information for prior authorization review. + This candidate will utilize clinical skills to ... EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...management) experience within an **outpatient** setting, concurrent review or prior authorization . + 5 years of a… more
- SIMEDHealth (Ocala, FL)
- …Demonstrated proficiency in computer use, including Microsoft Word and Outlook (Required). + Prior experience with electronic medical records. + 1-2 years of ... We are looking for a dedicated individual, preferably with prior experience in this area, to join our team... referrals and authorizations. + A strong understanding of medical insurance and authorization procedures. + Exceptional… more
- SIMEDHealth (Gainesville, FL)
- …Demonstrated proficiency in computer use, including Microsoft Word and Outlook (Required). + Prior experience with electronic medical records. + 1-2 years of ... We are looking for a dedicated individual, preferably with prior experience in this area, to join our team... referrals and authorizations. + A strong understanding of medical insurance and authorization procedures. + Exceptional… more
- Elevance Health (FL)
- …Management Representative I** is responsible for coordinating cases for precertification and prior authorization review. **How will you make an impact:** + ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases… more
- Actalent (Delray Beach, FL)
- …phone calls. Additionally, they will be cross-trained in pharmacy processes, including prior authorization , order filling, and data entry. Responsibilities + ... calls. + Cross-train in pharmacy infusion processes such as prior authorization , order filling, and data entry....for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more