- Molina Healthcare (Jacksonville, FL)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point of Sale… more
- L3Harris (Palm Bay, FL)
- …early, and in a sustainable manner that will allow for the security authorization of the system of interest. Works with systems developers or commercial product ... DCID 6/3, Common Criteria, and NIST 800-37, to achieve security authorization of supported systems. Represents program security needs, concerns and requirements… more
- L3Harris (Palm Bay, FL)
- …early, and in a sustainable manner that will allow for the security authorization of the system of interest. Works with systems developers or commercial product ... DCID 6/3, Common Criteria, and NIST 800-37, to achieve security authorization of supported systems. Represents program security needs, concerns and requirements… more
- L3Harris (Orlando, FL)
- …and conduct risk assessment procedures for verification of RMF/Assessment and Authorization (A&A) safeguards to meet various regulatory requirements based upon NIST ... customer base Qualifications: + Bachelor's Degree and minimum 9 years of prior Cybersecurity or Cyber Intelligence experience. Graduate Degree and a minimum of… more
- AdventHealth (Maitland, FL)
- …or radiation therapy are appropriately scheduled for education regarding treatment prior to their first appointment. Ensures patients requiring labs prior ... for multiple recurring appointments ensuring all appointments are within authorization timeframes and payer guidelines. Works closely with Radiation Oncology… more
- Monte Nido (Miami, FL)
- …+ Complete and manage all authorizations for designated programs & departments including prior authorization , continued stay, change in level of care, discharge, ... from a multi-disciplinary treatment team approach while integrating state-of-the-art medical , psychiatric, nutritional, and clinical strategies to provide comprehensive… more
- University of Miami (Medley, FL)
- …parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. . + Contact insurance company through ... procedures and safeguards University assets. + Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and… more
- Akumin (Sarasota, FL)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... patients prior to procedures, which may include medical ...May schedule patient appointments and obtain insurance verification and/or authorization . + May prepare medical records for… more
- J&J Family of Companies (Jacksonville, FL)
- …billing. + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization , coding, and appeals processes) + Ability to ... Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as...state experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding +… more
- University of Miami (Medley, FL)
- …that appointments scheduled are accurate and payors meet time frame for authorization guidelines for financial clearance of appointment prior to patient's ... daily expected call service level, volumes of visits pending verification and authorization within 14 days of scheduled appointment, including same day appointments… more