- Molina Healthcare (Dallas, TX)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- MD Anderson Cancer Center (League City, TX)
- …two years of experience as Advanced Practice Provider, in General Oncology. Prior Thoracic/Head & Neck Medical Oncology experience. *LICENSURE / CERTIFICATION* ... two years of experience as Advanced Practice Provider, in General Oncology. Prior Thoracic/Head & Neck Medical Oncology experience. *LICENSURE / CERTIFICATION*… more
- Texas Health Resources (Dallas, TX)
- …+ Contact patients regarding financial obligations. + Obtain prior authorization for procedures. + Scanning medical documents into patient accounts. ... Medical Assistant - Heart Valve Clinic - (Full-Time/Days)...policy and procedures. Insurance Verification Specialist: + Responsible for pre-certification/ authorization and insurance verification for all patients. + Research,… more
- Molina Healthcare (San Antonio, TX)
- …team in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management ... and interdisciplinary care team activities. + Ensures that authorization decisions are rendered by qualified medical personnel, without hindrance due to fiscal… more
- Humana (Austin, TX)
- …health outcomes of our members. + _Outcomes_ : Characterize the impactable drivers of prior authorization and look at appeals rate with denials and overturns. ... be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million… more
- Houston Methodist (Houston, TX)
- …work assignments. Retrieves the correct and complete patient record from the electronic medical record (EMR) systems and other patient record sources in response to ... information in accordance with state and federal laws; determines validity of authorization and/or type of request; and verifies patient or request or identity… more
- CVS Health (Austin, TX)
- …request. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review. ... it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this… more
- MD Anderson Cancer Center (Houston, TX)
- …to physician and family members. Assesses health status by performing the medical history, physical examination, and psychosocial assessment. Must be able to ... askMDAnderson and MD Anderson policies and procedures. g. Utilizes standard medical , legal disclaimers to ensure appropriate interpretation of professional role h.… more
- Houston Methodist (Houston, TX)
- …for patients receiving services and initiates the admission notification and authorization process in a timely manner. The Senior Insurance Verifier communicates ... ability to perform more complex processes related to insurance verification, authorization , and financial clearance. This position will also utilize effective… more
- Caris Life Sciences (Irving, TX)
- …of experience in revenue cycle management with a focus on benefit verification, prior authorization , or pre-billing activities or with accessioning within a lab ... upfront portion of the billing process, including benefit investigations, prior authorizations, financial clearance, and payer-specific requirements. This leader… more
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