- 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
- Amgen (Tampa, FL)
- …copays, coinsurance, utilization management requirements, qualifications / restrictions, and prior authorization requirements + As applicable, initiating ... innovative, driven professionals in this meaningful role. **Benefit Verification Specialist ** **Live** **What you will do** Let's do this!...subsequent actions (eg prior authorizations, appeals, travel and appointments) + Monitoring potential… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …compliance with established drug therapy policies, formulary management and criteria or prior authorization requirements that have been approved by national, ... Summary The Clinical Pharmacy Specialist - Mental Health functions at the highest...Provides formal and informal education and in-services to pharmacy, medical , nursing and other staff as requested. Serves as… more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... coverage provided for a specific pharmaceutical product. The Patient Access Specialist will support the healthcare providers addressing questions regarding coding… more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding… more
- HCA Healthcare (Tampa, FL)
- …to qualify patients for current or continued care needs, obtaining pre-admission authorization prior to admission.** **Requirements:** + **Must be licensed as ... have the career opportunities as a RN Psych Intake Specialist you want in your current role? We invest...to ensure all patients receive accurate placement according to medical criteria facilitating high quality, efficient care in a… more
- Centene Corporation (Tallahassee, FL)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national...of a prior authorization request + Thoroughly researches issues… more
- Medtronic (Melbourne, FL)
- …opportunities for broader engagement. **Bring your talents to a leader in medical technology and healthcare solutions. Rooted in our long history of mission-driven ... innovation, our medical technologies open doors. We support your growth with...regional management. To find all Cardiac Rhythm Management Clinical Specialist roles available please use #crmcs in the key… more
- AssistRx (Orlando, FL)
- This position is for an Audit Specialist . The Audit Specialist is responsible for planning, coordinating, conducting, and remediation strategies of internal, ... information security, data privacy, and continuous improvement at AssistRx. The Audit Specialist serves as a key liaison between internal departments and external… more
- Community Health Systems (Naples, FL)
- **Job Summary** The Care Management Specialist provides administrative and operational support to the Care Management team, assisting with care coordination, ... care and timely access to necessary resources. The Care Management Specialist helps facilitate communication, gather patient information, and coordinate services to… more