- Humana (St. Paul, MN)
- …service telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization ... Proficient utilizing electronic medical record and documentation programs + Prior experience with CGX and Genesys + Prior... Prior experience with CGX and Genesys + Prior experience with post-acute authorizations + Prior … more
- CentraCare (St. Cloud, MN)
- …(eg, Epic, Lawson, Strata, or similar) preferred. + Experience with payer audits, prior authorization processes, and coverage policy review preferred. + Strong ... + Analyze changes in payer coverage determinations, billing guidelines, and authorization policies to assess impact on access, documentation, and reimbursement. +… more
- Sanford Health (Worthington, MN)
- …responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization ; track patient/resident visits; health information ... patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre- authorization , arranges interpreter services, checks patients/residents in/out, and offers… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …enhance the overall operation of the department. * Guides member through the Prior Authorization and Appeals process. * Engage providers telephonically in ... Flexibility to work varied hours. * High school diploma (or equivalency) and legal authorization to work in the US Preferred Skills and Experience * Fluent bilingual… more
- United Therapeutics (MN)
- …coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate ... and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients. + Manage… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …pulls and synthesizes data across multiple domains, including utilization management, prior authorization , claims, denials, and appeals. Their work goes ... business, technical, and/or clinical. * High school diploma (or equivalency) and legal authorization to work in the US Preferred Skills and Experience * Bachelor's… more
- State of Minnesota (Willmar, MN)
- …treatment to some of Minnesota's most vulnerable kids? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
- State of Minnesota (Anoka, MN)
- …treatment to some of Minnesota's most vulnerable adults? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
- Caterpillar, Inc. (Brooklyn Park, MN)
- …be available on a voluntary basis based on business needs and with leader prior authorization . **Top Candidates Will Have:** + Experience in equipment paint ... **What To Expect:** As a **Painter** at Caterpillar you will prepare materials prior to paint application, apply prime paint and topcoat (finish coat) to components… more
- CVS Health (St. Paul, MN)
- …appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus ... Board certification in Family Medicine, General Surgery or Internal Medicine / Pediatrics - Prior UM experience working at Health Plan / Insurer or experience as a… more
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