- Elevance Health (Miami, FL)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II ** **Location:** This role enables associates to work...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Elevance Health (Miami, FL)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II ** **Virtual:** This role enables associates to work...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Immigration and Customs Enforcement (Miami, FL)
- …accreditation standards, laws, and regulations. Collaborates with the Clinical Director and Nurse Manager, as a function of the Triad of leadership, to establish ... with the Prompt Payment Act. Identifies and addresses discrepancies prior to validation. Collaborates with the headquarters contracting officer representative… more
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