- University of Miami (Miami, FL)
- …all disbursement requests for accuracy in coding and availability of funds prior to commitment of funds. + Establishes and continuously assesses the effectiveness ... of the internal controls within the unit and compliance with university policies and procedures. + Ensures employees are trained on controls within the function and on university policy and procedures. This list of duties and responsibilities is not intended… more
- Humana (Tallahassee, FL)
- …part of our caring community and help us put health first** The Prior Authorization UM Administration Coordinator 2 provides non-clinical support for the policies ... procedures ensuring best and most appropriate treatment, care or services for members. Prior Authorization UM Administration Coordinator 2 + Support the UM Nurses to… more
- Centene Corporation (Tallahassee, FL)
- …- Saturday 8A-5PM Florida Residency Required **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Actalent (Sunrise, FL)
- …direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... liaison between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations to providers when… more
- Cardinal Health (Tallahassee, FL)
- …and active listening skills have been utilized + Previous experience working in a remote /work from home setting is preferred + Prior experience working with ... Microsoft Office is preferred + Prior experience working with order placement systems and tools...supervisor or senior peers on complex and unusual problems ** REMOTE DETAILS:** You will work from home, full-time. _As… more
- Actalent (Orlando, FL)
- …We are seeking a dedicated Pharmacy Technician to join our team in a remote capacity. This position involves reviewing Prior Authorizations for a Pharmacy ... is advantageous. Work Environment This position is a professional remote environment requiring strong WiFi and a personal office...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Insight Global (Miami, FL)
- …environment. * Experience managing Project Management software (Trelo, Smartsheet, etc.) * Prior experience supporting a remote organization. * Google Suite, ... supporting a marketing/digital advertisement team * Good communication skills and prior leadership experience with handling marketing projects * The ability to… more
- US Bank (Jacksonville, FL)
- …+ **Internet** : Remote employees are responsible for having internet service prior to starting employment; internet service is not paid by US Bank. Call center ... high level of customer service **If hired as a remote employee, the following expectations would apply** , as...whether you are working from a US Bank or remote location. All company rules, policies, practices and procedures… more
- Actalent (Orlando, FL)
- …patients. Your main responsibility will be to manage denied prior authorization requests by reviewing submitted documentation, requesting additional information ... for final review and determination. Responsibilities + Process and manage denied prior authorization requests for Medicare and Medicaid patients. + Make 30-60… more
- Baylor Scott & White Health (Tallahassee, FL)
- …The specific rate will depend upon the successful candidate's specific qualifications and prior coding experience. + 100% Remote **Essential Functions of the ... Role** + Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate… more