- Actalent (Sparta, NJ)
- …We are seeking a dedicated Patient Care Specialist to join our team. In this role, you will handle a high volume of prior authorizations for patients, utilize EMR ... systems such as ModMed for patient records, and ensure an exceptional patient experience from arrival to departure. You will play a crucial role in maintaining efficient office operations and supporting healthcare providers. Responsibilities + Welcome patients… more
- CVS Health (Baton Rouge, LA)
- …The Team Lead is accountable to leadership to support the day to day operations of the team. This position has no supervisory oversight of staff, but requires a solid ... understanding of the workflows, policies and procedures to ensure the team is producing at a successful level. The Team Lead supports the onboarding of new staff as well as quality monitoring and assignment triage. The Team Lead is a single point and first… more
- Swedish Health Services (Seattle, WA)
- …Capture defined referral information from Swedish Physician Division providers to specialists and facilities. Verify eligibility and benefits for risk patients. ... Providence caregivers are not simply valued - they're invaluable. Join our team at Swedish Health Services DBA Swedish Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your… more
- Beth Israel Lahey Health (Boston, MA)
- …**Essential Responsibilities:** + Develops the business plan in collaboration with the program director and leaders. Identifies strategies, objectives, and timetables ... for the implementation, monitoring and evaluation of the plan. Updates plan as necessary to reflect challenges and the changing needs of the program. + Ensures that all program policies and procedures are developed and up to date. Develops program-specific… more
- Caris Life Sciences (Irving, TX)
- …Caris Life Sciences is seeking a full-time **Billing Operations Manager** to lead and manage the **Eligibility** function within our Billing Operations team. This ... **At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.** We introduced precision medicine to the world and built an industry… more
- University of Miami (North Miami, FL)
- …is responsible for the verification of insurance eligibility, benefits and obtaining authorization for all insurance carriers for all outpatient office visits and ... timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of… more
- University of Miami (Medley, FL)
- …timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... + Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines… more
- US Tech Solutions (May, OK)
- …that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical pharmacist will ... prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria… more
- Hartford HealthCare (Farmington, CT)
- …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required to ... and provides consistent documentation in EPIC to support the obtained insurance authorization . Communicates changes in payer and or federal regulatory guidelines to… more
- General Dynamics Information Technology (Colorado Springs, CO)
- …with emphasize on Joint. + Special Access Program Implementation Guide (JSIG) authorization process. + Advise customer on Risk Management Framework (RMF) assessment ... and authorization issues. + Perform risk assessments and make recommendations...managers on security testing methodologies and processes. + Evaluate authorization documentation and provide written recommendations for authorization… more
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