- Intermountain Health (Murray, UT)
- …the cost-effective and clinically appropriate use of pharmaceuticals. Analyzes pharmacy claims to identify areas of utilization aberrations and opportunities for ... in appropriate language. Develops protocols for the use of drugs requiring prior -authorization. Responds to clinical inquiries in a professional and accurate manner.… more
- BJs Wholesale Club (Hixson, TN)
- …hourly wage increases, hourly promotions, terminations, worker's compensation, and unemployment claims . + Supports club talent acquisition efforts by, among other ... + Detailed oriented + Strong interpersonal and organization skills + Prior Human Resources, administrative, or clerical experience is preferred + Basic… more
- Sysco (Houston, TX)
- …review Supplier cost file submissions for accuracy + Resolve live purchase order inquiries prior to purchase order ship date + Research and resolve purchase order ... claims and repayment requests in collaboration with Accounts Payable, to ensure accurate and timely reconciliations + Assist and educate internal Colleagues and… more
- University of Utah (Salt Lake City, UT)
- …documentation and maintains/stores the authorization paper trail. May work to resolve claims denials related to the prior authorization. **Knowledge / Skills ... Details **Open Date** 08/06/2025 **Requisition Number** PRN42768B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- University of Rochester (Brockport, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500330 Amb Medication Prior Auth Work Shift: UR - Day (United States of America) Range: UR URCD ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… more
- Covenant Health Inc. (Knoxville, TN)
- …Demonstrates expanded knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This position is responsible ... coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services...for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately… more
- City of Jacksonville (Jacksonville, FL)
- …for this classification is six months. LICENSING/CERTIFICATION/REGISTRATION: + Florida All Lines Claims Adjuster License is required prior to appointment and ... and oral presentations. + Establishes and maintains workers' compensation claim files and records. + Responds to inquiries regarding...this experience. 13 A State of Florida All Lines Claims Adjuster License is required prior to… more
- Commonwealth of Pennsylvania (PA)
- …you will serve as a Bureau POSSE System Trainer and Web Site Coordinator with the responsibility of developing, improving, monitoring, and updating all Bureau of ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more
- Commonwealth of Pennsylvania (PA)
- …route assignments, and serve as the Continuity of Operations Plan (COOP) coordinator for Cumberland County. Interested in learning more? Additional details regarding ... attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements....Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using… more
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