- Billings Clinic (Billings, MT)
- …needs with the care team * Documents discharge plan, patient's and/or patient's representative understanding of the plan, and their input to the plan, including ... refusal of discharge plan * Educates patient or patient representative regarding post-acute options, obtains a minimum of 3 choices for post-acute services, and… more
- Highmark Health (Montpelier, VT)
- …history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments necessary to… more
- Logan Health (Kalispell, MT)
- …with numbers, and passionate about helping people navigate the world of healthcare insurance ? As a Financial Clearance Specialist at Logan Health, you'll play a key ... ensuring our patients have a smooth experience by verifying insurance , estimating patient costs, and supporting our clinic teams...hold to ensure timely billing. + Partner with the Authorization team to obtain payer authorizations and referrals. +… more
- Avera (Sioux Falls, SD)
- …to ensure that all treatments meet medical necessity. Draft medical necessity authorization request letters to include insurance contact information, patient ... as they navigate through all aspects of their medical paperwork, including insurance , billing, payment and collection process. This position is responsible to screen… more
- University of Southern California (Los Angeles, CA)
- …function is to assure transplant patients' medical services are covered by insurance . This includes: insurance verification, authorization submission, ... effective patient counseling of insurance plans, providing insurance guidance when patients have a lapse of ...case managers and medical directors to facilitate and expedite authorization approvals. Retrieve clinical data in a timely manner… more
- TekSynap (Pensacola, FL)
- …network segmentation and access control policies. + Oversee system security authorization efforts, including support for **RMF (Risk Management Framework)** . + ... and accreditation artifacts. + Submit reports to the Contracting Officer Representative (COR) and Security Manager asrequired. + Collaborate with network… more
- RTX Corporation (Richardson, TX)
- …and/or auditing operating systems. + Prior experience with Assessment and Authorization (A&A) activities leading to Authority to Operate (ATO). + Compliance-based ... auditing using the Risk Management Framework (RMF), DCSA Assessment and Authorization Process Manual (DAAPM), Joint SAP Implementation Guide (JSIG), National… more
- Carle Health (Champaign, IL)
- Overview The Accounts Receivable Representative 2 is proficient in Accounts Receivable Representative 1 responsibilities. Responsible for handling escalated ... Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party… more
- Amentum (Lemoore, CA)
- …+ Preferred 18 months as a CDI, Quality Assurance Inspector, or Inspector Authorization (IA). + Minimum 36 months Organizational level experience. Preferred to have ... (LPT), High Power Engine Turn-Up Operator (HPT), Collateral Duty Quality Assurance Representative (CDQAR), and or Plane Captain. + Must have ability to inspect… more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- …health information in accordance with all laws and regulations governing authorization and disclosure of health information. Responsibilities Total Rewards of a ... the Privacy Act of 1974, Freedom Information Act (FOIA), and Health Insurance Portability and Accountability Act (HIPAA). Receives and directs callers and visitors.… more