- J&J Family of Companies (Manchester, NH)
- …billing. . Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization , coding, and appeals processes) . Ability to ... disease state experience . Advanced degree and/or relevant certifications in prior authorization and/or billing and coding . Strong market access acumen as… more
- Saint Luke's (Lees Summit, MO)
- …+ **Responsibilities include: managing designated aspects of care coordination, prior authorization , clinical documentation, and concurrent review programs ... are not limited to: * Managing designated aspects of the case coordination, prior authorization , clinical documentation, and concurrent review programs to ensure… more
- Molina Healthcare (North Las Vegas, NV)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- Northern Light Health (Ellsworth, ME)
- …depart/office. + Documenting information in Patient's chart. + Processing insurance referral/ prior authorization and document this per protocol. + Retrieving ... of continuing education. + Insurance verification and precertification is performed prior to elective inpatient admission to ensure accounts are secured upon… more
- University of Southern California (Pasadena, CA)
- …provider in EMR ensuring 7 rights of medication safety. Initiates and completes prior authorization requests for medication as needed. Assists with diagnostic ... authorization requests and same day insurance verification as needed....returning phone calls, receiving and sorting in-coming faxes, obtaining prior authorizations. Ensures patient's right to privacy, safety, and… more
- Tidelands Health (Myrtle Beach, SC)
- …responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete pre-registration of all scheduled ... least two (2) years of experience in Healthcare Revenue Cycle that includes prior authorization . **Skills and Abilities** + Ability to interact successfully with… more
- Tidelands Health (Georgetown, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... vitals, EMR input + Conducts pre-visit planning by reviewing patient charts prior to appointment with recent test results and correspondence + Assisting physician… more
- Molina Healthcare (Louisville, KY)
- …a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services for the OH Medicaid ... of stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization / financial responsibility for Molina and its members. *… more
- Mayo Clinic (Rochester, MN)
- …ahead of a provider visits, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily with providers, ... and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work… more
- Mount Sinai Health System (New York, NY)
- …clinical team and following departmental guidelines and standards. 10. Facilitates prior authorization and appointment scheduling for diagnostic testing ... demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with determining and… more