- Actalent (Plano, TX)
- …procedures + using EMR system + sterilization + insurance verification + prior authorization + scheduling Schedule: Monday-Friday 8:30am-5:00pm Pay/Benefits: + ... $23/hour + milage reimbursement + health, dental, vision coverage + 401k Requirements: + medical assisting certification/diploma + 2+ years of medical assisting experience + reliable transportation Apply today! Only one spot available! Job Type & Location This… more
- Catholic Health Initiatives (The Woodlands, TX)
- …Performs all insurance verification processes and completes all required processes for prior authorization or other actions required by payers. Coordinates ... collection, processing, maintenance, storage, retrieval, documentation and distribution of medical records per policy and procedure. Assures documentation of logs of medical record release. Works on problems of diverse scope where analysis of data requires… more
- Insight Global (Hartford, CT)
- …Skills and Requirements * Healthcare domain experience (payer/provider workflows, prior authorization , claims, eligibility). * FHIR expertise, including: ... * Proven FHIR mapping experience (transaction-to-FHIR resource conversion). * Understanding of FHIR transactions and profiles (eg, US Core, Da Vinci). * Ability to take a spec for an incoming transaction and map it to FHIR end-to-end. * CQL (Clinical Quality… more
- Fairview Health Services (Maplewood, MN)
- …notes, etc) are received on time and available to the provider/care team. + Prior authorization is completed, if needed. + Appointments, labs, imaging are ... prioritized and sequenced appropriately. + Effectively communicates with customers (patients, caregivers, providers, care team members, outside health systems) in a professional and respectful manner. + Deliver a consistently high level of service and goes… more
- LA Care Health Plan (Los Angeles, CA)
- …regulatory requirements. + Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization , level of care and length of stay criteria ... sets. + Able to work effectively with various internal departments/service areas, LA Care's plan partners, participating provider groups, and other external agencies. + Able to operate PC-based software programs including proficiency in Word, Excel and… more
- Highland Hospital (Rochester, NY)
- …who is unavailable + Complete clinical documentation, forms/paperwork requested by patients, prior authorization appeals, sign home care orders + Coordinate with ... other providers, home care and hospice teams, and pharmacies + Assist in development of practice, community outreach, educational materials, ect Duties may include presentations + Maintain professional credentials to allow for uninterrupted billing and… more
- UPMC (Williamsport, PA)
- …education materials, communicating physician advice/instructions. + Complete and submit prior authorization paperwork for medications, procedures, and referrals ... in accordance with insurance requirements. + Manage incoming and outgoing patient phone calls, addressing clinical questions, relaying provider instructions, and coordinating follow-up care. + Monitor and respond to task basket messages in the electronic… more
- Henry Ford Health System (Troy, MI)
- …processing system, development of new benefit designs and programs, organizing the prior authorization process and management of the various vendor/customer ... relationships. EDUCATION AND EXPERIENCE:High School Diploma. Associate Degree or higher is preferred. One year of pharmacy benefit management experience or the equivalent. Two years of pharmacy technician experience or the equivalent. (October 2004) Additional… more
- Caterpillar, Inc. (North Little Rock, AR)
- …be available on a voluntary basis based on business needs and with leader prior authorization . As a Quality Specialist IV, you will perform ultrasonic inspection ... of fabricated components for NLR manufacturing processes, perform chemical concentration testing and adjust as needed, conduct fluid testing for bulk deliveries and validate prime product machine fluid requirements, and apply Caterpillar engineering drawings,… more
- Dartmouth Health (Claremont, NH)
- …by providers. * Work with an Integrated Behavioral Health Team to obtain prior authorization and coverage for LAIs. * Provide brief behavioral interventions ... using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate. An ideal candidate would have the following qualifications: * Registered Nurse * De-escalation training… more