- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Case Management - Transplant Location: Remote Career Area: Health ... for Transplant Management! Utilizing key principles of case management, the RN Specialist will research and analyze the member's health needs and healthcare cost… more
- Houston Methodist (Sugar Land, TX)
- …necessity, and as appropriate, DRG recoupments/downgrades, and denials for no authorization . The Senior Denials Management Specialist position communicates ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical… more
- Sanford Health (Fargo, ND)
- …Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication, procedures, etc.; determines if ... insurance meets prior authorization criteria. Collects necessary documentation and communicates with third party payers, healthcare professionals and customers to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims, and the referral process. As well as functions related to legislative and federal regulatory… more
- HCA Healthcare (Frisco, TX)
- …Do you want to join an organization that invests in you as a(an) Medical Office Specialist ? At Hip & Joint of Frisco, you come first. HCA Healthcare has committed up ... family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home...difference. We are looking for a dedicated Medical Office Specialist like you to be a part of our… more
- HCA Healthcare (Dallas, TX)
- …care like family! Jump-start your career as a(an) Medical Office Specialist today with Southwest Scoliosis Institute. **Benefits** Southwest Scoliosis Institute ... family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home...location._** Come join our team as a(an) Medical Office Specialist . We care for our community! Just last year,… more
- HCA Healthcare (Dallas, TX)
- …colleagues invested over 156,000 hours volunteering in our communities. As a(an) Medical Office Specialist with MSO - MSO Heart Center for Children you can be a part ... family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home...organization. We are looking for an enthusiastic Medical Office Specialist to help us reach our goals. Unlock your… more
- HCA Healthcare (Southlake, TX)
- …each individual is recognized. Submit your application for the opportunity below: Medical Office Specialist MSO - Texas Bone & Joint **Benefits** MSO - Texas Bone & ... family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home...vary by location._** We are seeking a(an) Medical Office Specialist for our team to ensure that we continue… more
- Beth Israel Lahey Health (Boston, MA)
- …compliance with referral management requirements and current knowledge base of referral and authorization rules and related policies for multiple insurance ... job, you're making a difference in people's lives.** The Transplant Practice Specialist provides support to the multi-disciplinary clinical team by managing the… more
- Option Care Health (Detroit, MI)
- …and brightest talent in healthcare. **Job Description Summary:** The Clinical Transition Specialist is an experienced sales professional who uses sales techniques to ... Specialists are also responsible for proactively building strong relationships with referral sources and partnering with Account Managers to grow referral… more