- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... conducts initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Manager of Payer Connectivity for Prior Authorization plays a pivotal role in optimizing how healthcare providers and payers ... + Develop and execute strategies to enhance the automation and interoperability of prior authorization workflows across providers, vendors, and payers. + Define… more
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the direction of the Network Director of Security and Transportation or the Manager of Security Operations, the Security Officer II performs a variety of security… more
- Bassett Healthcare (Cooperstown, NY)
- …or manager + Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... possible. What you'll do Under the direction of the Manager of Security Operations and the Network Director of...Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Office Manager will be responsible for the day-to-day insurance authorization oversight of both outpatient and inpatient rehab ... in insurance and reimbursement requirements inclusive of coding and treatment authorization and making recommendations to optimize compliance. Management of … more
- Adecco US, Inc. (San Diego, CA)
- …as needed for special projects . Other duties as assigned by Operations Manager **Qualifications of the Pharmacist:** . Bachelor's Degree in Pharmacy or PharmD . ... Current and unrestricted Pharmacist license in California . Must reside within California . Strong knowledge of disease state management guidelines and the 5 Core Elements of MTM Services (1) Medication Therapy Review - Comprehensive and Targeted, 2) Personal… more
- Hartford HealthCare (Farmington, CT)
- …based on eligibility.* *Job Summary: Under the direction of the Prebilling and Authorization Manager , the Authorization Specialist performs all duties ... Communicate updates in insurance or regulatory guidelines to the manager and relevant departments.* *Key areas of responsibility:* *...authorization processes.* * *Assists with training of new prior authorization staff and other duties as… more
- Caris Life Sciences (Irving, TX)
- …**Position Summary** Caris Life Sciences is seeking a full-time **Billing Operations Manager ** to lead and manage the **Eligibility** function within our Billing ... eligibility processes are compliant, efficient, and patient-focused. The Eligibility Manager provides leadership, training, and performance management to staff,… more
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