- Humana (Madison, WI)
- …of our caring community and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing the daily operations of the Utilization ... Management and Pre- Authorization nursing teams. This position ensures timely and accurate review of medical necessity and appropriateness of care, in alignment with… more
- Cardinal Health (Nashville, TN)
- …appointment scheduling and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing ... the physician's daily schedule and obtaining verification of patients' insurance benefits for their scheduled visits. They will also obtain authorization for all… more
- Trinity Health (Syracuse, NY)
- …order type to ensure proper authorization obtained pre-procedure. * Review authorization denial trends in partnership with supervisor to identify and address ... 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- Position Information Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation Center) ... services being rendered. + Responsible for researching patient member benefits , additional coverages, coverage limitations, and general coverage allowances to… more
- Staffing Solutions Organization (Augusta, ME)
- …reflection of our clients and the people they serve. **Registered Nurse - Authorization Review Unit - MaineCare in Augusta, ME** **Position Duties:** + Manage ... medical Prior Authorizations (PA) as assigned by the PA supervisor , utilizing PA software tools; + Review and authorize...provider requests for the following services in the MaineCare Benefits Manual (MBM): Section 97, Private Duty Nursing and… more
- Aveanna Healthcare (Seal Beach, CA)
- …Support Services staff & billing teams 6. Alert families and immediate supervisor of significant authorization changes such as cancellations, unit reductions, ... Authorization Coordinator II-Hybrid ApplyRefer a FriendBack Job Details...Aveanna, we celebrate diversity and offer competitive pay and benefits . With opportunities for career growth and advancement, we… more
- Geisinger (Danville, PA)
- Job Summary Obtain and secure prior authorization for high end procedures,hospital scheduled admissions and/or specialty patients. Verifies and completes insurance ... physicians, insurance companies, employers, and others with requests concerning prior authorization to result in positive resolution. + Coordinates efforts with… more
- Genesis Healthcare (NM)
- …and CBO supervisor to address denial issues related to Medicaid authorization . *Provide support to the nursing enters when issues arise with obtaining state ... manage and maintain your assigned nursing centers' Clinical Eligibility Medicaid Authorization tracking log to obtain valid authorizations for billing and… more
- Intermountain Health (Jefferson City, MO)
- …of pharmacy practice under the supervision of a licensed pharmacist or technician supervisor and is an integral part of the pharmacy team. This position supports ... experience + Health System pharmacy experience + Previous refill authorization experience + Past experience working remotely **Physical Requirements:** **Physical… more
- Evolent (Baton Rouge, LA)
- …Stay for the culture. **What You'll Be Doing:** Evolent is looking for a Supervisor , Provider Services to play a pivotal role in leading our contact center team, ... ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is essential in upholding… more
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