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Insurance Accounts Receivable Manager
Solaris Health Holdings
Experience in Insurance Accounts Receivable functions, including prior authorizations and patient estimates.
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Medical Assistant-Palliative (70789)
Sanitas
Facilitate patient coordination for pre-op clearance, medication authorizations, and referrals.
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Audit Manager
Arizona Department of Administration
…forfeitures, securing appropriate Inspector General (IG) approvals and authorizations. Participate in administrative appeals and Informal Settlement Conference (ISC) processes, representing…
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PAP Customer Service Representative
Quipt Home Medical
Obtains appropriate prior authorization number and time frame from appropriate third party payer. Logs information into database.
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Corporate Scheduler I
Baptist Health Care
Reschedules/defers patients whose financial clearance cannot be completed, or authorizations have not been obtained for and notifies supervisor, ancillary departments, and physician office…
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Utilization Management Associate (CST or MST time zone)
ProgenyHealth LLC
Communicate verbally and/or written prior authorizations based on client specifications
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Authorization Supervisor
Surgery Partners
The Authorization Supervisor oversees the daily operations of the authorization team to ensure timely and accurate authorization processing, compliance with payer requirements, and…
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Utilization Mgmt. Coordinator
Humana Insurance Company
Handle inbound and outbound calls about prior authorizations, utilization management services, and benefits; help providers and members navigate these processes, with approximately 30 to 50…
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Sr Manager, Revenue Recognition
Dasco HME LLC
8. Directs the reauthorization program for rental and recurring orders, ensuring prior authorizations, prescriptions and recertification documentation are renewed before expiration to…
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Funding Specialist II - North Region
National Seating & Mobility
Coordinates with the Funding Manager, Funding Supervisor, Branch Manager, Rehabilitation Technology Supplier (RTS), and other office support personnel to ensure all operational procedures…
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Pre Service Center (PSC) Verification Specialist
BMC Company 100
Maintains knowledge of and complies with insurance companies’ requirements for obtaining prior authorizations/referrals, and completes other activities to facilitate all aspects of…
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Pharmacy Technician - Virginia
Waymark
Communicate with patients and healthcare providers to assist in completing medication prior authorizations, navigate formulary changes, manage side effects, and identify therapeutic…
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Administrative Coordinator (Chemistry)
William & Mary
…leadership. Under the supervision of the Administrative and Fiscal Supervisor, this position will support the administrative and programmatic needs of the department and its…
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RCM Lead - Front End - Remote
Optim
Under the direction of the RCM Supervisor - Front End and/or Revenue Cycle leadership, the RCM Lead - Front End supports the daily front-end revenue cycle operations for Optim Orthopedics.…
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Profee Senior Coder Surgical Cardiology
Banner Health
…surgeons and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/documentation to coding quality analysts, supervisor or…
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Pharmacy Utilization Management Specialist
P32HS Point32Health Services Inc
Under the direction of the Supervisor, Pharmacy Utilization Management, the Pharmacy Utilization Management (UM) Specialist is responsible for setting up and processing cases in the various…
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Pharmacy Utilization Management Specialist
P32HS Point32Health Services Inc
Under the direction of the Supervisor, Pharmacy Utilization Management, the Pharmacy Utilization Management (UM) Specialist is responsible for setting up and processing cases in the various…
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Provider Network Evaluator I-Targeted Monitoring (Full-time Remote, North Carolina Based)
Alliance
Review data from a variety of sources, including but not limited to claims, authorizations, credentialing/enrollment, Jiva, grievances, prior audits/investigations, incident reports, and…
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Revenue Cycle Referral Coordinator
Baptist Health System, Inc.
…physician and physician teams, and insurance companies to obtain authorizations and/or referrals for physician, imaging services, rehabilitation, infusion therapy, radiation oncology, and…
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Administrative Specialist III
Division of Agriculture of the University of Arkansas
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My…
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Claims Supervisor
Centivo
Centivo is seeking a Claims Supervisor to lead a team of Claims Processors, ensuring accurate and efficient claims processing for employer-sponsored health plans. This role sets…
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Senior SAP Master Data Governance (MDG) Consultant
C5MI Insight
Partners with the master data management function to ensure stewardship policy is systemically enforced, and with the security function to design role-based governance authorizations.
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Revenue Cycle Referral Coordinator
Baptist Health System, Inc.
…physician and physician teams, and insurance companies to obtain authorizations and/or referrals for physician, imaging services, rehabilitation, infusion therapy, radiation oncology, and…
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Prior Authorization Assistant, Cardiology
Ascertain
You will continue to process prior authorizations directly - often at high volume - while also serving as a go-to resource for other Ascertain Assistants. Over time, this role will evolve…
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Academic Human Resources Specialist
University of California, Santa Cruz
…staff, and budgetary research accountants to obtain employment authorizations; serve as the primary resource to ensure compliance with bargaining contracts, policies, and…