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The Pre-Registration Specialist is responsible for insurance verification, benefit obtainment, and precertification for all HUP scheduled outpatient surgical procedures and inpatient admissions via telephone and online tools.
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This five year of experience must include not less than two years of crane related field duties such as crane inspection as a crane operator, heavy equipment mechanic, shop foreman, operations supervision, rigging specialist, or mechanical or civil engineer.
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The Care Transition Specialist works collaboratively with Care Coordination to complete administrative responsibilities related to care progression and care transitions along the continuum of care.
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Heart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking an Insurance Verification Specialist! As the Insurance Verification Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration.
$19ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Lead cyber analyst for GPS RMF A&A activities including creating new and managing existing authorization packages via eMASS and performing all tasks necessary to obtain and maintain an Authority-to-Operate (ATO), such as system categorization, system security plan, controls selection, and implementation, control assessment, Plan of Action and Milestone (POAM) items, and continuous monitoring activities.
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Materials Management Specialist (Natural Resource Specialist 3) On the first day of employment, all hires will be required to complete the US Department of Homeland Security’s Form I-9, confirming authorization to work in the United States.
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Job Description :Referral Specialist Location: Remote must live within 50 miles from a Pulse Point A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
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As an Office Assistant II you will act as a Referral/Prior Authorization Specialist to ensure referrals are scheduled in a timely manner, maintains tracking and appropriate documentation of referrals and authorizations.
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The Coding & Authorization Team Supervisor supervises the authorization specialist and coding team members for the East and West region. Processes request for prior authorization from clinical operation teams.
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How you will make an impact:Initiates and manages clinical referrals for pre-authorization. Referral Specialist is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.
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JOB TITLE: Pre-Authorization Specialist. Remains current with the policies mandated by Federal and local governments, Medicare/Medicaid programs and other private healthcare programs regarding handling of medication prior authorization requirements.
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Works the follow up work queue for Retro Authorization denials by either correcting the PCP or obtaining a retrospective authorization and routing the claim back to Denials Management for rebilling.
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Obtains authorization from the assessing clinician prior to editing and completes appropriate coordination note to indicate to the Coding Specialist recommendations that were accepted or declined.
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The contracts Core Capabilities are: IA Management, Federal Information Security Management Act (FISMA) coordination and reporting, Risk Management Framework (RMF) application, IA compliance measurements and metrics, Assessment and Authorization (A&A), Vulnerability Management, and Cyber Defense support.
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Verify eligibility and benefits for the medication requested as well as follow-up submitted prior authorization/pre-certification requests with the health plan ensuring timely turn-around time.
$23.93 - $35.9 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago
authorization specialist jobs
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