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The Drug Authorization Specialist, with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug authorizations for all injectable drug treatment plans ordered by Dana Farber Cancer Institute providers using knowledge of payer coverage policies and applies appropriate payer guidelines to all aspects of drug prior authorization work.
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Medical billing/coding experience or pre-authorization experience preferred. Wondering what a day in the life of a Pre-Authorization Specialist at The Iowa Clinic might look like? Obtain insurance pre-authorization for procedures, imaging exams, injections and specialty medication prescriptions.
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Knowledgeable and able to navigate eligibility portals for patient information/authorization information: eCW ; naviHealth ; Avality ; EPRG ; Trucare ; Waystar; UHC. Performs quality assurance on all initial intake referrals upon submitting authorization request to assure there are no date entry errors by the intake specialist.
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Authorization for Treatment Temporary/Relief Primary Care Physician shall agree that, as required by law, excluding emergency and primary care services, prior authorization must be obtained in writing from the respective CDCR/CCHCS Institution/Facility CEO/CME or designee, in accordance with CCHCS's Utilization Management Plan. Temporary/Relief Primary Care Physician shall complete and return all forms required by CDCR regarding treatment of patient/youth.
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MGH Gastroenterology has an opening for a Medication Prior Authorization Specialist. The Medication Prior Authorization Specialist is responsible for obtaining all medication prior authorizations.
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Sentara Martha Jefferson Hospital is hiring an Authorization Coordinator II - Full Time Day schedule. Responsible to secure semi complex, difficult authorization work as determined by payer behavior, time needed to authorize, opportunity research and key performance indicators.
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Oversee facility operations of Patient registration functions (e.g. pre-registration benefit verification pre-authorization admission/registration service pre-payment etc.) Revenue cycle areas to include but not limited to digital access pre-registration insurance verification point of service collections patient estimates prior authorization financial clearance financial counseling patient registration and work queue management within the parameters of designated performance standards and metrics.
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Communicate to the clinic about pre-authorization requirements and any updates. Inform patients on any prior authorization approvals or denials and the next step. 3+ years of healthcare front reception verification of benefits, prior authorization, and/or financial navigation experience in a fast-paced, customer-focused environment.
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Review medical records for required information related to authorization requirements. Kindbody is a leading fertility clinic network and global family-building benefits provider for employers offering the full-spectrum of reproductive care from preconception to postpartum through menopause.
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Fertility clinic experience is a plus. Many thousands more receive their fertility care directly from Kindbody throughout the country at signature clinics, mobile clinics, and partner clinics. Maintain positive relationships and clear communication with assigned Provider, Nurse and Clinic Manager to assist in moving patients through treatment.
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If pre-certification/authorization/notification of admission is required and has not been obtained, initiate via Passport, on-line or phone call. Verify insurance benefits and determine pre-certification/authorization status via online or other resources.
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In-depth knowledge of Prior Authorization or Referrals. Draws on real-world experience and maintains a working knowledge of health plan authorization and referral requirements. The PCS Business Integration Analyst is the link between Product, Client Success and Development with the goal of providing superior service and support to the various stakeholders responsible for the various Waystar Robotic Process Automation (RPA) product lines.
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The FRM is responsible for providing access and reimbursement education to HCP office personnel including medical policies, prior authorization requirements, coding and billing, product access via buy-bill or specialty pharmacy and site of care options and restrictions with the goal of minimizing barriers to therapy.
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Verify all insurance and obtain pre-certification/authorization. Enter all information and authorization/referral numbers into the registration system. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Assists Field Subcontract Administrator in the preparation of all extra work authorization requests (RFMPs/WAs). Monitors discipline solar construction productivity, progress, and cost, and reports to Construction Manager and Field Project Controls Manager.
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authorization job Title: signing Company: Bradbury Brothers Cooling Heating Plumbing
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