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Wolfe Eye Clinic is seeking to add a full-time Prior Authorization Specialist to our West Des Moines clinic. Prior Authorization Specialist. Get prior authorization approval from insurance companies for procedures, medications, and testing.
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Preferred: PBM/Health Plan experience evaluating and reviewing Prior Authorization Specialty Pharmacy experience MTM certification, or other specialty certifications Benefits and Perks: At EmpiRx Health, we understand that a fulfilling career goes beyond the tasks at hand.
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Perform Prior Authorization Reviews for our patients of Bone Growth Stimulators and submit to insurance company. The DME Authorization Coordinator will provide DME operational support to ensure DME, Orthotics, supplies etc., provided to patients meet insurance billing requirements.
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This role entails managing the entire intake process, including pre-registration, prior authorization, providing support to providers through liaison functions, and closely collaborating with the billing team.
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Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
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Optum Pain Medicine, part of Optum, has an immediate opening for a friendly, patient focused and detailed oriented Authorization Specialist to join our team. Authorization Specialist is responsible for the completion of set processes and protocols.
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Minimum three (3) years medical insurance verification and authorization required. Obtains insurance authorization and pre-certification specifically for chemotherapy services. Maintains a good working knowledge of chemotherapy authorization requirements for all payers, State and federal regulatory guidelines for coverage and authorization.
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Updates information in patient medical record (EMR) with approval or declination information; follows up with Primary Care Physician as to status and/or issues with prior authorization. MINIMUM EXPERIENCE: 1-2 years’ experience with insurance referrals, prior authorization or other relevant medical office experience.
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Job SummaryMedical billing company located in Tempe, Arizona is seeking a Part-Time Remote/Work from Home Insurance Verification and Prior Authorization Specialist. Follow up with insurance companies to ensure documentation has been received and prior authorization and/or gap exception is in process.
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Verifies physician orders are accurate, determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. The duties required include pre-authorization of services performed within the hospital and clinics per payor guidelines in timely manner.
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The Authorization Coordinator works under direction of Social Worker or Case Manager RN. The Authorization Coordinator provides Important Message follow up letter to Medicare patients per Tenet policy and under the direction of the RN Case Manager or SW Transition Management.
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Pre-Authorization Specialist II - Business Office Supervisor - Business Office Manager. Pre-Authorization Specialist I. Pre-Authorization Specialist II - Business Office Supervisor - Business Office Manager.
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The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for prior authorization needs, obtaining needed prior authorizations, and properly documenting all steps in the process.
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Sante Health System is looking for a full-time Surgery Scheduler & Authorization Coordinator to join our medical office, Advanced Gastroenterology & Hepatology Associates in Fresno, CA. This position is responsible for making and scheduling surgery appointments for patients in an efficient and timely manner.
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Work closely with referring physicians and payors to ensure authorization for the patients scheduled procedure (if required) is obtained prior to his/her appointment. University Radiology Group is seeking a Full-time, Pre-Authorization Coordinator for our East Brunswick, NJ Business Office.
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Title: prior authorization Company: Centene Corporation
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