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Castle Biosciences Inc. is growing, and we are looking to hire a Pre-Billing Prior Authorization Specialist working from our Friendswood, TX office location, with a preferred start date of April 16, 2024.
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The Tissue Authorization Specialist- Night Shift will effectively screen, triage all incoming organ, and tissue referrals. Secures permission of county coroner or medical examiner if necessary, before proceeding with donation.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
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Authorization Coordinator is under the direction of the Central Scheduling Manager, coordinates and facilitates prior authorizations for scheduled procedures at Duncan Regional Hospital.
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The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.
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Pre-Authorization Reviewer will work closely with Business Office, Medical Records, Scheduling, Registration, and Administration to assure insurance process and utilization review flows smoothly.
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Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patient(s) scheduled.
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Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
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We are seeking a skilled and detail-oriented individual to fill the role of Primary Care Prior Authorization Specialist. Prior Authorization Specialist- Medical Assistant. The primary responsibility of this position is to work with primary care physicians to obtain prior authorization for medical procedures and treatments.
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For North Carolina LTSS:Experience to include 2+ years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
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The Prior Authorization Specialist will be processing referrals and scheduled procedures, and initiating contact with insurance carriers to get CPT code approval. A Prior Authorization Specialist is responsible for maintaining a high level of customer service.
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For Sunflower Health Plan:Licensed Psychologist (LP), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Registered Nurse (RN), or Advanced Practice Registered Nurse (APRN) required.
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Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial.
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Fulltime Prior Authorization Specialist positions are eligible to receive a $1,000 sign on bonus with a one year commitment to remain with ANTHC. Bonuses are paid in one lump sum directly after the first full pay period after the first day of employment (bonus paid the first full pay period following the first day of employment as a lump sum minus applicable payroll withholdings.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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The Lead Prior Authorization Specialist is responsible for obtaining benefit coverage information, pre-certification, and pre-authorization for cases referred to A3i and ensuring timely processing of every pre-service review.
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Title: prior authorization Company: Centene
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