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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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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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Advise customer on Risk Management Framework (RMF) assessment and authorization issues. Prior performance in roles such as ISSO or ISSM. Develop and oversee operational information systems security implementation policy and guidelines of network security, based upon the Risk Management Framework (RMF) with emphasize on Joint Special Access Program Implementation Guide (JSIG) authorization process.
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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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Evaluate authorization documentation and provide written recommendations for authorization to government PM's. Ensure all authorization documentation is current and accessible to properly authorized individuals.
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Contact physician to resolve issue regarding prior authorization or referral forms. Perform insurance verification and pre-certification follow up for prior day's walk in admissions/registrations and account status changes by assigned facility.
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Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all in office procedures, medications, and any surgical services in a timely manner.
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Coordinate the scheduling, referral management, registration, prior authorization and insurance verification processes for patients. Grandview Medical Center offers programs and services in all medical and surgical areas, including Cardiology, Oncology, Neurology, Women's Health, Mental Health, Digestive Diseases, Orthopedics, Physical Medicine and Rehab, Sports Medicine and Emergency Care. There are more than 600 physicians on the Grandview medical staff representing 30 specialties and subspecialties.
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You bring relevant experience in SAP Basis administration, role concepts and authorization in S/4 HANA, preferably in the retail or e-commerce area. SAP Inhouse Consultant - Authorization & Archiving (m/f/d) Remote.
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3+ years of experience with the Defense Counterintelligence and Security Agency (DCSA) Assessment and Authorization Process Manual (DAAPM) and Risk Management Framework (RMF) security processes.
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Providing support for the High-Value Assets (HVA) Program Manager, including tracking and forecasting Assessment and Authorization (A&A) schedules for all NOAA HVA teams. Conducting HVA penetration testing on NOAA non-tier 1 HVA systems and NOAA systems as required by the Cyber Security Division (CSD.
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GDIT's Military Health Team is hiring Administrative Assistant, with current or prior Department of Defense (DoD) required, to support the Defense Health Agency (DHA) and the National Intrepid Center of Excellence (NICoE) in Bethesda, MD.
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Notifies physician in charge, funeral home and all other authorities prior to beginning the dissections, coordinates special requests for specimen sampling (e.g., organ transplantation team, research, etc.
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You will oversee utilization management process including verification of insurance coverage, pre-authorization, resource management and overall management of patients within the continued stay criteria.
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Job DescriptionJob DescriptionPosition Overview: We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. Minimum of 2 years of experience working as a Prior Authorization Specialist in a pharmacy or healthcare setting.
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prior authorization jobs Title: technician Company: Genoa Healthcare Company
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