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Responsibilities for this Prior Authorization Specialist will include insurance processing for healthcare, prior authorization and insurance investigation and appeals.
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Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Clinical Nurse Specialist. -Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology Primary Care, Adult-Gerontology Acute Care, Acute Care Nurse Practitioner, Pediatric, Neonatal, Psychiatric Mental Health or Women's Health Nurse Practitioner.
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In-depth understanding of Fiori authorization concepts, UI/UX aspects with SAP Security Space (Pages & Spaces, App Support, unified launchpad) Troubleshooting authorization issues on ECC,S/4 & B/4 (Fiori & HANA DB inclusive.
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Current licensure from the Texas Board of Nursing as an Advanced Practice Registered Nurse (APRN) with authorization to practice as a Family, Adult, Gerontology, Adult-Gerontology, Adult-Gerontology Acute Care, Acute Care, Pediatric, Pediatric Acute Care, Neonatal, Psychiatric Mental Health or Women's Health Nurse Practitioner.
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Support providers and reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests.
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Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
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5 years of experience developing ServiceNow CAM/IRM (Continuous Authorization and Monitoring / Integrated Risk Management) modules including good understanding of NIST Risk Management Framework, Risk and Audit processes in ServiceNow. ServiceNow Certified Application Developer (CAD) ServiceNow Certified Implementation Specialist – Risk and Compliance Excellent verbal and written communication skills Must be able to obtain and maintain a Public Trust.
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The Insurance Verification Specialist will be responsible for delivering a dynamic customer experience to all customers and demonstrate a strong commitment to service excellence. The Insurance Verification Specialist initiates contact with insurance companies for verification of benefits.
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Secondary Administrator for all government systems to include but not limited to DISS, NBIS (National Background Investigating Services), NISS (National Industrial Security System), ASC G2 (Army Sustainment Command G2 Adjudicative System), BAVR (Base Authorization and Visit Request.
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The role of the import specialist is to process and handle air and ocean import shipments for our customers, ensuring the highest quality standards and providing service solutions that meet or exceed our customers’ requirements.
$65,000 a yearFull-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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The Prior Authorization Specialist serves as a key resource in supporting the prior authorization request process, ensuring all requests are managed and addressed within the contractual timelines.
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The adjunct faculty for CS Authorization courses will be in charge of teaching the courses that have been approved in a hybrid modality. LCOE has developed a 4-course series to fulfill the California Commission on Teacher Credentialing (CTC) requirements to obtain a Computer Science Authorization.
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The Insurance Verification Authorization Specialist will assure authorization is obtained for all procedures and diagnostic testing to services being rendered. The Authorization Specialist will also initiate the authorization for direct admissions, emergency admissions, and emergency procedures.
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Overview Revenue cycle specialist is a n account receivables and billing expert who will perform necessary tasks for revenue cycle management including but not limited to claims management, A/R and denials follow-up and resolution, payment posting and collections management, Payer enrollment/credentialing and privileges, Authorization management.
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2 years of clinical experience with prior authorization and/or utilization review. Prior Authorization Registered Nurse. We are currently seeking a highly skilled and motivated Remote Clinical Review Nurse/Concurrent Review Nurse (RN) to join our dynamic team.
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authorization specialist jobs Title: prior authorization Company: Painpoint Health
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