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Description The Administrative Specialist Lead serves as team lead for practice support staff who are responsible for appointment and test/procedure scheduling, insurance eligibility and authorizations, responding to patient calls, appointment reminders, surgery scheduling, faculty travel and meeting coordination, maintaining correspondence and clinical team information to as relates to clinical trials research, charge document processing, and other patient practice support needs.
$22.03 - $43.68 an hourExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Verify eligibility and benefits for the medication requested as well as follow-up submitted prior authorization/pre-certification requests with the health plan ensuring timely turn-around time.
$23.93 - $35.9 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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CA Preliminary or Clear Education Specialist Instruction Credential (Mild/Moderate) with English Language Authorization (ELA) Perform other duties in support of the Special Education Specialist program.
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Understanding of internal controls over initiation, authorization, processing, recording and reporting of payroll transactions. Knowledge of applicable Federal and State HR/Payroll Laws (FMLA, FLSA, e.g.) and IRS regulations that impact payroll.
$30 - $33 an hourFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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CA Education Specialist Credential (Mild/Mod authorization) We are now seeking full-time qualified Special Education Teachers for the 2024-2025 School Year. Our Resource Specialist Teachers enjoy professional autonomy, but they also benefit from the camaraderie of being considered part of the school community and the special education team.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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California Education Specialist Credential (mild/mod) with Autism Authorization (or be enrolled in a university program and intern eligible) Education Specialist Instruction Credential - Mild/Moderate.
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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 Utilization Review Specialist (UR Specialist) is responsible for contacting external case managers/managed care organizations for pre-authorization and concurrent reviews throughout the duration of patient’s treatment stay, and assists the treatment team in understanding the different requirements that various insurance companies have for admission, continued stay and discharge planning.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Ensures that any pre-certification and/or authorization is obtained to meet individual payor payment authorization protocols. The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between.
$22.87 - $34.37 an hourPart-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Functional Elements: Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely processing referrals/authorizations in the Managed Healthcare (MHC) system and distributing a complete file to UM Specialist within 2 hours of receipt; Identify duplicate requests using the claims and CSIM system to verify existing authorization.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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A valid California Adaptive Physical Education Specialist credential and an English Learner authorization are required. Credential must show Subject Description, expiration date and EL Authorization.
Full-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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The UM Nurse Specialist provides organizational support in the Utilization Management Department; efficiently processes Pre-Service Authorization Requests. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
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Communicate and alert the Director of Billing and Accounts Receivables / Collections Supervisor/ Assigned AR Specialist of any billing disputes or early warning signs of changes in payment patterns and of clients with issues that require more attention.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Minimum one (1) or more years of experience as a referral authorization coordinator/ specialist in an IPA/ Medical Group or Health Plan setting. The RN/LVN Case Manager acts as patient advocate through the continuum and is available to the physician, patient and family as a resource to facilitate communication.
Full-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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They are responsible for, but not limited to, scheduling, Pre-Registration, estimates and collections, authorization verification and notice of admission enterprise wide - set the tone for patient experience when receiving care at PSJH. Functions may also include claim edits, DNB's or Stop Bills, Maintaining the integrity of guarantor record as well as the coverage record.
RemoteExpandApply NowActive JobUpdated 11 days ago
authorization specialist jobs in Los Angeles, CA
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