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Utilizes Epic Referral Work Queues, Experian Real Time Authorization (RTA), phone, payer websites and fax to complete prior authorizations for imaging and specialty services. Duties & Responsibilities Partners with LMC departments and insurance companies to provide quality care to LMC patients through the authorization process prior to patients' date of service.
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Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. Prior to a patient receiving treatment, obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
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Validate payer source, obtain pre-certification and/or prior authorization by reviewing clinical data and documentation against InterQual and Milliman Care Guidelines (MCG) criteria and/or payer guidelines against planned level of care to validate, if appropriate.
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Traveling Registered Nurse, Travel, ER, RN – ER, Contract, Travel, Traveling Nursing, Assignment, Registered ER, Emergency Room Nurse, ER RN, Emergency Room Nurse, ER Travel Nurse, Healthcare RN, ER Nursing, Nurse RN, RN Nurse, Contract RN.
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No prior end dump experience? If you are an experienced end dump driver or if you are an experienced truck driver who would like to learn end dumping we want to talk to you. Woody Bogler Trucking is Now Hiring Regional CDL-A End Dump Drivers.
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Must have prior experience with E-Line and ELAN doing provisioning, testing, and troubleshooting. n nRequired Qualifications: n nMust have prior experience with E-Line and ELAN doing provisioning, testing, and troubleshooting.
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Focus Staff is seeking a ER Registered Nurse for a travel contract in La Plata, MD. The ideal candidate will have at least 1 year of experience in a ER setting. If you’re seeking a Travel Emergency Room Nurse position in La Plata, MD and are looking to work with an agency that will listen to your needs and career goals, then Focus Staff is the right place to be.
$2,075.09 a weekFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Prior experience in healthcare, long-term adult care, senior adult day program, or residential and/or long-term care preferred. Started in 1979, Winter Growth is an adult day program, memory care, assisted living, and respite care program rooted in independence, dignity, and life satisfaction.
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Terms and conditions apply #registered vet technician (RVT) #licensed veterinary technician (LVT) #veterinary technician specialists (VTS) #certified veterinary technician (CVT) We’re looking for full time or part time Licensed Veterinary Technicians (or a VT currently in the process of completing accreditation) to add their passion, skills, and education to our team.
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Graduate Nurse completes all clinical skills under the direct supervision of a licensed Registered Nurse. Actively participates in managing clinical situations for which he/she is assigned under the direct supervision of a licensed Registered Nurse who oversees all clinical experiences, documentation and procedures in the clinical environment.
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Adult Cardiac Sonographer with a satisfactory completion of an accredited non -invasive cardiovascular training program, with a focus in adult echocardiography and/or vascular ultrasound studies ARDMS registered in adult echocardiography with RDCS (AE) designation OR CCI registered with Cardiac Sonographer designation required.
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Minimum 1-year prior nursing experience. Posted job title: RN - Corrections Nurse. Supplemental Health Care is seeking a travel nurse Correctional for a travel nursing job in Columbia, South Carolina.
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Registered vet technician (RVT) #licensed veterinary technician (LVT) #veterinary technician specialists (VTS) #certified veterinary technician (CVT) registered vet technician (RVT) #licensed veterinary technician (LVT) #veterinary technician specialists (VTS) #certified veterinary technician (CVT.
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Prior experience in wealth or financial planning, advising, or life and/or annuity sales. Wealth Advisor, Financial Advisor, Life Insurance Sales, Life Insurance Planner, Fiduciary, IAR Representative, Annuity Salesperson, Financial or Insurance Wholesaler, Internal Financial or Insurance Wholesaler, Pharmaceutical Sales and more.
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Manage and collaborate with an interdisciplinary group consisting of Licensed Practical/Vocational Nurses (LPN or LVN), Certified Nursing Assistants (CNA) and support staff to provide comfort, peace, and dignity.
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registered prior authorization jobs Title: licensed practical nurse in Columbia, Anoka, Minnesota
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