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Description :The Prior Authorization Specialist works with departments and insurance companies to obtain the necessary pre-certifications and authorizations for services ordered/scheduled by Gundersen Health System.
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Specifically for this position the Genetic Counselor Assistant will provider pre-and post-clinic support to genetic counselors and other healthcare providers that help clients understand and adapt to the implications of genetic contributions to disease.
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Resolves all outstanding Alerts on pending appointments within 48 hours of the scheduled appointment to minimally include: Missing Referral Missing Pre-certification/Authorization Self Pay Accounts Eligibility Verification Missing Demographic/Insurance Information.
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Requirments:Must have a high school diploma or equivelantMust have at least 6 months of prior authorization/pre certification experience Must have EPIC experience Schedule:This is a full time Monday-Friday 9am-5pm or 10am-6pm.
$20 - $23 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assists in scheduling exams and ensuring pre-authorization is obtained prior to performing exams. About the Job Location: New Hanover Medical Group Department: NHMG-Myrtle Grove Radiology Full Time Equivalent: FTE: 0.1 Work Type: 1 to 31 Hours Pay Period Work Schedule: 8 HR Day Exempt from Overtime: Exempt: No What You'll Do Summary: Under the general direction of the Radiology Manager this individual performs Computerized Tomography, X-ray and bone density procedures to assist physicians in the diagnosis of disease and injuries.
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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.
$29.42 - $46.14 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Utilization of clinical skills to support the documentation and communication of medical services and prior authorization determinations. Follow all prior authorization procedures to guarantee an accurate process on each prior authorization.
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Review clinical documentation and submit to insurance companies for initiation and obtaining authorization or pre-certification on OP diagnostic hospital services. Work closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system.
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Obtains and insure pre authorization. HCA Healthcare's other New Hampshire hospitals include Portsmouth Regional Hospital and Frisbie Memorial Hospital in Rochester, as well as freestanding emergency rooms in Seabrook and Dover.
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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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Ensure pre-authorization and insurance verification processes are conducted accurately and efficiently. This role requires strong leadership, organizational, and analytical skills, as well as a background in medical billing, coding, claims management, ERA, authorization processes, and EDI specific to behavioral health services.
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Training and/or familiarity with Dialectical Behavioral Therapy (DBT), familiarity with abuse and neglect reporting and duty-to-warn mandates, knowledge of community-based resources and experience with pre-authorization and billing processes is preferred.
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The Pre-K Assistant Teacher will play an integral role in the success of our center by serving as a positive role model as well as creating meaningful relationships and being a supportive resource for our students, families and their team.
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RN – Pre-Op Registered Nurse - Health Advocates Network is urgently hiring Pre-Op RNs with at least 2 years of recent experience! Posted job title: RN - Pre-Op. Specialty: Pre-Op Registered Nurse (RN.
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Prior Authorization Specialist’s ResponsibilitiesComply with pre-certification information and forward it to the insurance company to establish medical necessity and prior approval. Prior Authorization Specialist’s QualificationsA High School Diploma or GED is required.
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pre authorization jobs Title: clinician Company: Tenet Healthcare in Forest-lake, Minnesota
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