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In addition, the Prior Authorization Specialist may be responsible for pre-appointment registration and insurance review to maximize the submission of a clean claim. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time Prior Authorization Specialist with a can-do attitude and strong professionalism.
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The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
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Please see below for the functions and requirements for this position:GENERAL STATEMENT OF DUTIESThe DME Prior Authorization Specialist is responsible for completing the pre-registration, registration, eligibility verification, verification of benefits and pre-certification/documentation processes which involves communicating with patients, and insurance companies to ensure that all appropriate demographic and reimbursement information is accurate to prior to the patients scheduled appointment.
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Job DescriptionJob DescriptionSalary: Refocus Eye Health is seeking a highly motivated and well-organized individual to serve as a Prior Authorization Specialist for our growing Ophthalmology practices.
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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.
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Will allow acute care nurse practitioner with nursing home/geriatric or hospice palliative experience OR state unrestricted licensed Physician s Assistant NCCPA board certified with nursing home/geriatric or hospice/palliative experience.
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Kindbody is a leading fertility clinic network and global family-building benefits provider for employers offering the full-spectrum of reproductive care from preconception to postpartum through menopause.
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The RN Manager, Post Acute Services at Ascension Saint Agnes Hospital is responsible for overseeing the integration and management of Post Acute Care, Palliative Care, and Transitional Care Management (TCM) services.
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Regularly attends all team and staff meetingsAll other temporary and/or permanent duties as assigned by the Team Leader of Prior Authorization SpecialistRequirements:Previous experience in medical preauthorization/precertificationKnowledge of health care insurance and third-party payers.
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We are a diversified provider of post-acute care in settings ranging from long-term acute care hospitals to skilled nursing facilities. BridgePoint Healthcare provides patient-centered, individualized care for patients requiring longer hospitalizations in post-acute care settings.
$45.15 - $64.72 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Surgical Authorization Specialist Job Purpose: The Surgical Authorization Specialist is a member of the Surgical Auth Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre-certification, authorization, and referral requirements are met prior to the delivery of outpatient and ancillary services.
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Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines. Possess skill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor.
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We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
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TeamHealth has been in operation for over 40 years and as the leading provider of facilities-based medicine, TeamHealth's post-acute care program is the largest network of post-acute care clinicians.
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St. Anthony's is a fully accredited not-for-profit general acute care health facility with 133 licensed beds and over 700 employees. As an Advanced Provider you play a critical role in improving the level of care in the Urgent Care Department.
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care provider acute prior authorization jobs Title: specialist in Holdrege, Nebraska
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