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For patients who do not receive insurance coverage, the prior authorization specialist refers accounts to the financial counselor and/or identifies the patients who need to receive a Medicare Advance beneficiary Notice of Noncoverage (ABN.
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Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization. If you are qualified and interested in the Prior Authorization Specialist role, please apply today.
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Clinical Review Nurse - Prior Authorization, utilization review nurse, prior authorization nurse. Education Preferred: ADN, BSN are preferred LPN - Licensed Practical Nurse - State Licensure required Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria.
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Check eligibility and benefits on all DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval. Check eligibility and benefits on all items requiring a benefit check such as DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval.
$18 - $20 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Prior Authorization Specialist is responsible for obtaining prior authorizations for all required procedures and maintaining accurate and timely record-keeping of all related documents and actions.
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Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for obtaining information and assisting providers and insurance companies in triaging prior authorizations for patients of the specialty pharmacy.
$18.13 - $22.6 a yearRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assists with processing of prior authorization requests. As you consider joining UC Davis, please explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education, and our latest efforts to outgrow the expected.
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Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If this opportunity is your next step in your career path, we encourage you to apply for our Clinical Nurse Coordinator RN Postpartum opening.
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Description Introduction Do you have the career opportunities as a(an) Clinical Nurse Coordinator RN Postpartum you want in your current role? We partner with our Nurses at Methodist Hospital Metropolitan Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift.
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Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial.
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Minimum three (3) years medical insurance verification and authorization and two (2) years clinical review experience required. The US Oncology Network is looking for an Insurance Authorization Specialist to join our team at Texas Oncology.
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Certification as a Clinical Nurse Specialist (CCNS) is required. Perform clinical evaluations andmake clinical judgments based on a synthesis of concepts, principles,models and theories to solve complex problems.
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Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join a family that cares about every stage in your career We are interviewing candidates for our Clinical Nurse Coordinator RN NICU opening.
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Prior Authorization Utilization Management Nurse Consultant page is loaded. Prior Authorization Utilization Management Nurse Consultant. Previous prior authorization experience.
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The Clinical/Research Nurse specialist works in a strategic role in the Maternal/Child HIV Program and as a Research Coordinator within the Section of Pediatric Infectious Diseases. Clinical Research Nurse, Pediatrics (Maternal/Child HIV Program.
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Title: clinical nurse prior authorization in Crossville, Tennessee
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