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Into the home health electronic medical record (EMR) Performs quality assurance on all initial intake referrals upon submitting authorization request to assure there are no date entry errors by the intake specialist.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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We are looking for a sharp, ambitious, and enthusiastic Authorization Specialist to join our team. Review daily schedules to verify that visits have been through pre-authorization process.
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Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required. Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
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The Patient Service Representative/Authorization Specialist is responsible for administrative duties in a rehabilitation clinic with 1 to 12 Providers. $4000 SIGN ON BONUS for experience Authorization Specialist.
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The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage. The Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits.
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Works closely with insurance companies in order to gain proper authorization for any specialty drugs that require additional authorization. Demonstrate the 4 E's: Edge, Execute, Energy, and Energizer.
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Implement Risk Management Framework (RMF)/Security Assessment and Authorization (SA&A) requirements for dedicated cyber defense systems within the enterprise, and document and maintain records for them.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Cyber Defense Infrastructure Support Specialist provides Enterprise and Tactical Infrastructure knowledge, experience, and integration to the Cyber Protection Team (CPT). One of the following Certs: CEH, CFR, CySA+/CSA+, CHFI, CND, Cloud+, SSCP, GICSP.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Board Certified Pharmacotherapy Specialist (BCPS) preferred. Evaluates medication utilization and prior authorization requests for medications available via the pharmacy benefit and the medical benefit including specialty ambulatory injectable and/or infusion medications as related to member benefits, medical necessity, site of service, and evidence based clinical guidelines.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Avosys is seeking a Bexar County Remote Registered Nurse - Medical Review Specialist to work remotely to review Medicare claims. Perform clinical reviews of Medicare Part A and Part B claims for Medical Review, Redeterminations/Appeals (Appeals), and Prior Authorization requests (collectively, the “Services”) in accordance with CMS (Centers for Medicare & Medicaid Services) requirements.
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The Intake and Authorization Specialist at Circle of Care is a key member of the authorization team. Join our compassionate and knowledgeable team of professionals as an Intake and Authorization Specialist and help us grow.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The primary role of the Population Health Management Pharmacist is to provide leadership and guidance for the plan’s various population health related goals such as Medicare Part D Star Ratings and medication related Healthcare Effectiveness Data and Information Set (HEDIS) measures to achieve continuous improvement and overall high quality metric scores.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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This is a Financial Management Level 2 Certified position IAW the National Defense Authorization Act (NOAA) 2012, Public Law 112-81, Subtitle F-Financial Management, Section 1599d. The primary purpose of this position is to serve as a Financial Management Specialist in the Resources Directorate (RM.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Process accounts payable transactions including verifying invoices, coding expenses, and obtaining proper authorization for payment. Vendor Relations (3 years of experience is required) Process payments, including checks, electronic transfers, and ACH payments.
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Obtains authorization for administration and specialized medication s -authorization obtained through Medication Intake Department or through Specialty Pharmacy. Sets up Peer to Peer review between physician and insurance carrier if prior authorization has been denied.
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authorization specialist jobs in San Antonio, TX
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