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Prior Authorization Specialist Qualifications: Minimum of 1yr working experience in administrative role. Optima is currently seeking a Prior Authorization Specialist to join our team.
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Beacon Hill's client is looking for a Prior Authorization Specialist who will serve as a central contact for patients, providers and payers, via telephone (and potentially in person), assisting them in obtaining insurance pre-authorization for procedure.
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Patient insurance verification or pre-authorization experience in a health care setting, required; 2 years preferred. Operates computer and phone system to appropriately and accurately record contacts, discussions, patient tracking and the pre-authorization process.
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GENERAL SUMMARY: The Insurance Verification and Authorization Specialist is responsible for verifying patient insurance and benefits and obtaining prior authorization for scheduled medical services and hospital admissions following payer specific guidelines.
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Verifies insurance pre-authorization as defined by departmental protocols prior to scanning patient. Posted job title: Cat Scan Technologist | Part-Time | Newark Campus About ChristianaCare Delivering health, not just healthcare, is our promise to our community.
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Coordinating with ordering physicians and/or facility staff to secure the necessary prior payment authorization utilizing applicable payer criteria. Minimum of 3-5 years as a pre-authorization or utilization review nurse in a payer or acute care setting; preferably medical-surgical or critical care/ED.
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ChristianaCare's Newark Hospital Imaging Department is currently recruiting for a Part-Time (Per Diem) CT Technologist to work flexible hours Primary function: The primary function is performance of all phases of CT Scan Testing.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities.
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Advise the Information System Owner (ISO), Information Data Owner (IDO), Program Security Officer (PSO), and the Delegated and/or Authorizing Official (DAO/AO) on any assessment and authorization issues.
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Monitor work queues (through EPIC), work with insurance companies for predetermination and authorization, verifies patient insurance, monitors reports related to denials and other processes. Working knowledge of EPIC is preferred About Us CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region.
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Successfully complete school bus driver training programs and courses established by the State Superintendent of Public Instruction and/or the school district prior to employment. Must possess a valid Washington State School Bus Driver's Authorization.
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The adjunct faculty for CS Authorization courses will be in charge of teaching the courses that have been approved in a hybrid modality. LCOE has developed a 4-course series to fulfill the California Commission on Teacher Credentialing (CTC) requirements to obtain a Computer Science Authorization.
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Conducts review of requests for prior authorization of health services, as required in certain product lines, and prepares written responses consistent with regulatory requirements. VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
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Contacts patients to update medication reconciliation lists; supports management of prescription refills; pre/post procedure questions and handles insurance prior authorization of medications.
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Experience in the development of RMF Assessment and Authorization (A&A) Security Plans (SP), System Level Continuous Monitoring (SLCM), Ports, Protocols and Services Management (PPSM), Host Based Security Systems (HBSS), Assured Compliance Assessment Solution (ACAS) vulnerability scanning.
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prior authorization jobs Title: pharmacy tech Company: University Of Virginia in Laramie, Wyoming
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