Orthopedic Authorization & Payer Relations Specialist
The Nemours Foundation
The Nemours Foundation is looking for an Orthopedic Authorization Liaison in Wilmington, DE. This role is focused on optimizing payments for services through effective management of referrals and authorizations for orthopedic patients, addressing issues with insurance providers. You will work closely with hospital and physician departments, utilize EPIC applications, and maintain accurate documentation of communications. Ideal candidates should have significant experience and relevant certifications. #J-18808-Ljbffr The Nemours Foundation
- Direct Jobs is looking for an Orthopedic Authorization Liaison to join the Nemours Children's Health team in Wilmington, DE. This role involves processing referrals and authorizations for Orthopedic patients, ensuring compliance with insurance requirements, and collaborating...Suggested
- ...within expected time frames. Responsible for helping to secure a payer authorization and/or gathering information and documents pertinent to the... ...the Funding Manager and/or Funding Supervisor. Performs any related job duties assigned by the Funding Director, Manager or...SuggestedWork at office
- ...collaborate with the Funding Manager, RTS, and branch staff to secure payer authorizations for equipment and repairs. The role focuses on gathering... .... The ideal candidate will have 2 years’ experience in related areas, proficiency with MS Office, and a commitment to...Suggested
- ...alternative application process. Prior Authorization Specialist Full Time Clerical Newcastle, WY, US 8... ...prior authorizations from third-party payers before scheduled services are rendered... ...numbers, approval codes, and related information accurately into the registration...SuggestedFull timeWork at officeLocal areaImmediate startFree visa
$73.61k - $117.79k
Do you have experience in Labor Relations and looking to join a company based on excellence and love? Then this is the job for you! ChristianaCare... ...Position ChristianaCare is searching for a Labor Relations Specialist, in conjunction with the Labor Relations Manager, to be...SuggestedContract workWork at officeLocal areaRemote work- Jobtailor in Delaware seeks a Contract Administration and Labor Relations professional to support interpretation of the collective bargaining agreement, monitor compliance, and assist in grievances and arbitrations. The role emphasizes partnership with union representatives...Contract work
- ...County Health Services (WCHS) is seeking a full-time Pre/Prior Authorization Specialist for its on-site locations in Newcastle, WY. The role... ...eligibility, determining authorization needs, and communicating with payers and clinical staff to avoid denials. #J-18808-Ljbffr...Full time
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## Neuroscience Hospital Specialist (Wilmington, DE)Applylocations: Remote-Sales: Wilmington... ...drivers such as competitive landscape, payer dynamics, and institutional influence.**... ...Crime Complaint Center at: or your local authorities. #J-18808-Ljbffr Otsuka Pharmaceutical...Temporary workWork at officeLocal areaImmediate startRemote workWorldwideFlexible hours- ...Bachelor’s degree or higher in Behavioral or Social Science or a related field. Knowledge of working with at‑risk youth. Knowledge of... ...from driving). Conditions of Hire Applicants must be legally authorized to work in the United States. A satisfactory criminal...
- Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid /... ...medically necessary, appropriately authorized, and compliant with payer, state, and regulatory requirements... ...Assist with appeals and utilization-related inquiries Participate in audits, quality...Full timeRemote workMonday to FridayFlexible hours
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$128.1k - $213.5k
...Company’s Risk Appetite. Design, implement, maintain, and enhance internal controls to mitigate risk on an ongoing basis. Identify risk-related issues needing escalation to management.Promote an environment that supports belonging and reflects the M&T Bank brand.Maintain M&T...Full timeWork experience placementWork from home$101.5k - $115.5k
The Senior Employee Relations Lead is responsible for conducting thorough, timely, and impartial workplace investigations involving complex... ...sponsorship for this position. Applicants must be currently authorized to work in the United States on a full-time basis now and in...Full timeContract workWork at officeLocal areaNight shift- ...review and drafting of patent applications and other prosecution-related documents for Incyte’s pharmaceutical or biopharmaceutical... ...personal data. You may also have a right to report concerns to the authority responsible for data privacy in the country where the position...Private practiceWork at office
- Division Coordinator - Orthopedics (Finance) Nemours is seeking a Division Coordinator, Orthopedics to join our Nemours Children's Health team in Wilmington, DE. The Division Coordinator will support one or more of the Orthopedic program areas including but not limited...TraineeshipCasual work
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