Precertification & Authorization Specialist
Allied Digestive Health
A healthcare provider is seeking a Precert Coordinator to manage precertification and prior authorization processes. This role ensures prompt insurance approvals, minimizes delays in treatment, and supports compliance with regulations. Responsibilities include tracking requests, maintaining accurate records, and communicating with patients and providers. Candidates should have a high school diploma, 1-2 years of healthcare experience, and proficiency in EHR systems. Strong organizational and communication skills are essential for success in this position. #J-18808-Ljbffr Allied Digestive Health
- ...Job Title Required Skills & Experience: Prior authorization experience within plastic surgery, radiology, or outpatient procedures. Experience working with out-of-network providers or gap exception requests. Experience supporting surgical or procedure-based authorization...SuggestedWork at office
- ...financial assessment of all residents to determine if Medicaid assistance is needed. Take a hands on approach to educating residents and authorized representatives of eligibility requirements while timely assisting to obtain and review documents for LTC Medicaid eligibility....SuggestedWork at office
- The CAQH Specialist maintains complete, accurate, and current provider profiles in the CAQH Provider Data Portal to support timely credentialing... ...reattestation requirements; coordinate provider review and authorization and complete permitted actions within established deadlines....SuggestedRemote work
- ...The role requires precise data entry and clear radio communication while following established response plans and directions from authorized personnel. Applicants should have a high school diploma or equivalent, comfort with computers, maps, and radio systems, and may...Suggested
- ...continuum. For more information, visit SUMMARY A Front Office Specialist is trained to act as the first point of contact, setting the... ...well as doctor’s time and schedule. Double check insurance authorizations to ensure completion and build accurate flow sheets. Check...SuggestedWork at office
- ...SpecialistApplylocations: Red Bank Officetime type: Full timeposted on: Posted Yesterdayjob requisition id: JR101967**Job Context**The Specialist drives product adoption and expansion within the existing Simpro Group customer base by combining technical product expertise,...Flexible hours
- ...school year. To prepare for these opportunities, we are searching for candidates interested in working as a Special Education Reading Specialist for all grade levels.This is not a job posting, but a general application. The information you include will be used to match you...
- Job Purpose The Patient Resolution Specialist manages a large volume of inbound and outbound calls in a timely manner, to patients of our client hospital and health systems, to secure payment of outstanding account balances, resolve account inquiries, and investigate and...Remote jobWork at officeLocal area
$20 - $23 per hour
...driven by our vision to inspire people through golf and tennis.Position SummaryReporting to the General Manager, a STUDIO Fitting Specialist is responsible for engaging with every customer to provide world-class service, building lasting relationships that encourage...Hourly payWork at officeFlexible hoursNight shift$25.77 per hour
...serve as a leader of positive change. The Patient Access Specialist is responsible for all Inpatient and Outpatient Patient Access... ...patients plan prior to receiving services. Verifies pre-authorization requirements and follows up with both the referring physician...Hourly payFull timePart timeApprenticeshipWork experience placementWork at officeShift workNight shiftRotating shiftWeekend workAfternoon shift$21 - $25 per hour
...Job Description: Insight Global is seeking a Payment Posting Specialist for a top healthcare client. This candidate will join a growing revenue cycle team responsible for ensuring the accurate posting, reconciliation, and tracking of insurance and patient payments...$19 - $20 per hour
...administrative and communication processes that keep our practice moving. From verifying insurance coverage and securing prior authorizations to coordinating physician referrals and optimizing schedules, you'll play a central part in helping patients access the care they...Part timePrivate practice- ...Representative in New Jersey. You will handle patient intakes, scheduling, and registrations while verifying insurance and processing authorizations. The role requires strong communication, organization, and multi-tasking abilities in a healthcare setting. You will pre-...
$76.2k - $95.3k
...Revenue Integrity Specialist Req #: 0000270070 Category: Revenue Cycle and Patient Access Status: Full-Time Shift: Day Facility: RWJBarnabas Health Corporate Services Department: Revenue Integrity Pay Range: $76,200.0...Full timeTemporary workWork at officeLocal areaFlexible hoursShift work$1,000 per month
...Leasing Specialist at Livana Monmouth SquareOur company remains guided by its experience and ability to create long-term value in strategically focused markets. We continue to attract the best talent in the industry and remain focused on growing our organization with...Temporary workLive inLocal areaRelocation package- ...Role Overview The Specialist drives product adoption and expansion within existing Simpro Group customers. By combining technical product expertise with cross‑functional collaboration, this role identifies cross‑sell opportunities, supports Account Managers on expansion...Flexible hours
$22 - $26 per hour
...exercise discretion to modify client schedules as neededl Exercise discretion to schedule clients appropriately, maximizing their authorization Communicating all schedules changes with entire team including family, RBT, and BCBA Use judgement in addressing concerns...Hourly payFull timeTemporary workLocal areaMonday to Friday- The YMCA of the Jersey Shore seeks a Therapeutic Visitation Specialist to support parent-child visitation for CP&P involved families, in home or community settings. You will conduct intake assessments, develop visitation plans, document visits, and coordinate with DCP&...
- Bank of America is seeking a customer-focused associate to engage clients in the lobby, educate them on self-service options (ATM, online, mobile banking), and assist with transactions. The role requires building relationships, understanding client financial needs, and ...
- The YMCA of the Jersey Shore seeks a Therapeutic Visitation Specialist in Eatontown, NJ 07724 to support home- and community-based parent-child visits for families needing therapeutic intervention. This full-time role includes intake assessments, visitation planning, documentation...Full timeWork from home
- RWJBarnabas Health is seeking a Labor & Delivery Technician at Monmouth Medical Center to support safe, patient-centered care in a fast-paced perioperative environment. The role involves assisting the surgical team, maintaining sterile technique, instrument processing, ...
- CPC Behavioral Healthcare is seeking a Crisis Worker in Eatontown, NJ. You will deliver crisis intervention, assess needs, and coordinate care with treatment programs. The role requires working a mix of day, evening, and weekend shifts across various settings. Qualifications...Weekend workDay shiftAfternoon shift
- ...continue to expand, we are looking for an experienced Provisioning Specialist to join our Global Professional Services team. In this role,... ...requests, evaluate business impacts, and exercise independent authority to approve, reject, or re-route non-standard requests. Cross-...Casual workWork at officeLocal areaRemote workWork from homeWorldwideHome officeFlexible hours
- Physicians Practice Enhancement Llc is seeking a CAQH Specialist to maintain provider profiles in the CAQH Provider Data Portal, supporting credentialing and payer enrollment. You will own provider records, resolve deficiencies, and coordinate with providers and internal...Remote job
- NJAC is seeking a Residential Assistant to provide 24-hour staffing in a supportive housing program for men living with HIV/AIDS. You will participate in crisis intervention, emotional support, daily living assistance, and health-related programming to promote wellness ...
- RWJBarnabas Health in West Long Branch, NJ, is seeking a Neurodiagnostic Tech II responsible for obtaining EEG recordings and advanced testing procedures. The role requires a high school diploma, completion of an EEG program, and at least one year of neurodiagnostic experience...Full timeShift workDay shift
- ...records, tracking information, and carrier rate details.Follow security procedures for sensitive materials, including verifying authorized pickups and maintaining chain-of-custody records.Monitor shipping supplies and assist with incoming deliveries, returns, and shipment...
- Description POSITION SUMMARY The Utilization Review Specialist is responsible for ensuring clinical services are medically necessary, appropriately authorized, and compliant with applicable New York State Office of Addiction Services and Supports (OASAS) regulations,...Work at office
$17 - $30 per hour
...Junk Removal Specialist The Junkluggers is a caring alternative to traditional furniture and junk removal with a commitment to enhancing lives, communities, and the environment by donating, recycling, and supporting local charity partners. We believe that it is possible...Hourly payFull timeLocal areaMonday to FridayWeekend work- Simpro Software in Red Bank, NJ, is seeking a Specialist to drive product adoption and expansion within our customer base. The ideal candidate will combine technical product expertise with exceptional communication skills to engage customers and support Account Managers...
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