Average salary: $50,636 /yearly
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...eligibility via various tools. Requests and creates referrals for specified population, as required.
Pre-certifies and obtains authorization numbers and enters information into patients account obtaining medical, ICD and CPT codes.
Contacts external companies to...
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...Prior Authorization Specialist - Columbus, OH 43235
Our client is looking for a full-time Prior Authorization Specialist. This role will focus on benefits investigation and prior authorizations through the denials and appeals process. This position requires experience...
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Full time
Shift work
...are committed to hiring, developing, and retaining a diverse workforce.
Job Description Summary:
The Area Verification and Authorization (AVA) Supervisor directly overseas the day-to-day operations of the Patient Benefit Verification and/or Authorization team...
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Overseas
Description
POSITION SUMMARY:
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work with internal and external pharmacies, CoverMyMeds...
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Flexible hours
Weekend work
Afternoon shift
...excellence in the industry in technical documentation and documentation practice. This is your chance to be a part of that, as a Technical Author.
The role of a Technical Author You'll be part of an engineering team, focused on a specific Canonical product area. You will...
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Local area
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Worldwide
...Remote Prior Authorization Pharmacist
**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role, you will play a crucial part in evaluating medication requests, ensuring adherence to...
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Remote job
...to ensure that the correct content and copy is approved and accurate.
He/She will work with existing templates and components to author content within the AEM CMS . He/She will leverage existing AEM templates, components, and workflows to update content. This...
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Full time
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Relocation
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...workforce.
Job Description Summary:
Hiring Range From $18
This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and quality Job Description:
Job Responsibilities...
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...at Actalent in Newark, Delaware, United States
Description:
Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards contractual requirements and a member’s benefit coverage...
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...Experience working on code committees or participating in industry recognized projects, preferred.
~ Employees must be legally authorized to work in the United Sates. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not...
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...You coordinate, process, and authorize with style. You’re a Medicare Part B pro and are an experienced insurance, billing, or central intake professional. Thorough, timely, and accurate are all words that describe you best. You’re no stranger to data entry or insurance...
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Part time
Remote job
Shift work
...delivery role.
~ Experience in LTSS Strongly Preferred
:
Conduct clinical decision review for services requiring prior authorization
Interpret Clinical criteria to determine medical necessity of services
Communicate results of review verbally, in medical...
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Contract work
Remote job
Flexible hours
Day shift
Monday to Friday
...Washington
What You Bring to SAM
Must be a transitioning service member from one of the branches of military
Must have written authorization and approval from your commander
Willingness to learn about the geospatial solutions and construction services industry (No...
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Internship
Immediate start
...years of experience with Agile engineering practices
At this time, Capital One will not sponsor a new applicant for employment authorization for this position.
The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note...
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Part time
Local area
...implementing data processing solutions on AWS
Capital One will consider sponsoring a new qualified applicant for employment authorization for this position.
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits...
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Full time
Temporary work
Part time
Local area
...AWS
- 2+ years of experience in Agile practices
At this time, Capital One will not sponsor a new applicant for employment authorization for this position.
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits...
Full time
Temporary work
Part time
Internship
Local area
...experience
2+ years of experience in Agile practices
At this time, Capital One will not sponsor a new applicant for employment authorization for this position.
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits...
Full time
Temporary work
Part time
Internship
Local area
...platforms
3+ years of experience with AWS
Capital One will consider sponsoring a new qualified applicant for employment authorization for this position.
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits...
Full time
Temporary work
Part time
Local area
...may or may not be physically present
Utilize standardized protocols for medication management, prescription refills and prior authorizations.
Conduct thorough and accurate reviews of patient medications and update as needed
Provide comprehensive education and...
Immediate start
...Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of...
Temporary work
