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As a licensed health care professional employed in the Pharmacy Prior Authorization Department your primary responsibility is to make determinations on prior authorization and coverage requests for pharmaceutical products. Determinations include medical necessity and benefit...
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...Description
Responsibilities:
The primary purpose of the job is to: Under the general supervision of the Supervisor of Pharmacy Prior Authorization Technicians, the Pharmacy Services Technician I assists in the prior authorization process.
Responsible for reviewing and...
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...enduring organ and tissue donation decisions; Achieves superior authorization rates equal to or greater than established organizational... ...interventions becomes easy to understand. Collaborates with transplant coordinator and other clinical department personnel to maximize all...
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...new, terminating andongoing consumers including eligibility and authorization checks.
D. Responsiblefor documenting and communicating... ...issuesto supervisor.
Q. Followsup on all claims requiring prior authorization.
R. AssistsBilling Department with resolving...
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...client and all their employees can count on effective, affordable healthcare for years to come.
Position Summary:
As a Prior Authorization Specialist, your primary responsibility is to assist in the prior authorization process for prescription medications. You...
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Part time
For subcontractor
Monday to Friday
...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
...rated A+ (Excellent) by AMBest.
We are hiring a Delegated Authority Underwriter to support business relationship development,... ...evidence of performance of existing business.
Aid in developing, coordinating, and participating in underwriting audits at client offices...
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3 days per week
...insurance providers including commercial, managed care, and governmental plans * Gathers and submits patient information to secure prior authorizations for inpatient IRF and LTACH admissions * Gathers and transmits required documentation to the Medicare Administrative...
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For contractors
Work experience placement
...Clinical Coordinator Nursing
* JOB SUMMARY
* The Nursing Clinical Coordinator actively participates in a collaborative/consultative/supportive... ...of experience in a similar setting required
* 1-2 years of prior supervisory experience required
* Critical care experience...
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Work experience placement
Immediate start
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...a Customer Service Specialist/Intake Coordinator to join our team.
Why Work Here?... ...department
Send acknowledgement and authorization correspondence timely, ensures all incoming... ...the California Consumer Privacy Act prior to applying.
#LI-KC1
#LI-Hybrid...
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...payment of agency fees. In order to be an authorized recruitment agency ("search firm") for... ...consider joining Baker Tilly as an Operations Coordinator . In this role, you will provide a wide... ...related support experience, required
Prior experience in a professional services...
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Local area
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Worldwide
Weekend work
Afternoon shift
...diagnostic studies, surgeries and procedures, prior to date of service. Financial... ...updated insurance information
• Validates coordination of benefits between insurance carriers.... ..., as necessary.
• Secures insurance authorizations and pre-certs for patient services both...
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...Job Title: Payroll Tax Coordinator
Location: Conshohocken, PA Hybrid role
Duration: 3+ Months contract possible temp to perm conversion... ...· Handles escalated tax tracers and communicates with taxing authorities to resolve account issues.
· Perform all year end...
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Permanent employment
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Temporary work
Local area
...Summary:
The Regulatory Coordinator will work under the supervision of the... ...such as Informed Consent Forms, HIPAA Authorization, and other study-specific materials;... ...Preferred skills and abilities:
*Prior experience with IRB submissions both local...
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Local area
Remote job
...# benefit verifications are performed on all patient accounts prior to the date of service for all scheduled visits and upon encounter... ...upon current CPT / ICD10 codes. Able to appropriately obtain authorizations, pre-certifications or referrals if necessary. Extract...
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...Work for Combined
Combined Insurance, a CHUBB company and leader in the voluntary benefits industry, is seeking talented Agency Coordinators to help us build on our recent exciting growth. The ideal candidate has at least one year of experience and loves to help others...
...throughput, for the hospital, insurance authorization
24 hrs. requirement on a 6-week... ...responsible for: The Admission/Discharge Coordinator is established to facilitate the bed placement... ...be required to receive the vaccination prior to hire date if you are offered...
Summer holiday
Shift work
...the industry in technical documentation and documentation practice. This is your chance to be a part of that as a Senior Technical Author.
The role of a Senior Technical Author You'll be part of an engineering team, focused on a specific Canonical product area. You...
Holiday work
Local area
Remote job
Worldwide
...Choice Neighborhood Initiative Coordinator
The Housing Authority of the City of Camden (HACC) received a $40M Choice Neighborhood Implementation (CNI) grant that included approval of the Housing Authority's request for participation in the Rental Assistance Demonstration...
Full time
Contract work
Work experience placement
Local area
Relocation
Saturday
Monday to Friday
...Description Salary: $55,000+
The B2B Customer Relationship Coordinator is responsible for maintaining an ongoing level of engagement with... ...At least 3 years of related experience required, with prior B2B customer relationship experience and account management preferred...
Contract work
