Average salary: $48,392 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedContract workTemporary workLocal areaRemote work- ...Outpatient Prior Authorizations Monday to Friday, 8:00 a.m. to 5:00 p.m. Onsite Responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage, resolves any issues with coverage and escalates...SuggestedMonday to Friday
$47.69 - $56.78 per hour
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payContract workTemporary workLocal area- ...stenting, retrievals, colonoscopy, and EGD Dedicated support team including RNs, referral coordinator, MA, scheduler, and prior authorization staff Established advanced GI volume with consistent procedural demand and strong regional referrals Schedule...SuggestedFull timeRelocation package
- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
- ...requirements provided by the physicians and obtaining all required authorizations and medical necessity compliance. This position includes... ...# Independently identify and prioritize procedures for Prior Authorization and/or compliance. # Schedule all required order...SuggestedShift work
- ...treatment needs to parent and patient utilizing the prescribed treatment plan. • Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. • Maintain awareness of comfort and safety needs of patients....SuggestedWork at officeFlexible hours
$67.5k
...Job Opportunity At Highmark Inc. Job Summary: This position reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician...SuggestedWork at officeLocal areaRemote work$40k - $52.3k
...Humana Medical Directors' calendars Monitoring and decisioning authorizations Responding to provider inquiries regarding existing... ...utilizing electronic medical record and documentation programs Prior experience with CGX and Genesys Prior experience with post-...SuggestedBi-weekly payTemporary workRemote workWork from homeHome officeMonday to FridayShift workWeekend work$125k - $150k
...dynamics across your territory—national, regional, and local insurance landscapes ~ Collaborate with Market Access, to overcome prior authorization barriers and ensure seamless patient onboarding ~ Drive formulary wins and in-office pull-through by equipping providers...SuggestedFull timeWork at officeLocal areaWorldwideNight shift$20 per hour
...'ll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements. Collaboration...SuggestedWork at officeImmediate startRemote workShift work- ...from providers and recipients. Duties include: Opening and distributing mail to dental unit staff Logging incoming prior authorization requests Adding or updating prior authorization records in the MMIS system Answering incoming phone calls from providers...SuggestedFor contractorsWork at officeWorldwide
- ...Accurately document in EMR symptoms and/or complaints, nursing assessment, advice provided and patient/caller response. # Complete prior authorizations, FMLA/disability paperwork, and cardiac clearances # Schedule appointments and diagnostic testing as needed # Review and...SuggestedWork experience placementWork at office
- ...calmly the treatment needs to parent and patient utilizing prescribed treatment plan. Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. Maintain awareness of comfort and safety needs of patients....SuggestedWork at office
- ...Experience The ideal candidate will have strong experience in surgical and clinic scheduling, insurance verification, and prior authorization workflows for a specialty clinic. Prior experience in reviewing clinic charges, in-clinic collection review, and/or deposit collection...Suggested
- Job Description 05128 Certified Medical Assistant Performs routine clinical and administrative duties in support of assigned area or office. Reports to: Practice Manager FLSA: Non-exempt Education: High school diploma or equivalent Preferred; Associate'...Work at office
- Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...Remote jobFull time
$50k - $70k
...personal reward of helping to provide financial security and added peace of mind to clients when they experience a covered health event. Prior Sales experience is welcome, but not necessary. Principal Duties & Responsibilities Responsibilities include: Sales -...Full timePart timeInternshipLocal areaMonday to Friday- ...patient by submitting updated information packets with requests for continuation for AFMC prior to the expiration date. Monitors and tracks each patients prior authorization denials and approvals and discharge date. Requests extensions and modifications to PAs when...Summer workLocal area
- ...processes) to individuals or entities that do not qualify as "U.S. persons," as defined by 22 CFR 120.62, is prohibited without prior authorization from the appropriate U.S. government agencies, such as the Department of State's Directorate of Defense Trade Controls (DDTC)...Permanent employmentFull timeLocal area
- ...and cross-functional teams to enhance care coordination. Support Operations and Training - Assist in inventory management, prior authorizations, and regulatory adherence. Flexibility and Adaptability - Work at multiple facilities within a designated market as needed....Temporary workReliefLocal areaFlexible hours
- ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from home$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timeSummer workInternshipImmediate start- ...settlement with claimants. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock). Examines claim form...Work at officeLocal areaFlexible hours
$99.1k - $163.4k
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover...Local area- ...signs in the medical health records software. (5) Completing letter out referrals for orders. (6) Sending messages for prior authorizations for back braces. (7) Scheduling patients’ next appointments. (8) Regularly monitoring voicemails and promptly returning...Full timeWork at office
- ...signs in the medical health records software. (5) Completing letter out referrals for orders. (6) Sending messages for prior authorizations for back braces. (7) Scheduling patients’ next appointments. (8) Regularly monitoring voicemails and promptly...Full timeContract workWork at office
- ...signs in the medical health records software. (5) Completing letter out referrals for orders. (6) Sending messages for prior authorizations for back braces. (7) Scheduling patients’ next appointments. (8) Regularly monitoring voicemails and promptly...Full timeContract workWork at office
- Job Description Job Description Lawn Specialist 6101 Forbing Drive, Little Rock, Arkansas 72209 TruGreen accepts applications on an ongoing basis. Job Description At TruGreen, we believe every lawn holds potential and so does every team member. As a Residential...Local area




