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...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...
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Afternoon shift
...specified population, as required.
Pre-certifies and obtains authorization numbers and enters information into patient’s account... ...insurance, healthcare, or related field.
Minimum of 1 year medical prior authorization experience
Excellent customer service skills...
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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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...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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at Intermountain Health in Dover, Delaware, United States
:
This position supervises pharmacy technicians and supports pharmacy leadership in directing technical and operational functions of the pharmacy. The incumbent provides leadership, education, training, and...
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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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...Job Title: Referral / Authorization Specialist
(Healthcare Experience REQUIRED) Location: Must live on East Coast - Eastern Time Zone... ...team. The ideal candidate will possess extensive knowledge of prior authorization and referrals processes, medical terminology, and...
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...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
...Dover, Delaware, United States
Become a part of our caring community and help us put health first
Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization...
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...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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...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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*Consultive Insurance Career - NO COLD CALLING - Renewal Income - FREE Warm Leads and No Prior Exper
Job Description
Job Description The Assurance Group ( is looking for the right person to fill a consultive health and life insurance rep position. The ideal candidate is one who can bring to the table the right mix of work ethic and integrity, and who enjoys the ...
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Weekly pay
Home office
...service delivery role.
~ Experience in LTSS Strongly Preferred
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Conduct clinical decision review for services requiring prior authorization
Interpret Clinical criteria to determine medical necessity of services
Communicate results of review verbally, in...
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...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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Immediate start
...Distribute group resumes and/or BEO’s for completion and review prior to staff meeting and BEO meeting;
# Compile packets and... ...direct bill accounts;
# Send, receive and file credit card authorization information for requested accounts. Insure copy of cc information...
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...applying if using a resume or CV which exceeds one (1) page.
Prior to submitting your application, please review and update (if... ...finalists for any faculty position that carries tenure must sign an authorization and disclosure form, which will allow current or prior...
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...description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if... ...a competent and productive researcher i.e. incumbent will have authored several publications of considerable interest and value to the...
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...applying if using a resume or CV which exceeds one (1) page.
Prior to submitting your application, please review and update (if... ...finalists for any faculty position that carries tenure must sign an authorization and disclosure form, which will allow current or prior...
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...description section on postings for documents that may be required.
Prior to submitting your application, please review and update (if... ...or mixed methods research, such as a solo or primary-authored peer-reviewed publication, manuscript draft, brief, research protocol...
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