A company is looking for a Prior Authorizations & Appeals Coordinator to perform non-clinical activities and ensure compliance with healthcare regulations. ...
Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization ...
A company is looking for a Prior Authorization Coordinator to process prior authorization requests and ensure compliance with clinical protocols. ...
Incumbent is responsible for obtaining all necessary authorizations in accordance with established guidelines. Verifies eligibility, obtains benefit information, and generates letters for authorizations. Responds to Member Services and Call Center inquiries and resolves any identified authorization ...
Check eligibility and benefits on all DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval. Check eligibility and benefits on all items requiring a benefit check such as DME and home health authorizations prior to forwarding ...
Eligibility and Authorization Coordinator. This position is responsible for communicating with Plans regarding eligibility verification and processing authorization requests along with communicating authorization approvals and denials to providers, schedulers, and billing office. Communicate with pl...
Check eligibility and benefits on all DME and home health authorizations prior to forwarding on request to prior authorization nurse or medical director for approval. Check eligibility and benefits on all items requiring a benefit check such as DME and home health authorizations prior to forwarding ...
A company is looking for a Referral Coordinator to support diverse accounts focused on referral prescription review. ...
A company is looking for a Pharmacy Technician to ensure access to medically necessary prescription drugs for members. ...
A company is looking for a Prior Authorizations & Appeals Coordinator to perform non-clinical activities and ensure compliance with healthcare regulations. ...
A company is looking for a Remote Customer Service Representative fluent in Arabic, Farsi, Armenian, Russian, Mandarin, or Cantonese. ...
A company is looking for a Referral Coordinator for a fully remote, full-time position. ...
A company is looking for an Authorization Specialist III to support the prior authorization request process in the utilization management team. ...
A company is looking for a Personal Care Coordinator I Training. ...
A company is looking for a Pharmacy Technician to support pharmacy operations remotely in California. ...
A company is looking for a Utilization Management Support Technician. ...
A company is looking for an Authorization Specialist II to support the prior authorization request process in a remote setting. ...
A company is looking for a Grants & Administrative Assistant. ...
A company is looking for an MST Case Manager II to provide advanced support for Military Sexual Trauma-related claimants throughout the exam process. ...
A company is looking for a Junior IT Project Coordinator to support project managers in executing projects effectively. IT Project Manager roleConfident PC user with knowledge of Excel and Google Drive/SheetsExperience with the Agile/Scrum processTechnical training and knowledge of Jira, Moqups, and...
A company is looking for a Language Services (Translations) Project Coordinator who will oversee translation projects for U. ...
Key Responsibilities:Support authorization requests for services based on insurance prior authorization listPerform data entry to update authorization requests in the utilization management systemAssist in tracking and documenting authorizations and referrals according to policies and guidelinesRequ...
A company is looking for a Prior Authorization Specialist to manage authorization requests for outpatient diagnostic and surgical services. ...
Key Responsibilities:Answer incoming calls & emails from customers within a 48-hour turnaround timeAssist customers with requests for information, complaints, making appointments, and resolving issuesCollect copays and deductible paymentsRequired Qualifications:High school diploma or equivalentPrior...
A company is looking for a Case Manager, Social Worker to evaluate beneficiaries' needs and coordinate healthcare services. ...