Prior authorization jobs in North Miami, FL

Are all entered correctly. Prioritizes and processes incoming Insurance Verifications and Prior.. Obtain authorization from private insurance and all other payor sources requiring authorization via..

CORE FUNCTIONS. Adhere and perform timely prospective review for services requiring prior authorization.. Follows the authorization process using established criteria as set forth by the payer or clinical..

Concurrent and retrospective chart reviews for clinical utilization and authorization. The Utilization.. We're the challenge you've been looking for.Patient safety is a top priority. As a result, during the..

Identifies patients who require authorization for all infusion services. Coordinates intake and.. Additional Qualifications. The Infusion Care Prior Authorization Specialist role requires critical..

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Collaborate with clinicians regarding supporting medical documentation in accordance with formulary guidelines. Manage the quality review of requested prior authorizations..

Job Description Job Description PayerFusion Holdings is looking for an efficient and personable Referral and Authorization Coordinator to work in rapidly growing healthcare Third Party..

Verification, authorization, and billing who has comprehension of workflow of a medical office setting and has used an EMR system. Must be able to multitask, be personable, friendly, organized..

Must have the ability to multi task and prioritize effectively in a high paced environment.. Medical insurance knowledge. Experience in requesting submitting prior authorization for various..