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Implementation specialist Jobs in Frisco, TX

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Implementation specialist • frisco tx

Last updated: 18 hours ago

Reauthorization Specialist

Arcadia Home Care and StaffingFrisco, TX, United States
Full-time

The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care.This includes re-verifying client eligibility, monitor insurance lifetime caps and prior a... Show more

Office Specialist

TradeJobsWorkForce75024 Plano, TX, US
Full-time

Coordinates activities of subordinates.Maintains a variety of records requiring classification and compilation of varied information.Compiles special reports or studies where analysis of complicate... Show more

 • Promoted

Product Specialist

Thomson ReutersFrisco, TX, United States
$72,100.00 yearly
Full-time

Are you ready to leverage your legal expertise and passion for AI technology to transform customer experiences and drive product adoption in a dynamic environment?.Join Thomson Reuters as a Product... Show more

Events Specialist

CROSSMARKFrisco, TX, United States
Part-time +1

CROSSMARK is a leading sales and marketing services company in the consumer goods industry that expertly guides our clients along "The Way to Market" by delivering growth solutions with exceptional... Show more

Deductions Specialist

Keurig Dr PepperFrisco, TX, United States
$21.92 hourly
Full-time

Finance Business Services or Deduction Specialist.The Finance Business Services or Deduction Specialist is responsible for supporting the Keurig Dr Pepper (KDP) organization by performing transacti... Show more

Remote Powerpoint Specialist

Micro1Little Elm, Texas, US
$20.00 hourly
Remote
Full-time

AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more.AI... Show more

Business Strategy Specialist

Micro1The Colony, Texas, US
$50.00 hourly
Full-time

Management Consultant / Business Strategy Specialist.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such ... Show more

Specialist, Electrical Engineer

L3Harris TechnologiesPROSPER, Texas, United States
Full-time

L3Harris is dedicated to recruiting and developing high-performing talent who are passionate about what they do.Our employees are unified in a shared dedication to our customers’ mission and quest ... Show more

 • Promoted

Product Specialist

LAI GamesThe Colony, TX, United States
Full-time

The Product Specialist position will drive the quality and experience we deliver through our product offerings.They will conduct the testing of new products and will conduct data gathering exercise... Show more

Trust Specialist

eTeamFrisco, TX, United States
Full-time

The Trust Specialist works on a centralized team and is accountable for providing superior customer service to Trust clients and key partners in Wealth with specialized concierge for daily email re... Show more

Trust Specialist

Pyramid ConsultingFrisco, TX, United States
$26.00 hourly
Temporary

Immediate need for a talented Trust Specialist.This is a 12 months contract opportunity with long-term potential and is located in Frisco, TX (Onsite).Please review the job description below and co... Show more

Cleaning Specialist

TradeJobsWorkforce75024 Plano, TX, US
Full-time

As a Cleaning Specialist, you will be responsible for cleaning and maintaining facilities, including: clean and sanitize designated areas.Duties and responsibilities can change depending on busines... Show more

 • Promoted

Aquatics Specialist

City of The Colony, TexasThe Colony, TX, United States
Full-time

Under the supervision of the Aquatics Manager, the Aquatics Specialist provides excellent customer service to guests of the Aquatic Park.The position is responsible for the accuracy of financial, a... Show more

 • New!

Trust Specialist

Corps TeamFrisco, TX, US
$24.51 hourly
Full-time +1
Quick Apply

Our client, a large financial services company, is seeking an experienced Trust Specialist for a 12 month contract role in Frisco, TX or Charlotte, NC.The Trust Specialist works on a centralized te... Show more

Payroll Specialist

Williams-SonomaThe Colony, TX, United States
Full-time

This position is responsible for supporting the accurate and timely processing of payroll using UKG and Kronos/WFM time and labor systems.This associate will respond to frequent and urgent requests... Show more

Trust Specialist

Pyramid Inc.Frisco, TX, United States
Temporary

Immediate need for a talented Trust Specialist.This is a 12 months contract opportunity with long-term potential and is located in Frisco, TX (Onsite).Manages the set-up, implementation, and admini... Show more

Senior Manager, Partner Implementation

IntuitFrisco, TX, United States
Full-time

Senior Manager, Partner Implementation.As the Senior Manager, Partner Implementation, you are the architect of our implementation engine.You will lead a specialized team of Partner Implementation C... Show more

Scheduling Specialist

METROPLEX 360 RCS LLCFrisco, TX, US
$40,000.00 yearly
Full-time

The Scheduling Specialist provides essential operational and administrative support to the Account Manager / Team Lead.This is an entry-level role in a fast-paced, high-volume environment that requ... Show more

Marketing Specialist

Aya HealthcareProsper, TX, United States
$35.15 hourly
Full-time +1

Marketing Liaison Career Opportunity.Appreciated for your Marketing Liaison Skills Are you looking to embark on a career that's not only about driving patient growth but also about making meaningfu... Show more

Aquatics Specialist

Government JobsThe Colony, TX, United States
Full-time

Under the supervision of the Aquatics Manager, the Aquatics Specialist provides excellent customer service to guests of the Aquatic Park.The position is responsible for the accuracy of financial, a... Show more

 • New!
Reauthorization Specialist

Reauthorization Specialist

Arcadia Home Care and StaffingFrisco, TX, United States
4 days ago
Job type
  • Full-time
Job description

Reauthorization Specialist

The Reauthorization Specialist is responsible for managing all aspects of reauthorizations for client care. This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods.

Schedule: Remote Mon-Fri 40 hours per week.

We offer our team the best:

  • Medical, Dental and Vision Benefits
  • Continued Education
  • PTO Plan
  • Retirement Planning
  • Life Insurance
  • Employee discounts

Process Intake, Reauthorization and Payer Transfers:

  • Process new intakes and reauthorization by reviewing referrals.
  • Ensure all services are authorized within required time frame to prevent laps in care.
  • Monitor authorization start and end date to proactively manage renewals and prevent expirations.
  • Follow up on pending authorization and communicate updates to the branch.

Documentation and Data Entry:

  • Accurately enter and update authorization detail in the system, ensuring all information align with payer approvals.
  • Maintain complete, compliant, and well-organized patient records.
  • Review documentation for accuracy and consistency prior to submission or scanning.
  • Scan, upload and index authorization documents into the appropriate system and a timely manner.

Payor Transfer and Coordination:

  • Handle payer transfers, ensuring authorization are updated and aligned with the new payer requirements.
  • Verify coverage details and authorization rules during payer change to maintain uninterrupted services.

Expired Reports and Requesting Authorization:

  • Manage expired authorization report, identify discrepancies and take corrective action.
  • Track and resolve authorization issues that may effect billing, scheduling, or services.
  • Communicate with branches regarding or pending authorization and require next step.

Branch Support and Communications:

  • Providing guidance and support related to authorization, documents and intake process.
  • Respond to branch inquiries promptly and collaborate to resolve authorization or documents issues.
  • Communication clearly and professionally via email and internal systems keep all parties informed.

Quality Assurance and Compliance:

  • Ensure all process comply with payor guidelines, company policies and regulatory standards.
  • Identify errors or discrepancies and take corrective action to maintain data integrity.
  • Support workflow efficiency by proactively addressing issues before they impact patient care or operations.

Key Strengths/Requirements in the Role:

  • Strong attention to detail accuracy in documents and data entry.
  • Effective communication and collaborations with branch teams.
  • Ability to manage high volume of authorization and deadlines.
  • Proactive problems-solving to prevent service disruptions
  • High school diploma or GED equivalent, some college preferred
  • 1-2 years of recent experience working in a health care setting and insurance authorizations
  • Excellent written and oral communication skills
  • Excellent customer service skills
  • Must be computer literate and possesses knowledge of computer software, Microsoft Excel (advance skills preferred), internet, Word and Outlook
  • Dependable, conscientious and reliable
  • Ability to analyze and interpret situations to complete tasks or duties assigned