Key Responsibilities:Review medical documentation for prior authorization requestsAssess the medical necessity of planned services based on Medicare guidelinesProvide written explanations for non-affirming prior authorization requestsRequired Qualifications:Bachelor's Degree in related field or equi...
Job Title: Prior Authorizations Registered Nurse (RN). The UM Prior Authorization Nurse is responsible for evaluating referrals for medical services to determine medical necessity and appropriate course of action. Utilizing independent judgment, extensive medical knowledge, and adherence to clinical...
A company is looking for a Specialist I, Prior Authorization for a remote position. ...
Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for Chemotherapy (IV and Oral), Hydration, IV injections. Compile clinical documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously tried thera...
A company is looking for a Prior Authorization Specialist. ...
Ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements and that all reviews are conducted using nationally recognized and evidence-based standards. ...
The LVN Prior Authorization Nurse will be responsible for conducting concurrent reviews and providing prior authorizations for medical treatments and procedures in accordance with state and federal regulations. LPN/LVN - Prior Authorization Nurse. Conduct concurrent reviews and prior authorizations...
Registered Nurse - Catheterization Laboratory. TRS Healthcare is seeking a Registered Nurse who is licensed to work in CA, and has Catheterization Laboratory experience. The Registered Nurse assumes responsibility and accountability for incorporating the vision, values, mission and critical goals of...
Standard Healthcare is seeking an experienced Pediatric Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. We are seeking a Registered Nurse to join our team for a 13 week Rapid Response Travel contract!. A current Registered Nursing License. ...
Highlights:</strong></p><ul><li><strong>Flexible work schedule:</strong> Work whenever and wherever you want</li><li><strong>Weekly payouts:</strong> Automatically receive timely payments (no invoicing!)</li><li><strong>Un...
Highlights:</strong></p><ul><li><strong>Flexible work schedule:</strong> Work whenever and wherever you want</li><li><strong>Weekly payouts:</strong> Automatically receive timely payments (no invoicing!)</li><li><strong>Un...
We are seeking experienced Pharmacists to join our team for night shifts at our ambulatory care/outpatient pharmacy in Torrance, CA. Current pharmacist license in the state of California, in good standing. ...
A company is looking for a Part-Time Principal Clinical Program Pharmacist - Remote. ...
A company is looking for a Billing Specialist II - HB. ...
A company is looking for a Technical Billing Specialist. ...
Key Responsibilities:Perform specialized customer service activities and initiativesReceive, investigate, and respond to customer inquiries regarding products and servicesMaintain high levels of customer satisfaction consistent with the company's core valuesRequired Qualifications:No degree required...
A company is looking for a Prior Authorization Pharmacy Technician. ...
A company is looking for a Clinical Account Manager, Implementation. ...
A company is looking for an Inside Sales Agent in Work From Home. ...
A company is looking for an Authorization Specialist (Remote). Key Responsibilities:Verify patient insurance eligibility and coverageSecure third-party payer authorization for servicesComplete diagnosis, CPT coding, and Medical Terminology courses within one year of hireRequired Qualifications:High ...
A company is looking for a Medical Billing Refunds Specialist. Key Responsibilities:Receive and handle refund requests in a timely mannerPost refunds accurately and promptlyMake necessary phone calls to external parties as requiredRequired Qualifications:Experience in medical billing, cash posting, ...
Excellent written and oral communication skills are required, project management and interpersonal skills, team player who can collaborate with others, proven sales track record in data-tech/data sales . Buildertrend is cutting-edge, cloud-based project management software. Our software helps constr...
The Billing Specialist is responsible for. Obtain approvals; prepare bill reports, fee and disbursement summary, and prepare final bill Communicate with clients to resolve billing/collection issues. Collaborate with Lawyers on engagement letters; and maintain client billing folders. ...
Support Region leadership efforts to grow the network through recruitment, quarterly review of member engagement data and market metrics. Survey and collect data from active members. Support NCP Data analyst with specific market requests, Committed Purchases, and CBUSA Lite. Competent in Microsoft E...
Certified Nephrology Nurse (CNN) or Certified Dialysis Nurse (CDN). DaVita is seeking a Nurse who is looking to give life in an outpatient dialysis center. We expect our nurses to commit to improving patient health through clinical goal setting and quality improvement initiatives. ...