- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department:… more
- UPMC (Steubenville, OH)
- …to detail is crucial? If so, we invite you to join our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we are dedicated to providing ... exceptional oncology care to our community. As an Authorization Specialist , you will play a vital...payor or contracted provider web sites to perform prior authorization , edit, and denial services. + 4.… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and ... the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all...to help resolve more complex inquiries. + Assists Drug Authorization Specialists with medical necessity denial review:… more
- LA Care Health Plan (Los Angeles, CA)
- …The Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the ... duties as assigned. Duties Functional Elements: Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests… more
- LA Care Health Plan (Los Angeles, CA)
- …safety net required to achieve that purpose. Job Summary The Supervisor, Authorization Technician supports the Utilization Management (UM) Specialist by handling ... Common Procedure Coding System (HCPCs) codes. Technical Support to UM Specialist : Processing of time sensitive authorization and pre-certification requests… more
- Trinity Health (Farmington Hills, MI)
- …Vision, and Values in behaviors, practices, and decisions. Coordinates denial management processes (Clinical and Administrative/Technical accounts, focusing upon ... key stakeholders across the various impacted departments + Coordinates rejection, denial and appeal activities with Ministry Organization (MO) based Utilization… more
- RWJBarnabas Health (Hamilton, NJ)
- …and opportunities, reduce denials and improve processes. The Patient Access Specialist has in-depth knowledge of payer authorization requirements, protocols ... Place, Hamilton, NJ 08619 Job Overview: The Patient Access Specialist supports the Patient Access Department by providing key...core function of this position is to ensure that authorization requirements are met prior to service. The Patient… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... / or outside agencies prepared by specialists for transmittal authorization by Government lead. + Provide direct support and...decision on a case-by-case basis as to the approval, denial , or revocation of security clearance and / or… more
- Fairview Health Services (Minneapolis, MN)
- …including verifying health insurance coverage, phone contact with patients regarding authorization status (approval, denial , etc.), preparation of letters of ... is looking for a full time, day shift Genomics Support Specialist working Monday-Friday during regular business hours. Schedule subject to change… more
- Community Health Systems (Franklin, TN)
- …and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works with the physicians on the ... services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required,...requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and better be… more