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The Authorization Specialist is responsible for daily oversight of authorization request and approvals requiring interface with internal and external persons/entities and any other activities related to reimbursement for services for ABH, CFS, or Crisis programs. Performs regular updates and verification of insurance coverage. Other regular work duties may also involve me
Posted Today
Acts as an agent of broker assigned accounts, including servicing and/or solicitation activities. Manages book of business and directs the work of a service team. ESSENTIAL DUTIES AND RESPONSIBILITIES Receives and develops new business leads from Producers or identifies and develops cross sell opportunities; Responsible for renewal business and soliciting additional lines
Posted 1 day ago
Insurance Verification Representative Job Location US FL Clearwater | US TX Houston ID 2024 3635 Category Administrative/Clerical Position Status Regular Full Time Position Schedule Monday Friday Shift 9 00 5 30 Alternative Schedule 2 late nights until 8pm for month end Overview Are you looking for a purposeful career that will make a difference in the patient community?
Posted 1 day ago
Receive and process electronic eligibility files for new and/or existing customers Review enrollment/eligibility files to identify unclear, missing, or invalid data Compare submitted enrollment/eligibility information to relevant internal systems Communicate with stakeholders to obtain new information and/or clarify concerns Submit and/or review new electronic eligibility
Posted 1 day ago
Health Care Service Corporation
- Richardson, TX / Houston, TX / Oklahoma City, OK / 1 more...
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position is responsible for pe
Posted 2 days ago
INVISTA
- Dallas, TX / Wichita, KS
Your Job INVISTA is seeking an experienced Senior Accounting Analyst to join our CFO organization in Wichita, KS. A successful candidate is highly motivated, self driven, and has a passion for driving continuous improvement and transformation. They should have an advanced understanding of accounting concepts, excellent critical and economic thinking, and strong communicat
Posted 2 days ago
This position is responsible for obtaining information to initiate verification and precertification process. Experience and Education High school and two (2) to four (4) years of benefit verification/authorization experience or equivalent. Additional Information Monitor and process insurance verification/eligibility Obtain PCP referrals for routine offices and surgical p
Posted 3 days ago
The essential duties and responsibilities (including but not limited to) Directs the daily operation of the revenue cycle liaison department to ensure client satisfaction. Ensures that daily, weekly, and monthly liaison functions are performed. Demonstrates thorough understanding of and oversees all aspects of liaison functions, to include monitoring and interpreting reve
Posted 3 days ago
The Insurance Specialist will report to the Insurance Manager within the Risk & Safety Department and work under the guidance of the Director of Risk & Safety Management. The Insurance Specialist will have limited supervisory oversight of the Claims Coordinator(s) and provide guidance and direction for complex or challenging insurance related transactions. This individual
Posted 4 days ago
At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary This position will work from the Ri
Posted 4 days ago
JOB TITLE Insurance Authorization Specialist (must be bilingual English/Spanish!) GENERAL SUMMARY OF DUTIES Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans' claims as required. Maintains optimal patient, referring physician and insurance company satisfaction. SUPERVISION RECEIVED
Posted 4 days ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 4 days ago
The essential duties and responsibilities (including but not limited to) Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans.
Posted 4 days ago
Own the 911 Operating Procedures and associated Compliance Manual Develop, implement, and improve upon processes in the evolving 911 environment Responsible for timely notifications and reporting of 911 events internal and external as required and defined by the FCC and regulatory bodies; including reporting of noncompliance of any portion of FCC mandated orders Handle hi
Posted 4 days ago
JOIN OUR TEAM!!! Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key? We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees love their work here. Many have been with u
Posted 7 days ago
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