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.

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

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

This position completes daily insurance verification/authorization for proposed services and patient notification for estimated payments due. The position works with clinicians audiologists and speech language pathologists, and schedules patients in the Practice Management database. The person hired will demonstrate the highest degree of accuracy and readability for all w

Associate Director Technical Accounting At Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in

Be responsible for oversight of the insurance authorization process regarding case management of care clusters and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system. Review and build

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

Verifies patient benefits by phone or insurance platform. Documents benefits into Therapy Source New Patient Registration (NPR). Provide insurance data support to the clinics and Central Billing Office. Provide support with Special Projects. Essential Functions Verifies insurance eligibility by phone or approved online platforms. Knowledge of in network payers with use of

Purpose This is a full time position to serve as a member of the Office of Risk and Compliance at Dell Medical School generally focusing on the University of Texas at Austin's clinical practice, UT Health Austin. This position is responsible for policy management at UT Health Austin. The Policy Administrator reports to the Office of Risk and Compliance. The position works

Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth . Job Description Education High School diploma or equivalent required Associate's degree in Business Administration or relevant field of study preferred Insurance adjuster license required Work Experiences 4+ years' claims experience working with wor

The Revenue Cycle Department has a new opportunity available for the role of Transplant Specialist. Currently there are four team members who report to the manager. The ideal candidate has experience in transplant programs including contracting, provider relations, or transplant billing and collections. Willing to train the right candidate if you have like experience but

Coordinates Medicare and Medicaid enrollment/re enrollment and managed care credentialing and contracting processes for providers. Serves as administrator for billing system and assists practices with system issues. Maintains NPI files and provider numbers. Serves as customer service liaison. Monitors accounts receivable to maintain appropriate levels and reviews payments