Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position will report to the Claims Manager, playing a unique and important role in our mission to chan

Maintains, confirms and secures referrals, authorization, or pre certifications required for patients to receive physician or medical services. Verifies the accuracy and completeness of patient account information. Maintains database of payer authorization requirements. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicai

A day in the life of a Patient Access Specialist for Oncology with Hackensack Meridian Health includes Obtains Referrals/Authorizations and Verifies eligibility, submits requests for prior authorizations for all oncology services as prescribed by the Clinical care team and conformance to Hackensack Meridian Oncology/Radiation standards and protocols within the network. Su

To perform this job successfully, an individual must be able to perform each primary duty satisfactorily. Support the team maintaining relationships with approximately 15 clients per person, including key clients Support team members who respond to complex inquiries and resolve problems independently through explanation of facts and details; explain trade processing and c

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the

The Commercial Assistant Account Manager is responsible for assisting other members of the department with meeting the service needs of customers and performing essential functions that include processing changes, rating, making calls, and assuring correct information is input into the automation systems to achieve the quality and service standards developed by the agency

We are recruiting for a motivated Lead Patient Access Specialist Emergency Department (Days) to join our team! We are here for life's journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all Humanity in action, Triumph in hardship, Transformation in health. Departm

Who We Are Join a team that puts its People First! Since 1889, First American (NYSE FAF) has held an unwavering belief in its people. They are passionate about what they do, and we are equally passionate about fostering an environment where all feel welcome, supported, and empowered to be innovative and reach their full potential. Our inclusive, people first culture has e

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self funded health benefits plans that manage costs without compromising benefits by offering innovative solution

The Authorization Specialist MVP tracks and initiates authorizations and re authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request. Provides approved authorizati

Claims Clerk Job Locations US NJ Marlton Requisition ID 2024 17815 # of Openings 1 Category (Portal Searching) Administrative/Clerical Position Type (Portal Searching) Regular Full Time Overview The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missing information as necessary. Determines claims coverage by examining

This position is responsible for working with CareOregon members, their providers, and pharmacies to support the pharmacy benefit and prescription needs under the major medical benefit. This is an advanced level support position, requiring Pharmacy Technician Certification. Core responsibilities include customer service, claims processing, prior authorizations, formulary

The duties and responsibilities of this position include, but are not limited to o Reporting and processing of work related injuries o Working with injured Fastenal employees to assist them in locating proper medical care and helping minimize their time away from work o Working with insurance companies, doctor's offices, and supporting agencies to ensure claims are being

Are you an Employee Benefits professional? Find your place at The Partners Group, a purpose driven company committed to making a difference in our community through our work and inspiring others to do the same. TPG’s success is driven by a culture that values partner ships. We’re looking for people who invest in their relationships, seek to learn, create winni

Opportunity for employee benefits professional in Boise to join an award-winning insurance broker!