Manager Prior Authorization Jobs Near Me

Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

Prior Authorization Specialist Established in 1984, Equitas Health is a regional not-for-profit ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

The Prior Authorization Specialist handles all prior authorizations, third party appeals, and ... Collaborate with providers to manage appeals and/or peer-to-peer discussion with third party ...

This position reports directly to the Revenue Cycle Manager and plays an important role in the continued growth and success of our practice. Primary Responsibilities Obtain prior authorizations and ...

This position reports directly to the Revenue Cycle Manager and plays an important role in the continued growth and success of our practice. Primary Responsibilities Obtain prior authorizations and ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Oversees the operations of the Referral/Service center of Homecare, managing a team to facilitate patient referrals, service needs, and transitions to home care. Directs centralized intake and client ...

Experience managing prior authorization operations across multiple payer types and therapeutic areas (Required) * Experience in benefits verification, coverage determination, and reimbursement ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Summary The Care Management Coordinator serves as a cross functional team member providing pathology and prior authorization support to ensure effective treatment, monitoring, and communication ...

Essential Activities and Tasks Authorization Verification and Management - 60% * Completes all ... Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e. assuring ...

Essential Activities and Tasks Authorization Verification and Management - 60% Completes all ... Maintains accurate insurance plan knowledge of all prior authorization requirements (i.e assuring ...

Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...

... manager's discretion. Preferred Qualifications * 3 years of experience preferred. * Refill authorization experience. * Prior health system or retail experience * Familiarity with top 100 most common ...