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About DrFirst
Here is a remarkable chance for you to join a thriving Healthcare IT company with established products, prestigious clients, substantial revenue, blue-chip institutional investors, and continuous growth. At DrFirst, you will collaborate with brilliant minds, tackling unique healthcare challenges on an unprecedented scale. Our culture is entrepreneurial, collaborative, and fast-pac...

Job Description:
The Rep I, Clinical Services takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers all clinical questions, escalations and judgement calls to the pharmacist team.
The Re...

Description
About Orsini Specialty Pharmacy
"Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logisti...

Description
Location: Remote
Compensation: $17.00 per hour
Schedule: Friday-Monday Monday - Friday, 8:00am-4:30pm PST, 40 hours a week
*This position is work-from-home! To be considered, candidates must reside in one of the following states: Alaska, Arizona, Arkansas, Florida, Idaho, Iowa, Maryland, Minnesota, Montana, Nevada, New Mexico, Oregon, Texas, or Washington.*
Ideal Option has bee...

Exemption Status:
United States of America (Non-Exempt)
$47,824 - $63,128 - $78,431
"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefi...

Job Description:
The Pre-Access Prior Authorization RN provides timely review of authorization requests and/or review of denials to ensure medical necessity, payer policies, appeals and reconsideration needs. Promotes the quality and cost effectiveness of patient care using clinical acumen in preparation of documentation, audits of patient records, while offering clinical expertise and support ...

Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documentation of reviews.
* Transfers all clinical questions, escalations and judgement calls to the phar...

Description
Clerical/Administrative Support
Req #: 11383
We are seeking a motivated and compassionate individual to join our Cancer Care team. In this role, you will have the opportunity to make a direct impact by providing critical support to patients throughout their cancer journey, as well as those managing hematologic conditions. You will work alongside a dedicated team of professionals, ...

Company Description
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. G...

ABOUT THE CRANE CENTER
The Crane Center is a world-renowned Transgender surgical practice, with locations in Greenbrae, California, Boulder, Colorado, and Austin, Texas. We have eight highly specialized surgeons and a multidisciplinary clinical team which allows us to offer all aspects of gender-affirming surgery. We are dedicated to providing exceptional healthcare services to our community. ...

Job Description Reimbursement Specialist Description POSITION SUMMARY: Under the general supervision of the operational program leadership, the Reimbursement Specialist is responsible for various reimbursement functions, including but not limited to benefit investigations, prior authorization support, and call triage. The Reimbursement Specialist responds to all provider acco...

About Children’s Minnesota Children’s Minnesota is one of the largest pediatric health systems in the United States and the only health system in Minnesota to provide care exclusively to children, from before birth through young adulthood. An independent and not-for-profit system since 1924, Children’s Minnesota is one system serving kids throughout the Upper Midwest at two free-standing hospit...

Utilization Review Specialist/Behavioral Health Substance Abuse
FLSA Status: Exempt
Classification: Full-Time
Reports To: The UR Specialist will report to UR Manager.
Job Overview: The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The Utilization Review Specialist provides appropriate client information t...

As the PT Authorization Specialist, I report to the Billing Manager. I create a connection with DOC guests and ensure that our value of tenacious caring occurs. I do this by understanding the value of communication, a helpful hand, and the importance of relating to one's needs.
Lead Outcomes:
* I lead efforts in obtaining authorization and benefit verification for new guests in the Physica...

As the PT Authorization Specialist, I report to the Billing Manager. I create a connection with DOC guests and ensure that our value of tenacious caring occurs. I do this by understanding the value of communication, a helpful hand, and the importance of relating to one’s needs.
Lead Outcomes:
* I lead efforts in obtaining authorization and benefit verification for new guests in the Ph...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours:...

Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW … changemaking for a healthier Wisconsin.
The Coding Denials Specialist performs advanced level work related to coding denials management. The individual is responsible for resolving coding claim edits, coding-related claim denials & coding correspondence, monitoring for trends ...

The Infusion Reimbursement Specialist is responsible for multiple areas that are key to success for Prochant, a billing service and process outsourcing company in the U.S. healthcare industry. The Infusion Reimbursement Specialist is responsible for the timely and accurate processing of claims. Following guidelines established by company policies, state or federal imposed billing requirements o...

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist/Intake Coordinator to support our Home Infusion Specialty Pharmacy Remotely (USA). Join us in Simplifying Complex Care!
Home Infusion experience required.
Soleo Health Perks:
* Competitive Wages & Incentive Pay
* Paid Parental Leave Options
* 401(k) with a match
* Referral Bonus
* Annual Merit Bas...

Description
Soleo Health is seeking a Clearance Specialist/Intake Coordinator to support our Home Infusion Specialty Pharmacy Remotely (USA). Join us in Simplifying Complex Care!
Home Infusion experience required.
Soleo Health Perks:
* Competitive Wages & Incentive Pay
* Paid Parental Leave Options
* 401(k) with a match
* Referral Bonus
* Annual Merit Based Increases
...