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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
Location: Remote
Compensation: $17.13 per hour
Schedule: Friday-Monday Monday - Friday, 8:00am-5:00pm PST, 40 hours a week
Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation’s leading provider of low-barrier evidence-based treatment for o...

Silna Health (silnahealth.com) is a health technology company that handles eligibility & benefit checks and prior authorizations for specialty healthcare providers. Our mission is to streamline how providers financially clear patients for care, so providers can spend more time delivering exceptional care. We are based in New York City and work with customers across the country.
Silna Health is...

Job Summary
We are seeking a detail-oriented and experienced Billing Clerk to join our healthcare team. The ideal candidate will be responsible for managing medical billing processes, ensuring accurate coding, and maintaining comprehensive medical records. This role requires strong knowledge of medical billing procedures, coding systems, and electronic health record (EHR) systems to facilitate ...

POSITION SUMMARY :
Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare deli...

Company
Lumicera
About Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity....

Job Type
Full-time
Description
Location: Remote
Compensation: $17.00 per hour
Schedule: Friday-Monday Monday - Friday, 8:00am-5:00pm PST, 40 hours a week
Ideal Option has been working on the front lines of the opioid epidemic since our first clinic opened in 2012. With more than 80 clinics across 9 states, we continuously strive to be the nation's leading provider of low-barrier evidence-based...

Turnwell Mental Health Network is committed to maintaining a company for mental health that is a vital step in defining culture, guiding behavior, and building trust with our clients and team members. Our mission is to expand access to high quality mental health care services in underserved markets by building a team of professionals who provide and support best-in-class patient experiences wit...

About Us
Osmind is a technology, services, and data company focused exclusively on psychiatry. Mental health disorders are one of the leading causes of death worldwide and are tied to shortening lifespans. Yet, we have cause for hope: there have been developments in new psychiatric medications since the first FDA approval in 1954, such as new treatments like ketamine, Spravato, and neuromodulat...

Job Description
UW Medicine Primary Care - Prior Authorization Team has an outstanding opportunity for a Patient Services Specialist 2- Prior Authorization Specialist.
WORK SCHEDULE
* Full-time, 100% FTE (40 hours per week)
* Monday - Friday; 8am-5pm
* Day Shift
DEPARTMENT DESCRIPTION
Conveniently located along I-5 near the Northgate Transit Center, UW Medicine Primary Care at North...

Top Healthcare Provider Network
The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors' practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specia...

About FamilyWell Health
FamilyWell Health is on a mission to transform women's mental health across the reproductive life-span (fertility → perinatal → menopause) by embedding evidence-based, insurance-covered care into OB/GYN practices and health systems. FamilyWell Health. As part of the RCM/Operations team, the Prior Authorization Specialist will play a key role in ensuring that care is auth...

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...

Exciting Patient Services Specialist Opportunity! Be the critical link between patients and life-changing care-help veterans and injured workers access the support they need to heal and move forward.
At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our in-home, multidisciplinary programs for chronic low back and neck p...

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Acute home infusion experience required, and must be able to work 9am-5:30pm Eastern Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time Off
* Great...

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...

Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time Off
* Great ...

Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Acute home infusion experience required, and must be able to work 8:30a-5p Mountain Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time Off
* Great Company Culture
...

Description
Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
Acute home infusion experience required, and must be able to work 9am-5:30pm Eastern Time.
Soleo Health Perks:
* Competitive Wages
* 401(k) with a Match
* Referral Bonus
* Paid Time Off
* Great Company Culture
...

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...