JOB TITLE Insurance Authorization Specialist (must be bilingual English/Spanish!) GENERAL SUMMARY OF DUTIES Responsible for obtaining managed care authorizations and verifying patient insurance benefits. Analyzing utilization data from health plans' claims as required. Maintains optimal patient, referring physician and insurance company satisfaction. SUPERVISION RECEIVED

1. Elicits data and reporting requirements from hospital leadership, clinicians, and other staff, using interviews, document analysis, requirements workshops, site visits, use cases, scenarios, data analysis, task, and workflow analysis. 2. Queries and analyzes data from hospital systems such as our electronic medical record system (Epic), enterprise data warehouse (EDW),

Employer DWS Group Title Insurance Advisory Senior Relationship Manager Location Boston, NYC, Chicago or other DWS office location Job Code #LI LV1 #LI 04 About DWS Today, markets face a whole new set of pressures but also a whole lot of opportunity too. Opportunity to innovate differently. Opportunity to invest responsibly. And opportunity to make change. Join us at DWS,

Underwriting Assistant, K&K E&A K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and events. With a 70 year history of excellence, clients across the US and Canada choose K&K for our unique insurance products and expert claims resolution. As part of an industry leading team, you will help empower r

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

Data Analyst Enterprise Solutions Job Locations US WI ID 2023 2025 Category Data Warehouse & Data Analysis Type Regular Full Time Overview Are you ready to make a significant impact in the world of healthcare? Do you have a passion for problem solving and a desire to drive meaningful change in the industry? If so, we invite you to join our dynamic Data Warehouse Team as a

Zions Bank recognizes that its strength comes from the dedication, experience, and talents of its diverse employee base. As we usher in the next generation of banking, we're committed to being the premier employer of choice. We're proud to have ranked among American Banker magazine's "Best Banks to Work For" every year since 2013, as Best Employer from Utah's Best of Stat

Who are we? In State Farm Underwriting, we champion profitable growth by providing quality customer interactions and products through simplified processes, technologies, and the excellence of our people. When you join our team, you will execute on your underwriting philosophy and fundamentals to serve the evolving needs of our customers. Check out what it's like to be an

ABOUT THE ROLE The Insurance Claims Specialist is primarily responsible for coordinating and administering the company's casualty and property insurance claims. The Insurance Claims Specialist will be responsible for the daily management and coordination of Workers' Compensation claims between the third party claims administrator (TPA) and Operations. The Specialist will

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

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 insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Insurance Coordinator Job Locations US Job System ID 2024 21231 # of Openings 1 Overview Who WE Are HearingLifeis a national hearing care company and part of the Demant Group, a global leader in hearing healthcare builton a heritage of care, health, and innovation since 1904.HearingLifeoperates more than 600 hearing care centers across 42 states.We follow a scientific, re

ECU Department of Mathematics is currently seeking Office Assistants. These students will be the first ones to greet people coming into the Math Office. This students must be upbeat and personable. Duties will include Completing all copy requests that are given by instructors in a timely manner Answering incoming calls and transferring the calls to the correct individual

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

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.