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Prescription Authorization Specialist
5 days ago
● Review medication orders and prescriptions to determine the need for prior
authorization.
● Gather necessary clinical documentation from healthcare providers to support prior
authorization requests.
● Communicate effectively with insurance companies to submit prior authorization
requests and follow up on their status.
● Ensure all required information is complete and accurate before submitting requests.
● Collaborate with healthcare providers, pharmacists, and insurance companies to resolve
any issues related to prior authorizations.
● Maintain accurate records of all prior authorization requests and their outcomes.
● Stay updated on insurance policies, procedures, and guidelines related to medication
prior authorizations.
● Provide support and guidance to healthcare providers and patients regarding the prior
authorization process.
Qualifications:
● Proven experience in healthcare administration, medical billing, or pharmacy operations.
● Strong understanding of medical terminology, medications, and insurance processes.
● Excellent organizational skills with the ability to prioritize tasks and manage time
effectively.
● Exceptional attention to detail and accuracy in documentation.
● Proficient computer skills, including experience with electronic health records (EHR) and
insurance verification systems.
● Ability to communicate effectively and professionally with healthcare providers,
insurance representatives, and patients.
● Knowledge of HIPAA regulations and patient confidentiality guidelines.
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REMOTE Prior Authorization Specialist
4 days ago
Middleton, United States Complete Staffing Solutions Full timeJob DescriptionJob DescriptionREMOTE Prior Authorization Specialist Location: Middleton, MAOpportunity to work with a great company!Actively Interviewing ! Hiring ASAP!Hours:Full time hoursMonday – FridayJob Requirements: Review medication orders and prescriptions to determine the need for prior authorization.Gather necessary clinical documentation from...
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Authorization and Referral Specialist
3 weeks ago
Middleton, United States Middleton Family Medicine Urgent Care LLC Full timeJob DescriptionJob DescriptionAuthorization and Referral SpecialistMiddleton Family Medicine is looking for an experienced, enthusiastic Authorization/Referral Specialist for our busy primary care office. The Authorization/Referral Specialist will work together with other members of our Authorization and Referral Team to perform all referral and...
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Authorization and Referral Specialist
2 weeks ago
Middleton, United States Middleton Family Medicine Urgent Care LLC Full timeJob DescriptionJob DescriptionAuthorization and Referral SpecialistMiddleton Family Medicine is looking for an experienced, enthusiastic Authorization/Referral Specialist for our busy primary care office. The Authorization/Referral Specialist will work together with other members of our Authorization and Referral Team to perform all referral and...
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Clinical Authorization Specialist
3 days ago
Middleton, United States UW Health Full time**Work Schedule**: 100% FTE. Scheduled shifts are 8:30 am - 5:00 pm, Monday - Friday. Hours may vary based on the operational needs of the department. This is a hybrid remote position. **Be part of something remarkable** Join the #1 hospital in Wisconsin! We are seeking a **Clinical Authorization Specialist**: - Confirm the need for authorizations by...
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Clinical Authorization Specialist
4 weeks ago
Middleton, United States University of Wisconsin Hospitals and Clinics Authority Full timeWork Schedule : 100% FTE. Scheduled shifts are 8:30 am - 5:00 pm, Monday - Friday. Hours may vary based on the operational needs of the department. This is a hybrid remote position. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Clinical Authorization Specialist: Confirm the need for authorizations by taking the...
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Clinical Authorization Specialist
4 weeks ago
Middleton, United States University of Wisconsin Hospitals and Clinics Authority Full timeWork Schedule : 100% FTE. Scheduled shifts are 8:30 am - 5:00 pm, Monday - Friday. Hours may vary based on the operational needs of the department. This is a hybrid remote position. Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Clinical Authorization Specialist: Confirm the need for authorizations by taking the...
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Clinical Authorization Specialist
4 weeks ago
Middleton, United States University of Wisconsin Hospitals and Clinics Authority Full timeWork Schedule : 100% FTE. Scheduled shifts are 8:30 am - 5:00 pm, Monday - Friday. Hours may vary based on the operational needs of the department. This is a hybrid remote position. Be part of something remarkable Join the #1 hospital in Wisconsin We are seeking a Clinical Authorization Specialist: Confirm the need for authorizations by taking the...
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Clinical Authorization Specialist
4 weeks ago
Middleton, United States University of Wisconsin Hospitals and Clinics Authority Full timeWork Schedule : 100% FTE. Scheduled shifts are 8:30 am - 5:00 pm, Monday - Friday. Hours may vary based on the operational needs of the department. This is a hybrid remote position. Be part of something remarkable Join the #1 hospital in Wisconsin We are seeking a Clinical Authorization Specialist: Confirm the need for authorizations by taking the...
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Patient Support Specialist
4 weeks ago
Middleton, United States Chartwell Midwest Wisconsin Full timePOSITION SUMMARY The duties of the Patient Support Specialist are similar to those of the Patient Support Representative as outlined in this position summary. They differ in that the Specialist works in areas of HME with a higher degree of complexity (e.g. Complex RT, General HME). The Patient Support Specialist is responsible for the collection of...
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Patient Support Specialist
2 months ago
Middleton, United States Chartwell Midwest Full timePOSITION SUMMARYThe duties of the Patient Support Specialist are similar to those of the Patient Support Representativeas outlined in this position summary. They differ in that the Specialist works in areas of HME with ahigher degree of complexity (e.g. Complex RT, General HME). The Patient Support Specialist isresponsible for the collection of demographic...
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Technical Services Specialist
2 weeks ago
Middleton, United States Natus Medical Incorporated Full time**Technical Services Specialist** Remote, USA The** **Technical Services Specialist** is a crucial team member who provides worldwide technical service support to our neurology product line. **What you’ll get to do in this role**: - Adhere to all Quality System procedures impacting product or service quality for customers. - Provide advanced technical...
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Medication Access Specialist
1 month ago
Middleton, United States UW Health Full timeJob DescriptionWork Schedule: 100% FTE, day shift. Monday - Friday, five eight-hour shifts between the hours of 8:00AM - 6:00PM. Hours may vary based on the operational needs of the department.Be part of something remarkableJoin the #1 hospital in Wisconsin! We are seeking a Medication Access Specialist to: Collaborate with providers, pharmacists, and clinic...
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Medication Access Specialist
4 weeks ago
Middleton, United States UW Health Full timeJob DescriptionWork Schedule: 100% FTE, day shift. Monday - Friday, five eight-hour shifts between the hours of 8:00AM - 6:00PM. Hours may vary based on the operational needs of the department.Be part of something remarkableJoin the #1 hospital in Wisconsin! We are seeking a Medication Access Specialist to: Collaborate with providers, pharmacists, and clinic...
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Sr. Talent Acquisition Specialist
3 weeks ago
Middleton, United States Spectrum Brands Full timeJOB REQUIREMENTS: Division Information Spectrum Brands' global enabling functions, including Finance, Legal, IT, Human Resources, Supply Chain, and Commercial Operations, provide enterprise-wide strategy, structure, and common processes to deliver the knowledge and expertise that helps our businesses grow. Enabling functions may operate as a center-led...
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Part-Time Nurse Practitioner
1 month ago
Middleton, United States Pivotal Health, Inc. Full timeJob DescriptionJob DescriptionPivotal Health is an innovative healthcare company that delivers convenient, top-quality physical and mental healthcare for consumers when and where they need it. Consumers can schedule a house call using the Pivotal Health mobile application for their urgent/emergency/immediate care needs and a nurse practitioner from Pivotal...
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Part-Time Nurse Practitioner
6 hours ago
Middleton, United States Pivotal Health, Inc. Full timeJob DescriptionJob DescriptionPivotal Health is an innovative healthcare company that delivers convenient, top-quality physical and mental healthcare for consumers when and where they need it. Consumers can schedule a house call using the Pivotal Health mobile application for their urgent/emergency/immediate care needs and a nurse practitioner from Pivotal...
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Part-Time Nurse Practitioner
4 weeks ago
Middleton, United States Pivotal Health, Inc. Full timeJob DescriptionJob DescriptionPivotal Health is an innovative healthcare company that delivers convenient, top-quality physical and mental healthcare for consumers when and where they need it. Consumers can schedule a house call using the Pivotal Health mobile application for their urgent/emergency/immediate care needs and a nurse practitioner from Pivotal...
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Pharmacy Technician Specialist
1 month ago
Middleton, United States UW Health Full timeWork Schedule: Per Diem. Hours and schedule vary. Minimum of 16 hours per week, with every other weekend rotation. Hours may vary based on the operational needs of the department. You may be eligible for a $600 sign-on bonus. Pay: External hires may be eligible for up to a $600 sign-on bonus. Be part of something remarkable UW Health's Specialty Pharmacy...
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Pharmacy Technician Specialist
4 weeks ago
Middleton, United States UW Health Full timeWork Schedule: Per Diem. Hours and schedule vary. Minimum of 16 hours per week, with every other weekend rotation. Hours may vary based on the operational needs of the department. You may be eligible for a $600 sign-on bonus. Pay: External hires may be eligible for up to a $600 sign-on bonus. Be part of something remarkable UW Health's Specialty Pharmacy...
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Optician
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Middleton, United States Keplr Vision Full timeOptician - Family Eyecare Specialists, MiddletonGeneral Job Description & ResponsibilitiesThe primary responsibility of this position is to ensure that all patients are receiving the best quality of care at all times. Primary responsibilities include: Review Physician's prescriptions and orders based on medical chartsEducate patients on their corrective lens...