Authorization Specialist
4 weeks ago
Responsible for prior authorization requests for all insurances for in-office and hospital testing/procedures. Verifying benefits and obtaining global referrals from primary care offices for provider office visits. Works with providers on peer to peer requests. Communicates with providers/patients on authorization process i.e. acceptance or denial. Assists billing department with outside chart audits. Knowledge of cardiology, Epic experience a plus.
Position is full time 7:30 am to 4:00 pm Monday - Friday at our Rochester Hills location. Minimum 2 years experience required.
Company DescriptionCardiology practice in Rochester Hills looking for customer service oriented as well as team players to join our amazing team.Company DescriptionCardiology practice in Rochester Hills looking for customer service oriented as well as team players to join our amazing team.-
Quality Assurance Specialist
1 month ago
Rochester Hills, United States Energy Steel Full timeQuality Assurance Specialist (QA) – is responsible for the review and approval of objective evidence of quality of examination, inspection, and test results for conformance/compliance to Code, Energy Steel requirements, and customer purchase order requirements. The QA Specialist compiles the Energy Steel certification documents and releases material for...
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Quality Assurance Specialist
1 month ago
Rochester Hills, United States Energy Steel Full timeQuality Assurance Specialist (QA) – is responsible for the review and approval of objective evidence of quality of examination, inspection, and test results for conformance/compliance to Code, Energy Steel requirements, and customer purchase order requirements. The QA Specialist compiles the Energy Steel certification documents and releases material for...
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Pharmacy Benefits Specialist
3 weeks ago
Rochester Hills, United States Henry Ford Hospital Full timeGENERAL SUMMARY: * Eligible for a $2,500 sign-on bonus* Eligible for Full-Time benefits Shift: Full-Time Day Shift The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external...
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Referral Coordinator/Prior Auth Specialist
3 weeks ago
Rochester, United States The University of Rochester Full timeServes as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinica Specialist, Coordinator, Medical, Insurance, Authorization, Healthcare, Patient
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Pharmacy Specialist
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Medication Access Specialist
20 hours ago
Rochester, United States The University of Rochester Full timeThis individual is responsible for the overall management of drug access for high-cost specialty and restricted access drugs in assigned clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant provid Medication, Specialist, Pharmacy Technician, Medical Director, Clinical, Management, Healthcare, Education
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Transition Specialist- School
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Senior Pre Service Specialist
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Referral & Prior Auth Rep III
4 days ago
Rochester, United States The University of Rochester Full timeServes as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinica Insurance, Medical, Authorization, Healthcare, Patient, Information, Compliance
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Operations Specialist
7 days ago
Vernon Hills, United States Rowe-Thrush, Inc. Full timeWe are seeking a highly motivated and results-oriented Operations Specialist to join our team. The Operations Specialist will play a vital role in supporting the day-to-day operations of the organization to ensure smooth and efficient functioning. You will work closely with the Operations Manager and other team members to ensure efficient workflow, maintain...
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Operations Specialist
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Purchasing Specialist
3 weeks ago
Rochester, United States Salzman Group Inc Full timeJob DescriptionJob DescriptionDescription:The Purchasing Specialist oversees the profitable procurement and timely delivery of products for the Company’s e-commerce platforms, both domestically and internationally. This role collaborates with the Sales, Marketing, and Operations teams to meet the company's objectives, ensuring supply chain and...
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Return Support Specialist
2 days ago
Arden Hills, United States Veterans Sourcing Group Full timeOnsite 4 days per week in Arden Hills, MN. Fridays are remote. To provide support to the Capital Equipment Returns team by using problem solving skills to help the team receive and properly disposition customer and field service returns. This role is responsible for creating return authorizations, troubleshooting returns from unknown origins, and managing...
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Compliance Risk Assessment Specialist
2 weeks ago
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Compliance Risk Assessment Specialist
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Youth Services Specialist
1 week ago
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Plant Health Care Specialist
2 days ago
Bedford Hills, United States SavATree Full time**Job Summary**: The Plant Health Care Team are specialists dedicated to inspecting plant material, identifying problems, and ethically treating or preventing the many problems that trees and shrubs may face. They are our team of “detectives”; looking at each plant disease/infestation as a puzzle they can’t wait to solve. This role provides the...
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Sr. SAP Data Specialist
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Payroll Specialist III
3 weeks ago
Rochester, New York, United States Asure Software Full timeWho we areOver 500 employees strong, Asure sees Human Capital Management (HCM) through the lens of entrepreneurs and executives with an owner's mentality. We help businesses develop their "Human Capital" to get to the next level, stay compliant, and allocate their time, money and technology toward growth. Our HCM platform empowers more than 80,000 clients to...
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Warehouse Lead
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Rochester, United States Durst Image Technology Full timeAbout Durst Durst Image Technology has been an industry leader in Digital Imaging for over 80 years. Established in 1936, Durst is a fast-growing company based in Rochester, NY that sells and services large format, label, and corrugated ink jet printers in North America. Our customers are commercial service providers and industrial enterprises, with products...