Authorization Specialist-mvp

3 weeks ago

Loma Linda, United States Loma Linda University Full time

**Job Summary**:The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Accurately completes authorization requests, i. e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i. e. history/physical, physician/progress notes, prescription, etc. to support the authorization request. Provides approved authorizations and documentation to contracted billing company and monitors when re-authorization is needed. Monitors financial hold list and supplies contracted billing service with necessary paperwork for expeditious billing. Performs other duties as needed.

**Education and Experience**:High School Diploma or GED required. Minimum six months experience in a healthcare setting required. Pharmacy technician experience in infusion pharmacy preferred.

**Knowledge and Skills**:Knowledge of third-party reimbursement, statistics, data analysis, and ability to speak clearly and gather information. Ability to operate copy machine, fax machine, and computer. Able to type minimum of 30 wpm. Able to communicate effectively in English, in person, in writing, and by phone, etc., with customers/patients/staff/physicians, nurses and the general public. Demonstrates excellent oral and writing skills and excellent listening skills; working as a team player to achieve LLUMC and departmental goals, ability to have others cooperate or follow a specific course of action; relate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure. Able to think critically, perform basic math functions; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information; pay close attention to detail; work independently with mínimal supervision. Able to maintain a high level of understanding of pharmacy home infusion/home health practices, all functions of home infusion program and the most current practices of obtaining authorization/re-authorization information and data. Able to distinguish colors as necessary; write, hear, read, and speak sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with workplace; see adequately to read computer screens, and written documents necessary to the position; discern temperature variances through touch.

**Licensures and Certifications**:Pharmacy Technician Certification preferred.

  • Authorization Specialist-MVP

    1 month ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Authorization Specialist-MVP tracks and initiates authorizations and re-authorizations. Accurately completes authorization requests, i.e. SAR's, TAR's and submit to insurance payer in a timely manner. Obtains pertinent documentations, i.e. history/physical, physician/progress notes, prescription, etc. to support the authorization request....

  • Dietitian Specialist 3 Tpn/vad

    3 weeks ago

    Loma Linda, United States Loma Linda University Health Full time

    **Job Summary**:The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC. Receives referrals from LLHC nurses, MVP staff, area...

  • Dietitian Specialist 3 TPN/VAD

    20 hours ago

    Loma Linda, United States Loma Linda University Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC.  Receives referrals from LLHC nurses, MVP staff, area...

  • Dietitian Specialist 3 TPN/VAD

    1 day ago

    Loma Linda, United States VORTO Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC.  Receives referrals from LLHC nurses, MVP staff, area...

  • Dietitian Specialist 3 TPN/VAD

    3 days ago

    Loma Linda, United States Loma Linda University Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC.  Receives referrals from LLHC nurses, MVP staff, area...

  • Dietitian Specialist 3 TPN/VAD

    3 weeks ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC. Receives referrals from LLHC nurses, MVP staff, area...

  • Coordinator-MVP Intake

    1 month ago

    Loma Linda, United States Loma Linda Univ Medical Center Full time

    MC Amb: Pharmacy Mtn View- ( Full-time, Day Job) Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. The Intake Coordinator will act as the primary person for obtaining initial and ongoing patient information and payer...

  • Dietitian Specialist 3 TPN/VAD

    2 days ago

    Loma Linda, CA, United States Loma Linda University Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC. Receives referrals from LLHC nurses, MVP staff, area...

  • Dietitian Specialist 3 TPN/VAD

    2 days ago

    Loma Linda, CA, United States Loma Linda University Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC.  Receives referrals from LLHC nurses, MVP staff, area...

  • Dietitian Specialist 3 TPN/VAD

    2 days ago

    Loma Linda, CA, United States Loma Linda University Full time

    Job Summary: The Dietitian Specialist 3-MVP coordinates and provides age-specific (neonate, infant, toddler, preschoolers, school age, adolescent, young adult, middle adult, and later adult) nutritional care for patients receiving nursing care and/or pharmaceutical supplies from MVP and/or LLHC.  Receives referrals from LLHC nurses, MVP staff, area...

  • Health System Specialist

    1 month ago

    Loma Linda, California, United States Department Of Veterans Affairs Full time

    Summary The Health System Specialist (Credentialing Specialist) is assigned to the Medical Staff Office within the Office of the Chief of Staff and has delegated authority and responsibility for the centralized Credentialing and Privileging Program of the medical staff at this integrated health care facility. Duties Major duties include, but are not limited...

  • Scheduling & Auth Specialist 2

    1 month ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    CH: Hematology/Oncology Infusion Center (Full-time, Day shift) - Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness. The Scheduling & Auth Specialist 2 is responsible for financially clearing insurance verifications for all services...

  • Scheduling & Auth Specialist 2

    1 week ago

    Loma Linda, United States Loma Linda University Medical Center Full time

    Job Summary: The Scheduling & Auth Specialist 2 is responsible for financially clearing insurance verifications for all services and patient financial classifications, reviewing medical records, interfaces with payers to extend authorization for treatment, collaborates with Patient Business Office (PBO), assists with reimbursement and authorization according...

  • Referral Intake Specialist-orc

    3 weeks ago

    Loma Linda, United States Loma Linda University Health Full time

    **Job Summary**:The Referral Intake Specialist-ORC reviews and analyzes patient referrals for preauthorization, concurrent review and case management for outpatient and inpatient service areas. Obtains benefits and eligibility as well as authorizations or pre-certifications as required, schedules patient appointments as authorized. Educates and informs...

  • Supervisory Health System Specialist

    3 weeks ago

    Loma Linda, United States US Veterans Health Administration Full time

    **Duties**: Duties include, but may not be limited to the following: - Providing direct technical and administrative supervision to employees. - Responsible for ensuring that employees are efficiently and effectively accomplishing quality work that is compliant with regulatory requirements and procedures, TJC standards, laws, and VHA C&P policies and...

  • Supervisory Health System Specialist

    3 weeks ago

    Loma Linda, California, United States US Veterans Health Administration Full time

    Duties:Duties include, but may not be limited to the following:Providing direct technical and administrative supervision to employees. Responsible for ensuring that employees are efficiently and effectively accomplishing quality work that is compliant with regulatory requirements and procedures, TJC standards, laws, and VHA C&P policies and requirements, as...

  • Social Worker

    1 month ago

    Loma Linda, California, United States Veterans Health Administration Full time

    VA Careers - Social Work:Duties include but are not limited to;Participate in case conferencing process within the CoC's Coordinated Entry System to help inform and facilitate referrals to VA programs such as HUD VASH, SSVF, HCHV CRS, and GPD. Ensures efficient sharing of Veteran data and program information, as allowable under VA Privacy and Information...

  • Social Worker

    3 weeks ago

    Loma Linda, United States US Veterans Health Administration Full time

    **Duties**: Duties include but are not limited to; - Participate in case conferencing process within the CoC's Coordinated Entry System to help inform and facilitate referrals to VA programs such as HUD VASH, SSVF, HCHV CRS, and GPD. - Ensures efficient sharing of Veteran data and program information, as allowable under VA Privacy and Information Security...

  • Payroll Specialist

    4 weeks ago

    Mira Loma, United States PRS Holdings Inc. Full time

    Pavement Coatings Co. an employee-owned company who is a leader in the Pavement Preservation industry, is seeking an experienced Payroll/ Accounts Payable Specialist to join our team in our Jurupa Valley branch. Becoming a team member of PCC introduces you to a unique culture of employee ownership and empowerment to grow and succeed in your career. We...

  • Payroll Specialist

    1 month ago

    Mira Loma, United States PRS Holdings Inc. Full time

    Job DescriptionJob DescriptionPavement Coatings Co. an employee-owned company who is a leader in the Pavement Preservation industry, is seeking an experienced Payroll/ Accounts Payable Specialist to join our team in our Jurupa Valley branch.Becoming a team member of PCC introduces you to a unique culture of employee ownership and empowerment to grow and...