Pre-Certification II Chemo Specialist

3 weeks ago

Little Rock, United States CARTI Full time

Description JOB SUMMARY: The Pre-Certification Specialist II (Chemotherapy) provides specialized assistance to our patients and clinical staff using their knowledge base of pre-certification requirements of insurance plans as well as provide excellent patient service. SPECIFIC JOB DUTIES AND RESPONSIBILITES: Verify all demographic and insurance information on patients, including but not limited to co pays, deductibles, stop losses, guarantors, subscribers, precertification requirements, and in patient requirements. Update demographic and insurance information in a timely fashion. Obtain and review Physician orders for medical necessity coverage requirements. Research coverage criteria with insurance companies, medical literature, and compendiums to determine eligibility for services timely. Utilize multiple healthcare websites. Run computer generated reports for appointment schedules. Communicate with all designated personnel eligibility issues in a timely fashion Other duties as assigned EDUCATION, CERTIFICATION, LICENSURE, REGISTRATION: High school graduate or GED EXPERIENCE, KNOWLEDGE, SKILLS and ABILITIES: Minimum of three years' experience working in healthcare insurance or medical clinic Experience in a medical clinic or other healthcare environment with high patient volumes Experience working with Microsoft Office applications Experience utilizing multiple systems and websites; must include strong navigational skills using the Intranet as well as utilization of Internet sites Experience working with managed care, medical terminology, pre-cert processes, and insurance claims processing Working knowledge and familiarity of coding (such as ICD9, ICD10, CPT, and HCPCS) in order to effortlessly process chemo pre-certification requests Ability to handle high patient volumes daily Excellent problem solving skills and be extremely detail oriented Ability to demonstrate knowledge and experience with clinical coverage guidelines and medical policies. REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or schedule form. INTERPERSONAL SKILLS: Must interact and communicate both verbally and in written form. Must interact and exchange information regarding patients with physicians and other departmental personnel, and outside agencies on a frequent basis while respecting the confidentiality of patient information. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT: The work environment described here are representative of those an employee encounters while performing the essential functions of this job. This position involves potential exposure to infectious diseases. Colleagues are offered appropriate vaccinations and safety training. COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

  • Pre-Certification II Chemo Specialist

    1 month ago

    Little Rock, United States CARTI, Inc. Full time

    DescriptionJOB SUMMARY: The Pre-Certification Specialist II (Chemotherapy) provides specialized assistance to our patients and clinical staff using their knowledge base of pre-certification requirements of insurance plans as well as provide excellent patient service.SPECIFIC JOB DUTIES AND RESPONSIBILITES:Verify all demographic and insurance information on...

  • Pre-Certification II Chemo Specialist

    2 weeks ago

    Little Rock, United States CARTI, Inc. Full time

    DescriptionJOB SUMMARY: The Pre-Certification Specialist II (Chemotherapy) provides specialized assistance to our patients and clinical staff using their knowledge base of pre-certification requirements of insurance plans as well as provide excellent patient service.SPECIFIC JOB DUTIES AND RESPONSIBILITES:Verify all demographic and insurance information on...

  • CARTI Pre-Certification II Chemo Specialist

    6 hours ago

    Little Rock, United States CARTI Full time

    JOB SUMMARY: The Pre-Certification Specialist II (Chemotherapy) provides specialized assistance to our patients and clinical staff using their knowledge base of pre-certification requirements of insurance plans as well as provide excellent patient service. SPECIFIC JOB DUTIES AND RESPONSIBILITES: Verify all demographic and insurance information on...

  • Fraud Compliance Specialist II

    2 weeks ago

    Little Rock, United States Simmons Bank Full time

    It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Fraud Compliance Specialist II works directly with a Compliance Manager to meet the requirements of the assigned regulatory area of the Compliance Management Program which includes researching, reviewing, and...

  • Referral Specialist

    2 weeks ago

    Little Rock, United States EngageMED, Inc. Full time

    Job DescriptionJob DescriptionDescription:The Referral Specialist works with patients requiring a referral, to ensure patients referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.II. Key ResponsibilitiesGather, verify, and process referrals,...

  • Referral Specialist

    1 month ago

    Little Rock, United States EngageMED, Inc. Full time

    Job DescriptionJob DescriptionDescription:The Referral Specialist works with patients requiring a referral, to ensure patients referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.II. Key ResponsibilitiesGather, verify, and process referrals,...

  • Referral Specialist

    1 week ago

    Little Rock, United States EngageMED, Inc. Full time

    Job DescriptionJob DescriptionDescription:The Referral Specialist works with patients requiring a referral, to ensure patients referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.II. Key ResponsibilitiesGather, verify, and process referrals,...

  • Specialist, Default FHA MI Claims, II

    4 days ago

    Little Rock, United States Carrington Full time

    Come join our amazing team and work remote from home! The Default FHA Claims Specialist II will work under moderate supervision, be responsible for preparing, filing, and following up on FHA claims timely and accurately according to insurer/investor guidelines. Performs all duties in accordance with the companys policies and procedures and all US state and...

  • ABC Lead Pre-K Teacher

    2 days ago

    Little Rock, United States Our House, Inc Full time

    Job DescriptionJob DescriptionSalary: Department: Bright BeginningsReports to: Pre-K CoordinatorEmployment Type: In-Person, Full-Time, Hourly, Non-ExemptAbout Our HouseOur House empowers homeless and near-homeless families and individuals to succeed in the workforce, in school, and in life through hard work, wise decision-making, and active participation in...

  • ABC Lead Pre-K Teacher

    3 weeks ago

    Little Rock, United States Our House, Inc Full time

    Job DescriptionJob DescriptionSalary: Department: Little LearnersReports to: Little Learners ManagerEmployment Type: In-Person, Full-Time, Hourly, Non-Exempt About Our HouseOur House empowers homeless and near-homeless families and individuals to succeed in the workforce, in school, and in life through hard work, wise decision-making, and active...

  • ABC Lead Pre-K Teacher

    2 weeks ago

    Little Rock, United States Our House, Inc Full time

    Job DescriptionJob DescriptionSalary: Department: Little LearnersReports to: Little Learners ManagerEmployment Type: In-Person, Full-Time, Hourly, Non-Exempt About Our HouseOur House empowers homeless and near-homeless families and individuals to succeed in the workforce, in school, and in life through hard work, wise decision-making, and active...

  • Cashier II

    4 weeks ago

    Little Rock, United States Bill and Hillary Clinton National Airport Full time

    Description The Cashier II provides oversight for the efficient and accurate accounting of all parking lot cashier transactions, and ensures the highest levels of customer service. Responsibilities will also include counting down the safe, issue and close out cashier registers, complete cash summary reports, deposits receipts in the vault, and performing a...

  • Data Entry Operation Specialist II

    1 week ago

    Little Rock, United States SGI Global Full time

    SGI Global is seeking a Data Entry Operation Specialist II responsible for directly providing a wide variety of office operations support to the United States Coast Guard (USCG) Recruiting Command (CGRC). The position is located in Little Rock, Arkansas. Data Entry Operation Specialists shall generally perform a standard 40-hour work week, with the core...

  • Laborer II

    2 weeks ago

    Little Rock, United States Terracon Full time

    28183BR Service Line: Environmental Office Name: Little Rock-PMI Job Description: General Responsibilities: Terracon’s Construction Services consist of but are not limited to, the execution of environmental remediation, fuel service station closure, and renewable energy construction (testing, installation, and maintenance), which will be executed by...

  • Educational Assistant Ii Pre K Ti

    2 weeks ago

    Round Rock, United States Round Rock Independent School District Full time

    2024 - 2025 SCHOOL YEAR EDUCATIONAL ASSISTANT II - PRE KINDERGARTEN (TITLE 1) ENTRY QUALIFICATIONS: EDUCATION EQUIVALENT TO COMPLETION OF 48 SEMESTER HOURS AT AN INSTITUTION OF HIGHER EDUCATION; OR COMPLETION OF AN ASSOCIATE'S DEGREE (OR HIGHER); OR COMPLETION OF A FORMAL ACADEMIC ASSESSMENT. THREE MONTHS OF RELATED EXPERIENCE IS REQUIRED. **Code...

  • Health & Safety Specialist - II- Technical Trainer

    3 weeks ago

    Little Rock, United States Arkansas Electric Cooperative Corporation Full time

    Are you a current or former line worker looking for a change? No extended storm work, no mandate to be on call, less risk, and a chance to coach others!The AECC/AECI Safety Department seeks to recruit an experienced line worker to join its skilled training team as a Technical Trainer – instructing current and future linemen at our on-campus training...

  • Help Desk Specialist II

    1 month ago

    Rock Island, United States Beat Full time

    Job Title: Help Desk Specialist II Locations: Multiple Locations (Rock Island IL ; Fort Huachuca, AZ ; Fort Detrick, MD ; Fort Stewart, GA ; Carlisle Barracks, PA ; Fort Dix, NJ; Ft Rucker, AL; Ft. Eisenhower, GA (Ft. Gordon)) Clearance: Secret Certifications: CompTIA Security+CE Education: N/A Roles and Responsibilities: Minimum three (3) year...

  • Educational Assistant Ii Pre K

    3 weeks ago

    Round Rock, United States Round Rock Independent School District Full time

    EDUCATIONAL ASSISTANT II PRE K 2024-2025 SCHOOL YEAR CALLISON ELEMENTARY SCHOOL ENTRY QUALIFICATIONS: HIGH SCHOOL DIPLOMA OR EQUIVALENT AND THREE MONTHS OF RELATED EXPERIENCE **Code **:16139-1 **Location **:CALLISON ES **Job Family **:NON-EXEMPT **Posting Start **:05/22/2024 **Posting End **:12/31/9999 HOURLY RATE RANGE: $17.00-$23.96

  • Travel Nurse RN

    6 days ago

    Little Rock, United States Travel Nurse Across America Full time

    Travel Nurse Across America is seeking a qualified Oncology RN needed for travel nurse assignment in Little Rock, AR. This assignment is in a Traveler-friendly facility and offers excellent pay, benefits, bonus opportunity, travel reimbursement, all licenses and certifications paid and more! Minimum 1-2 years’ experience required.Requirements*: BLS, CHEMO,...

  • Appraisal Specialist II

    3 weeks ago

    Little Rock, United States Home BancShares Full time

    GENERAL DESCRIPTION OF POSITION Analyze appraisals and perform appraisal reviews, market evaluations or any other valuation report required to support and facilitate safe and sound real estate secured credit decisions. Be competent and have understanding of all procedures, operational systems, and daily tasks of the appraisal department. Coordinate with...