Current jobs related to Medication Prior Authorization Specialist - Saginaw - CMU Medical Education Partners
-
Authorization Specialist
3 days ago
Saginaw, Michigan, United States LHC Group Full timeAuthorization SpecialistWe are seeking a highly skilled Authorization Specialist to join our team at LHC Group. As an Authorization Specialist, you will play a critical role in ensuring timely and efficient authorization of services for our patients.Key Responsibilities:Oversee the team in obtaining authorization from payer's case manager for services...
-
Medical Coding Specialist II
4 weeks ago
Saginaw, Michigan, United States CMU Health Full timePosition OverviewRole Summary:As a Medical Coding Specialist at CMU Health, you will be instrumental in supporting our healthcare initiatives by ensuring precise coding of medical services prior to billing processes.Key Responsibilities:Examine patient records to accurately assign appropriate CPT, CPT Category II codes, ICD-10-CM codes, and quality reporting...
-
Medical Support Specialist
1 week ago
Saginaw, Michigan, United States Ascension Full timeAbout Our TeamAt Ascension Living, we're dedicated to providing exceptional care and services to our seniors. Our team is passionate about making a difference in the lives of our residents and patients.Job SummaryWe're seeking a skilled Medical Support Specialist to join our team at AMG TOWNE CENTRE ONCOLOGY Center. As a Medical Support Specialist, you will...
-
Medical Support Specialist
7 days ago
Saginaw, Michigan, United States Ascension Full timeAbout Our TeamAt Ascension Living, we're dedicated to providing exceptional care and services to our seniors. Our team is passionate about making a difference in the lives of our residents and patients.Job SummaryWe're seeking a skilled Medical Support Specialist to join our team at AMG TOWNE CENTRE ONCOLOGY Center. As a Medical Support Specialist, you will...
-
Medical Support Specialist
8 hours ago
Saginaw, Michigan, United States Ascension Full timeAbout Ascension Medical GroupAscension Medical Group is a leading provider of senior living services, dedicated to delivering exceptional care and support to our residents. Our community offers a unique blend of personalized care, exceptional services, and cultural opportunities, creating a truly special living experience.Job SummaryWe are seeking a skilled...
-
Medical Billing Specialist
2 weeks ago
Saginaw, Michigan, United States CMU Health Full timeJob Summary**About CMU Health**CMU Health is a leading healthcare provider seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring that patients and third-party payers are accurately billed and fees are collected for clinical services received.Key...
-
Medical Laboratory Specialist
7 days ago
Saginaw, Michigan, United States KA Recruiting Inc. Full timeMedical Technologist Job Opportunity **About the Role** We are seeking a highly skilled Medical Technologist to join our team at KA Recruiting Inc. in Saginaw, Michigan. As a Medical Technologist, you will be responsible for performing laboratory tests and analyzing results to aid in the diagnosis and treatment of diseases. **Responsibilities** * Conduct...
-
Medical Support Specialist
1 week ago
Saginaw, Michigan, United States Ascension Full timeAbout Ascension Medical GroupWe are a leading provider of senior living services, dedicated to delivering exceptional care and support to our residents. Our community offers a unique blend of comfort, culture, and opportunities for seniors to thrive.As a Medical Support Specialist, you will play a vital role in our team, working closely with our healthcare...
-
Medical Support Specialist
7 days ago
Saginaw, Michigan, United States Ascension Full timeAbout Ascension Medical GroupWe are a leading provider of senior living services, dedicated to delivering exceptional care and support to our residents. Our community offers a unique blend of comfort, culture, and opportunities for seniors to thrive.As a member of our team, you will be part of a dynamic and supportive work environment that values...
-
Parts Sales Specialist with Toyota Expertise
1 week ago
Saginaw, Michigan, United States Serra Saginaw Full time{"title": "Parts Sales Specialist", "description": "Join Our Team at Serra Saginaw AutomotiveSerra Saginaw Automotive is a proud member of the Serra Automotive Group, a leading dealership network with 37 stores across 7 states. We offer a dynamic work environment that promotes value for the individual, creative thinking, and professional growth.What We...
-
Admissions Coordinator
1 week ago
Saginaw, Michigan, United States Acadia Healthcare Full timeJob SummaryWe are seeking a highly skilled Admissions Specialist to join our team at Acadia Healthcare. As an Admissions Specialist, you will play a critical role in facilitating the admissions process for incoming patients, ensuring a seamless and efficient experience for both patients and staff.Key ResponsibilitiesAdmissions and Assessment: Facilitate...
-
Traveling Medical Imaging Specialist
2 weeks ago
Saginaw, Michigan, United States Host Healthcare Full timeJob SummaryHost Healthcare is seeking a skilled Traveling Medical Imaging Specialist to join our team. As a Diagnostic Imaging Professional, you will be responsible for operating medical imaging equipment to produce high-quality images for diagnostic purposes.Key Responsibilities:Operate CT scanners and other medical imaging equipment to produce high-quality...
-
Admissions Coordinator
1 week ago
Saginaw, Michigan, United States Acadia Healthcare Full timeJob SummaryWe are seeking a highly skilled Admissions Specialist to join our team at Acadia Healthcare. As an Admissions Specialist, you will play a critical role in facilitating the admissions process for incoming patients, ensuring a seamless and efficient experience for both patients and staff.Key ResponsibilitiesAdmissions and Assessment: Facilitate...
-
Nurse Practitioner
4 days ago
Saginaw, Michigan, United States Home Base Medical Care Full timeHome-Based Medical Care SpecialistWe are seeking a skilled Nurse Practitioner to join our interdisciplinary team in Saginaw County, MI. As a Home-Based Medical Care Specialist, you will work closely with patients, caregivers, and healthcare professionals to deliver high-quality, patient-centered care in the comfort of patients' homes.Key...
-
Medical Laboratory Scientist
7 days ago
Saginaw, Michigan, United States KA Recruiting Inc. Full timeExciting Opportunity for a Hematology/Oncology Med TechWe are seeking a highly skilled Medical Laboratory Scientist to join our team at KA Recruiting Inc. in Michigan.Job Summary:This is a full-time, permanent position with opportunities for growth and professional development.Key Responsibilities:Perform hematology and oncology laboratory tests and...
-
Account Development Specialist
2 weeks ago
Saginaw, Michigan, United States Applied Industrial Technologies Full timeAbout the RoleApplied Industrial Technologies is seeking an experienced Account Development Specialist to join our team. As an Account Development Specialist, you will be responsible for planning, implementing, and executing target industry marketing programs. You will work closely with customers to understand their applications and needs, and use your...
-
Document Control Specialist
4 days ago
Saginaw, Michigan, United States TransGlobal Energy Inc Full timeJob Title: Document Control SpecialistJob Summary:We are seeking a highly organized and detail-oriented Document Control Specialist to join our team at TransGlobal Energy Inc. As a key member of our project team, you will be responsible for ensuring the timely and accurate management of project documentation.Key Responsibilities:Set up and maintain master...
-
Healthcare Support Specialist
4 weeks ago
Saginaw, Michigan, United States CMU Health Full timeJob OverviewPOSITION SUMMARY:The Healthcare Support Specialist, under the supervision of a Registered Nurse, Nurse Practitioner, or physician, carries out essential clinical and administrative tasks to aid healthcare providers in delivering patient-centered medical services across various departments within CMU Health.KEY RESPONSIBILITIES:Collaborates with...
-
Residential Property Maintenance Specialist
4 weeks ago
Saginaw, Michigan, United States Career Strategies Full timeJob OverviewCareer Strategies is seeking a dedicated Residential Property Maintenance Specialist to support our operations in the Saginaw, TX area.The ideal candidate will demonstrate professionalism and courtesy when interacting with residents, visitors, contractors, and colleagues. A well-equipped maintenance specialist is essential to efficiently perform...
-
Radiation Oncology Specialist
6 days ago
Saginaw, Michigan, United States TRAC Recruiting, Inc. Full timeAbout the JobRadiation Therapist (Saginaw, MI)Job SummaryWe are seeking a registered and licensed Radiation Therapist to join our team at TRAC Recruiting, Inc. The ideal candidate will be responsible for providing radiation therapy to patients in accordance with the physicians' prescription.ResponsibilitiesPosition patients for treatment with accuracy...
Medication Prior Authorization Specialist
4 months ago
GENERAL STATEMENT OF DUTIES: We are seeking a highly organized and detail-oriented Medical Prior Authorization Specialist to join our outpatient clinic team. The ideal candidate will have a strong background in healthcare administration, particularly in handling prior authorizations for medical procedures, tests, and treatments. This role requires efficient communication skills, analytical thinking, and the ability to navigate insurance requirements to ensure timely approvals for patient care. * * ESSENTIAL FUNCTIONS: Review and process prior authorization requests for medical procedures, tests, medications, and treatments according to insurance guidelines and clinic protocols. Verify patient insurance coverage and eligibility for requested procedures or treatments. Communicate with insurance companies to obtain necessary authorization and resolve any coverage issues. Maintain accurate records of prior authorization requests, approvals, denials, and appeals. Document all communication with insurance companies and healthcare providers regarding authorization status. Communicate with patients regarding prior authorization requirements, status updates, and any financial responsibilities associated with their care. Provide assistance and guidance to patients in navigating insurance coverage and appeals processes. Collaborate with healthcare providers, nurses, and administrative staff to ensure timely submission and processing of prior authorization requests. Communicate effectively with other departments to coordinate patient care and ensure compliance with insurance requirements. Assist in the preparation and submission of appeals for denied prior authorization requests. Gather necessary documentation and information to support the appeal process and advocate for patients' medical needs. Stay updated on changes in insurance policies, regulations, and industry trends related to prior authorization processes. Identify opportunities for process improvements and efficiency enhancements in prior authorization management. QUALIFICATIONS High school diploma required, Associates degree preferred Detail-oriented with strong organizational and time management skills Excellent communication skills, both verbal and written, with the ability to interact professionally with patients, healthcare providers and staff, and insurance representatives ```{=html} ``` - Minimum of 2 years of experience in prior authorization management in a healthcare setting, preferably in an outpatient clinic or medical office - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment - Familiar with medical billing processes, and revenue cycle management is a plus CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.
