Clinical Authorization Specialist

2 weeks ago

Manchester, New Hampshire, United States SolutioNHealth Full time
Position Overview:

The Clinical Authorization Specialist plays a crucial role in ensuring that precertification processes are efficiently completed for patients, as mandated by insurance providers.

Key Responsibilities:

  • Secure necessary approvals by investigating ICD-10 coding, filling out required authorization forms, and ensuring that all clinical information is submitted to insurance companies.
  • Collaborate with staff to exchange information and receive updates regarding patient status or procedures.
  • Act as a resource for staff, providing education on the precertification processes.
  • Work closely with Patient Accounts to address billing and precertification concerns, supplying supportive documentation as required.
  • Verify all self-pay accounts and conduct research to confirm the absence of any other insurance coverage.
  • Develop proficiency in current technologies, including electronic medical records and other relevant systems.
  • Maintain electronic files, logs, and records for efficient retrieval and accurate tracking of production.
  • Ensure confidentiality regarding employee, legal, client/patient, budget, and all company matters.
  • Prepare visit charts based on daily scheduled appointments, ensuring that all necessary documents are accessible to providers.
  • Document interactions using clear, concise, and professional written communication.
  • Process medication prescription refills in accordance with established guidelines.
  • Communicate with patients in a timely and professional manner, addressing complaints or negative feedback appropriately.
  • Identify urgent situations and relay information to the appropriate personnel for intervention.
  • Engage in quality and regulatory activities, fostering teamwork and professional relationships within the organization.
  • Participate in continuing education to enhance personal knowledge and skills.
  • Cross-train as a patient service representative as needed.

Qualifications:

  • Education: High School diploma or GED required. Completion of an accredited Medical Assistant program or equivalent clinical experience in a healthcare setting is necessary.
  • Licensure: Medical Assistant certification is preferred.
  • Experience: A minimum of one year of experience as a Medical Assistant or in a similar clinical role is preferred, along with experience in customer service or office environments.

Benefits:

  • Comprehensive health, dental, prescription, and vision coverage for both full-time and part-time employees.
  • Short-term and long-term disability, as well as life insurance coverage.
  • Competitive compensation package.
  • Tuition reimbursement opportunities.
  • 403(b) Retirement Savings Plan.
  • And more.

Work Schedule: Monday-Friday, 8am-5:00pm, 32 hours weekly.

SolutionHealth is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

  • Clinical Authorization Specialist

    1 week ago

    Manchester, New Hampshire, United States Panera Bread Full time

    Come work at a leading organization dedicated to providing exceptional care.Job Overview:Position SummaryThe Clinical Authorization Specialist plays a crucial role in ensuring that precertification processes are efficiently completed for patients, as mandated by insurance providers. This position encompasses various administrative responsibilities that...

  • Clinical Authorization Specialist

    1 week ago

    Manchester, New Hampshire, United States Panera Bread Full time

    Come work at a leading organization in healthcare.Job Overview:Position SummaryThe Clinical Authorization Specialist plays a crucial role in managing precertification processes for patients as mandated by insurance providers. This position entails performing various administrative tasks that support both clinical and provider needs.We invite applications...

  • Clinical Authorization Specialist

    1 week ago

    Manchester, New Hampshire, United States SolutioNHealth Full time

    Position Overview:The Clinical Authorization Specialist plays a crucial role in the healthcare process by ensuring that precertification is accurately completed for patients as mandated by insurance providers.This position involves a variety of administrative responsibilities that support both clinical and provider needs.Key Responsibilities:Secure necessary...

  • Clinical Authorization Specialist

    2 weeks ago

    Manchester, New Hampshire, United States Panera Bread Full time

    Come work at a leading organization dedicated to providing exceptional care.Job Overview:Position SummaryThe Clinical Authorization Specialist plays a crucial role in managing the precertification process for patients, which is essential for insurance providers. This position involves performing various administrative tasks that support both clinical and...

  • Clinical Diabetes Specialist Opportunities

    2 days ago

    Manchester, New Hampshire, United States Sequel Medical Technology Full time

    Position OverviewAbout Sequel Medical TechnologySequel Medical Technology is a pioneering organization focused on creating innovative precision drug delivery solutions.Are you an experienced Clinical Diabetes Specialist eager to contribute significantly to diabetes management? Sequel Medical Technology is actively seeking skilled professionals to enhance our...

  • Clinical Diabetes Education Specialist Opportunities

    5 days ago

    Manchester, New Hampshire, United States Sequel Medical Technology Full time

    Position OverviewAbout Sequel Medical TechnologySequel Medical Technology is an innovative organization focused on creating advanced precision drug delivery solutions.Are you an experienced Clinical Diabetes Specialist eager to contribute significantly to diabetes management? Sequel Medical Technology is actively seeking skilled professionals to enhance our...

  • Clinical Diabetes Education Specialist Opportunities

    2 days ago

    Manchester, New Hampshire, United States Sequel Medical Technology Full time

    Position OverviewAbout Sequel Medical TechnologySequel Medical Technology is an innovative organization focused on creating advanced precision drug delivery solutions.Are you an experienced Clinical Diabetes Specialist eager to contribute significantly to diabetes management? Sequel Medical Technology is seeking skilled professionals to enhance our dynamic...

  • Future Clinical Diabetes Specialist

    2 days ago

    Manchester, New Hampshire, United States Sequel Medical Technology Full time

    Job OverviewSequel Medical Technology is a pioneering company in the development of cutting-edge precision drug delivery devices. We are seeking a highly skilled Clinical Diabetes Specialist to join our innovative team.About the RoleWe are looking for a Clinical Diabetes Specialist who can deliver exceptional clinical education and product training to...

  • Clinical Nutrition Specialist

    2 weeks ago

    Manchester, New Hampshire, United States Carespring Full time

    Position OverviewAre you a dedicated professional who strives for excellence in every task? Do you have a passion for enhancing patient outcomes as a Clinical Nutrition Specialist? If this resonates with you, consider joining Carespring Healthcare Management.COMPENSATION: $70,000 to $79,000 AnnuallyAs a Clinical Nutrition Specialist, you will play a vital...

  • Clinical Nutrition Specialist

    2 weeks ago

    Manchester, New Hampshire, United States Panera Bread Full time

    Position Overview:At Panera Bread, we are dedicated to providing exceptional care and support to our community. Our Oncology Service Department is committed to delivering the highest quality of nutrition services to patients and their families.About the Role:As a Clinical Nutrition Specialist, you will be responsible for evaluating, assessing, and developing...

  • Clinical Nurse Specialist

    2 days ago

    Manchester, New Hampshire, United States Dartmouth-Hitchcock Concord Full time

    Job SummaryDartmouth-Hitchcock Concord is seeking a highly skilled and dedicated Clinical Nurse to join our team. As a key member of our healthcare team, the successful candidate will be responsible for providing high-quality patient care and contributing to the development of our nursing practice.Key ResponsibilitiesPractitionerUtilize the nursing process...

  • Clinical Nurse Specialist

    1 day ago

    Manchester, New Hampshire, United States Dartmouth-Hitchcock Concord Full time

    Job SummaryDartmouth-Hitchcock Concord is seeking a highly skilled and dedicated Clinical Nurse to join our team. As a key member of our healthcare team, the successful candidate will be responsible for providing high-quality patient care and contributing to the development of our nursing practice.Key ResponsibilitiesPractitionerUtilize the nursing process...

  • Clinical Training Specialist

    1 week ago

    Manchester, New Hampshire, United States RxSight, Inc. Full time

    Job SummaryRxSight, Inc. is seeking a highly skilled Clinical Training Specialist to join our team. As a Clinical Training Specialist, you will be responsible for providing training and support to physicians and staff on RxSight products and technology.Key ResponsibilitiesTraining and Support: Provide comprehensive training and support to physicians and...

  • Licensed Clinical Therapist

    6 days ago

    Manchester, New Hampshire, United States Blue Lotus Wellness, LLC Full time

    About the RoleWe are seeking a highly skilled Licensed Clinical Therapist to join our team at Blue Lotus Wellness, LLC. As a key member of our mental health services team, you will be responsible for providing exceptional care to our clients using a combination of traditional counseling and alternative healing modalities.Key ResponsibilitiesAssess the mental...

  • Senior Clinical Support Specialist

    1 week ago

    Manchester, New Hampshire, United States Sequel Medical Technology Full time

    Job OverviewSequel Medical Technology is a leading medical device company dedicated to revolutionizing patient care through innovative solutions. Our mission is to improve the lives of people by developing cutting-edge medical technologies that address unmet needs in healthcare.As a Senior Clinical Support Specialist, you will be a critical member of our...

  • Senior Clinical Support Specialist

    2 weeks ago

    Manchester, New Hampshire, United States Sequel Medical Technology Full time

    Job OverviewSequel Medical Technology is a leading medical device company dedicated to revolutionizing patient care through innovative solutions. Our mission is to improve the lives of people by developing cutting-edge medical technologies that address unmet needs in healthcare.As a Senior Clinical Support Specialist, you will be a critical member of our...

  • Licensed Clinical Therapist

    6 days ago

    Manchester, New Hampshire, United States Blue Lotus Wellness, LLC Full time

    Job OpportunityJob Title: Licensed Clinical TherapistJob Type: Full-time or Part-timeLocation: Manchester, NH or Seacoast locationAbout Us: Blue Lotus Wellness, LLC is a group psychotherapy practice that utilizes both traditional and alternative healing modalities in our treatment, focusing on the mind, body, and spirit.Job Summary: We are seeking several...

  • Travel CT Technologist

    4 days ago

    Manchester, New Hampshire, United States Voca Full time

    Job SummaryVoca is seeking a skilled Travel CT Technologist to join our team as a Clinical Imaging Specialist. This 13-week contract position is available in a hospital setting, requiring a high level of expertise in CT scanning and patient care.Key ResponsibilitiesOperate CT scanners to produce high-quality diagnostic imagesCollaborate with radiologists and...

  • Clinical Nutrition Specialist

    2 weeks ago

    Manchester, New Hampshire, United States Panera Bread Full time

    Position Overview:At Panera Bread, we are dedicated to providing exceptional care and support to our community, patients, and their families. Our Oncology Service Department is committed to best practices and achieving optimal outcomes for those we serve.About the Role:We are seeking a Clinical Dietitian with extensive clinical expertise who is passionate...

  • Clinical Nutrition Specialist

    2 weeks ago

    Manchester, New Hampshire, United States Panera Bread Full time

    Position Overview:At Panera Bread, we are dedicated to providing exceptional care and support to our community, patients, and their families. Our Oncology Service Department is committed to implementing best practices to achieve optimal outcomes for those we serve.About the Role:We are seeking a Clinical Dietitian with robust clinical expertise who is...