Prior Authorization Specialist
6 days ago
We are seeking a skilled Prior Authorization Specialist to join our team at w3r Consulting. As a key member of our healthcare operations team, you will play a critical role in supporting providers and UM reviewers with prior authorization requests for post-acute care services.
Responsibilities- Enter authorization requests into Care Management systems, following rules and algorithms embedded in the system to administratively approve prior authorization requests.
- Work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning.
- Support scheduling physician to physician calls.
- Support appeal processes for CMS designated Quality Improvement Organization appeals, including logging all appeal activities.
- High School Graduate or GED equivalent required.
- Two (2) years of college preferred.
- Two (2) years experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other healthcare related field preferred.
- Knowledge of post-acute care functions and processes or discharge readiness activities may be preferred for some positions.
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Prior Authorization Specialist
1 week ago
Detroit, Michigan, United States Tekwissen Full timeJob Title: Prior Authorization SpecialistAt TekWissen Group, we are seeking a skilled Prior Authorization Specialist to support our client providers and UM reviewers with prior authorization requests for post-acute care services.Key Responsibilities:Manually enter authorization requests into client Care Management systems, following rules and algorithms...
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Prior Authorization Specialist
4 days ago
Detroit, Michigan, United States LanceSoft Full timeJob DescriptionLanceSoft is seeking a skilled Prior Authorization Specialist to support our clients' providers and UM reviewers with prior authorization requests for post-acute care services.Key Responsibilities:Manually enter authorization requests into clients' Care Management systems, following rules and algorithms embedded in the system.Administeratively...
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Prior Authorization Coordinator
2 weeks ago
Detroit, Michigan, United States w3r Consulting Full timeRemote position, but onsite required for training**Key Responsibilities:*** Support providers and UM reviewers with prior authorization requests for post-acute care services.* Manually enter authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior...
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Prior Authorization Coordinator
1 week ago
Detroit, Michigan, United States w3r Consulting Full timeRemote position, but onsite required for training**Key Responsibilities:*** Support providers and UM reviewers with prior authorization requests for post-acute care services.* Manually enter authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior...
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Healthcare Authorization Specialist
6 days ago
Detroit, Michigan, United States Tekwissen Full timeJob Overview: TekWissen Group is a workforce management provider with a global presence, serving clients in the USA and other countries. Our client is a health insurance company offering various coverage plans, including individual and family, dental, and vision plans, as well as employer-sponsored plans.Job Title: Prior Authorization SpecialistWork...
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Field Reimbursement Specialist
4 weeks ago
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Transportation Specialist
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Medical Management Specialist
3 weeks ago
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Pharmacy Technician Specialist
6 days ago
Detroit, Michigan, United States Tekwissen Full timeJob SummaryWe are seeking a highly skilled Pharmacy Technician to support our client providers with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations.Key ResponsibilitiesAnswer telephones in an efficient and timely manner to lend appropriate assistance to providersTriage prior...
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Pharmacy Technician Specialist
2 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeJob OpportunityWe are seeking a skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. This contract opportunity is with one of our largest clients located in Detroit, MI.Job SummaryThe successful candidate will provide support to providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/specialty drug...
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Pharmacy Technician Specialist
2 weeks ago
Detroit, Michigan, United States Tekwissen Full timeJob SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at TekWissen Group. As a Pharmacy Technician, you will play a critical role in supporting our client providers with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations.Key ResponsibilitiesAnswer telephones...
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Pharmacy Support Specialist
2 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeJob SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at Strategic Staffing Solutions. As a Pharmacy Technician, you will play a critical role in supporting providers with Medicare Part D and/or Commercial pharmacy/specialty drug benefits analysis, drug coverage inquiries, and prior authorizations.Key ResponsibilitiesAnswer...
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Pharmacy Technician Specialist
3 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeStrategic Staffing Solutions is seeking a skilled Pharmacy Technician to join our team. As a Pharmacy Technician, you will play a critical role in supporting our pharmacy operations. Your primary responsibilities will include answering telephones, triaging prior authorization requests, and maintaining pharmacy prior authorization criteria. You will also...
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Exceptional Student Education Specialist
4 weeks ago
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Healthcare Intake Specialist
3 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeJob OpportunityStrategic Staffing Solutions is seeking a highly skilled Medical Intake Specialist to join our team. As a Medical Intake Specialist, you will be responsible for managing the intake process for medical services, ensuring that patients receive timely and efficient care.Key Responsibilities:Manage the intake process for medical services,...
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Exceptional Student Education Specialist
5 days ago
Detroit, Michigan, United States Detroit Public Schools Community District Full timeJob Title: Exceptional Student Education SpecialistJoin the Detroit Public Schools Community District as an Exceptional Student Education Specialist, where you will play a vital role in providing high-quality education to students with emotional impairments.Job Summary:The Exceptional Student Education Specialist will be responsible for creating and...
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Medical Intake Coordinator
2 weeks ago
Detroit, Michigan, United States Strategic Staffing Solutions Full timeJob Opportunity: Medical Intake SpecialistStrategic Staffing Solutions (S3) is seeking a highly skilled Medical Intake Specialist to join our team for a contract opportunity with a leading healthcare client in Detroit, MI.Job SummaryWe are looking for a detail-oriented and customer-focused individual to handle medical intake responsibilities, including...
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Cash Application Specialist
4 weeks ago
Detroit, Michigan, United States Quantam Solutions Full timeJob DescriptionJob Summary:We are seeking a highly skilled Cash Application Specialist to join our team at Quantam Solutions. As a key member of our financial operations team, you will play a critical role in ensuring the efficient and accurate processing of client payments.Key Responsibilities:Assist in receiving, recording, and depositing cash receipts...
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Cash Application Specialist
4 weeks ago
Detroit, Michigan, United States Quantam Solutions Full timeJob DescriptionJob Summary:We are seeking a highly skilled Cash Application Specialist to join our team at Quantam Solutions. As a key member of our financial operations team, you will play a critical role in ensuring the efficient and accurate processing of client payments.Key Responsibilities:Assist in receiving, recording, and depositing cash receipts...
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Medical Management Intake Specialist
3 weeks ago
Detroit, Michigan, United States KYYBA Full timeJob OverviewWe are seeking a highly skilled Medical Management Intake Specialist to join our team at Kyyba. As a key member of our organization, you will be responsible for managing medical intake processes, ensuring seamless communication with healthcare providers, and delivering exceptional customer service.Key ResponsibilitiesManage medical intake...