Clinical Authorization Specialist

Position Overview:As a Clinical Authorization Specialist, you will play a crucial role in the Pre-certification Department, acting as the main clinical resource for complex authorization matters. Your expertise will ensure that precertification and authorization challenges are addressed promptly and thoughtfully, considering administrative, technical, and...

Position Overview:As a vital member of the Pre-certification Department, the Clinical Authorization Specialist plays a crucial role in managing intricate authorization challenges. This position ensures that all precertification and authorization matters are addressed promptly and with careful consideration from both administrative and clinical viewpoints.Key...

Client Authorization Specialist OverviewCOMHAR, Inc. is dedicated to providing comprehensive support to children, youth, and young adults facing mental, emotional, and behavioral health challenges. Our Intensive Behavioral Health Services (IBHS) program operates across various environments, including home, school, and community settings, with a strong...

Effective immediately, all employees, contractors, interns, and volunteers are required to provide proof of COVID vaccination.Client Authorization Specialist Job Overview:Work Schedule: Monday-Friday: 8:00 AM - 4:30 PM with One (1) Day Remote WorkSalary for Client Authorization Specialist:$32,000 - $35,000.00COMHAR's Intensive Behavioral Health Services...

Job Summary:The Service Authorization Specialist will be responsible for admitting clients by gathering and recording provider, client, and insurance information. This position will oversee the pre-authorization and referrals process for the Intensive Behavioral Health Services (IBHS) program.Key Responsibilities:Ensure that billing authorizations are...

Position Overview: As a licensed healthcare professional within the Pharmacy Prior Authorization Department, your primary role involves evaluating prior authorization and coverage requests for pharmaceutical products. This includes making determinations based on medical necessity and benefit criteria, all while adhering to established pharmacy guidelines,...

Position Overview: As a licensed healthcare professional in the Pharmacy Prior Authorization Department, your main duty is to evaluate prior authorization and coverage requests for pharmaceutical products. This involves making determinations regarding medical necessity and benefit eligibility. These decisions are guided by established pharmacy protocols,...

Position Overview: As a licensed healthcare professional within the Pharmacy Prior Authorization Department, your main role is to evaluate and decide on prior authorization and coverage requests for pharmaceutical products. These evaluations encompass assessments of medical necessity and benefit determinations, adhering to established pharmacy protocols,...

About Care & Help Home CareCare & Help Home Care is a trusted home healthcare provider committed to delivering transparent, professional, and excellent home care services to seniors in the Philadelphia area.Job Summary:The Authorization Specialist plays a critical role in obtaining and managing authorizations for home care services provided to clients. This...

Job SummaryTalentBurst, Inc is seeking a skilled Pharmacy Technician to join our team as a Prior Authorization Specialist. As a Pharmacy Technician, you will play a crucial role in ensuring seamless medication management for patients.Key ResponsibilitiesProcess prior authorizations for medications, collaborating with healthcare providers to ensure accurate...

Job SummaryComhar Inc. is seeking a highly organized and detail-oriented Service Authorization Technician to join our team. As a Service Authorization Technician, you will be responsible for ensuring that billing authorizations are correctly inputted into our Electronic Health Record (EHR) system.Key ResponsibilitiesAuthorization and Referral Management:...

Job SummaryComhar Inc. is seeking a highly organized and detail-oriented Service Authorization Technician to join our team. As a Service Authorization Technician, you will be responsible for ensuring that billing authorizations are correctly inputted into our Electronic Health Record (EHR) system.Key ResponsibilitiesAuthorization and Referral Management:...

Job SummaryThe Service Authorization Technician plays a critical role in ensuring the smooth operation of our Intensive Behavioral Health Services (IBHS) program. Reporting to the Office Manager of Children's Services, this position is responsible for admitting clients, gathering and recording provider, client, and insurance information, and overseeing the...

Job Description**Job Summary:**The Service Authorization Technician plays a crucial role in ensuring the smooth operation of our Intensive Behavioral Health Services (IBHS) program. This position is responsible for admitting clients, gathering and recording provider, client, and insurance information, and overseeing the preauthorization and referrals...

Position OverviewThe Clinical Resource Specialist in the Pre-Certification Department plays a pivotal role in managing intricate authorization challenges. This position ensures that precertification and authorization matters are thoroughly investigated and resolved promptly, considering administrative, technical, and clinical aspects.Key ResponsibilitiesAct...

Job SummarySpectrum Health Services, Inc is seeking a skilled Prior Authorization Specialist to join our team. As a vital member of our healthcare team, you will be responsible for managing the pre-approval process for patient treatments and medications with insurance companies.Key ResponsibilitiesReview and Interpret Physician Orders: Assess the necessity...

Job SummaryCommunity Behavioral Health is seeking a highly skilled Clinical Leadership Specialist to provide clinical leadership and oversight of the clinical management of members. The successful candidate will provide consultation regarding overall quality of care, medical decision making, case formulations, medication and other safety concerns, specific...

Position Overview:We are currently seeking a meticulous and skilled Precertification Coordinator to become a vital part of our team. The successful candidate will possess significant experience in securing authorizations for chemotherapy and outpatient surgical interventions. This role is essential in facilitating timely access to necessary medical...

Position: Clinical Nurse SpecialistOverviewWe are looking for a dedicated nursing professional (RN, LVN, or LPN) who meets our exceptional standards. The ideal candidate is a dynamic individual with a strong commitment to patient care, ensuring a positive experience for all patients. Excellent communication abilities are essential in our collaborative,...

Clinical Nurse Specialist (CNS) **Overview**We are in search of a dedicated nursing professional (RN, LVN, or LPN) who embodies our commitment to excellence. Our ideal candidate is a vibrant individual who is deeply passionate about patient care and enhancing the patient experience. Exceptional communication skills are essential in our collaborative,...