Prior Authorization Coordinator
4 weeks ago
Rapid City Medical Center is seeking a highly skilled Prior Authorization Specialist to join our West River ENT team. This role is responsible for managing the prior authorization process according to RCMC policies and procedures.
Key Responsibilities- Serve as a member of the clinic care team by providing exceptional service that further facilitates the ongoing care of patients.
- Initiate prior authorizations as required by payers for diagnostic imaging procedures and specialized medications.
- Process prior authorization requests accurately and efficiently in accordance with RCMC policy and procedures, communicating back to the nurse/provider team in a timely manner.
- Meet productivity and accuracy standards for prior authorization processing.
- Protect and maintain confidentiality and privacy of all prior authorization and member information.
- Demonstrate ability to appear for work on time, possess knowledge of medical terminology, follow directions from a supervisor, and interact well with coworkers and patients.
- Develop, document, and maintain a prior authorization matrix for all payers.
- Maintain confidentiality of all pertinent information to ensure employee, patient, and visitor rights are protected.
- Handle all information regarding the organization in a manner that assures strictest confidentiality is maintained at all times.
- Call on allergy and hearing aid benefits.
- Perform other responsibilities as assigned based on business needs.
- High school diploma.
- Minimum of one year work experience in medical service.
- Experience in business/professional written and verbal communication.
- General understanding of medical terminology, insurance billing, or coding background desirable.
- Exceptional customer relation skills.
- Intermediate level of computer knowledge with experience in Microsoft Office Products.
- Ability to walk, stand, and sit for periods of time.
- Ability to sit and review information on a computer screen for extended periods of time.
- Normal motor skills and eye-hand coordination.
- Must have manual dexterity to operate computer keyboard and standard office equipment.
- Occasional stress from dealing with multiple projects.
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Prior Authorization Coordinator
4 weeks ago
Rapid City, South Dakota, United States Rapid City Medical Center Full timeJob Title: Prior Authorization SpecialistJob Summary:Rapid City Medical Center is seeking a skilled Prior Authorization Specialist to manage the prior authorization process according to RCMC policies and procedures. This role serves as an integral part of the patient care team, acting as a liaison between patients and clinical staff to deliver outstanding...
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Prior Authorization Coordinator
3 weeks ago
Rapid City, South Dakota, United States Rapid City Medical Center, LLP Full timeRapid City Medical Center, LLP is seeking a skilled Prior Authorization Specialist to manage the prior authorization process according to RCMC policies and procedures.This position serves as an integral part of the patient care team, acting as a liaison between patients and clinical staff to deliver outstanding service and optimize patient flow.Key...
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Prior Authorization Coordinator
3 weeks ago
Rapid City, South Dakota, United States Rapid City Medical Center Full timeJob Title: Prior Authorization SpecialistJob Summary:Rapid City Medical Center is seeking a skilled Prior Authorization Specialist to manage the prior authorization process according to RCMC policies and procedures. This role serves as an integral part of the patient care team, acting as a liaison between patients and clinical staff to deliver outstanding...
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Medical Authorization Coordinator
4 weeks ago
Rapid City, South Dakota, United States Rapid City Medical Center, LLP Full timeRapid City Medical Center, LLP is seeking a highly skilled Medical Authorization Coordinator to join our team. This role is responsible for managing the prior authorization process according to RCMC policies and procedures, ensuring seamless communication between patients and clinical staff.The ideal candidate will have a strong understanding of medical...
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Client Service Coordinator
4 weeks ago
Rapid City, South Dakota, United States Monument Health Full timeJob SummaryThe Client Service Specialist plays a vital role in ensuring seamless interactions between Monument Health and its business-to-business clients. This position is responsible for coordinating and supporting client and patient billing, maintaining a continuum of interest and credibility with clients, and expediting patient access to care.Key...
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Case Management Coordinator
4 weeks ago
Rapid City, South Dakota, United States Monument Health Full timeJob SummaryMonument Health is seeking a skilled Case Management Assistant to support the Case Management/Social Work functions related to payer pre-authorizations/notifications, utilization review submissions, education of patients and families regarding required regulatory notices, assists with patient discharge arrangements, specialized administrative...
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Patient Services Coordinator
3 weeks ago
Rapid City, South Dakota, United States Monument Health Full timeJob SummaryThe Patient Services Specialist plays a vital role in expediting and enhancing patient access to care by scheduling appointments, including diagnostic services in real-time, and financially clearing patients prior to service. This involves completing insurance verification, pre-certification, authorization, pre-registration, and notification to...
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Freight Coordinator
4 weeks ago
Rapid City, South Dakota, United States The Buckle, Inc. Full timeJob SummaryThe Freight Coordinator plays a vital role in ensuring the smooth operation of our stores by coordinating the receipt, storage, and shipment of merchandise. This position requires strong organizational and communication skills, as well as the ability to work independently and as part of a team.Key ResponsibilitiesVerify merchandise invoices to...
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Patient Services Coordinator
4 weeks ago
Rapid City, South Dakota, United States Great Plains Tribal Leaders Health Board Inc Full timeJob SummaryWe are seeking a highly organized and detail-oriented Patient Services Representative to join our team at the Great Plains Tribal Leaders Health Board Inc. The successful candidate will be responsible for providing exceptional customer service to patients, families, and healthcare providers, while ensuring accurate and timely registration and...
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Licensed Practical Nurse
3 weeks ago
Rapid City, South Dakota, United States Edgewood Healthcare Full timeJob Summary:As a Licensed Practical Nurse at Edgewood Healthcare, you will play a vital role in ensuring the comfort and well-being of our residents. We are seeking a dedicated and compassionate LPN to join our team and provide high-quality care to our residents.Responsibilities:Coordinate quality care outcomes as directedOrder, prepare, and administer...
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Senior Geotechnical Engineer
3 weeks ago
Rapid City, South Dakota, United States American Engineering Testing Inc Full timeJob SummaryWe are seeking a highly skilled Senior Geotechnical Engineer to join our team at American Engineering Testing Inc. The chosen candidate will have the option to select their preferred base location from various sites across the region.The successful candidate will be responsible for coordinating and completing project testing services by applying...
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Patient Experience Coordinator
4 weeks ago
Rapid City, South Dakota, United States TN Specialty Dental Services, PLLC Full timePatient Experience Specialist About the Role We are seeking a highly skilled and compassionate Patient Experience Specialist to join our team at TN Specialty Dental Services, PLLC. As a key member of our front office team, you will be responsible for providing exceptional patient care and ensuring a positive experience for our patients and their...
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Freight Flow Coordinator
4 weeks ago
Rapid City, South Dakota, United States Sam's Club Full timeJob SummaryAs a Freight Flow Associate at Sam's Club, you will play a critical role in ensuring the smooth operation of our warehouse and distribution center. Your primary responsibility will be to safely operate forklifts and other equipment to move merchandise and supplies throughout the facility. You will also be responsible for receiving, stocking, and...
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Patient Access Coordinator
4 weeks ago
Rapid City, South Dakota, United States Monument Health Full timeJob SummaryAs a Patient Access Specialist at Monument Health, you will play a vital role in ensuring the smooth operation of our front-end patient access and registration functions. You will be the first point of contact for patients, providing exceptional service and ensuring that their needs are met. Your attention to detail and ability to multitask will...
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Medical Assistant
4 weeks ago
Rapid City, South Dakota, United States Trusted Medical PLLC Full timeJob Summary:The Certified/Registered Medical Assistant will function autonomously and be responsible for coordinating the medical office and any Veteran/family activity including patient flow related to in-person visits.The role will require excellent customer service skills, Provider support in relation to checking Veterans/patients into the clinic,...
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Pharmacy Technician
3 weeks ago
Rapid City, South Dakota, United States Great Plains Tribal Leaders' Health Board Full timeJob Summary:This position is responsible for assisting pharmacists in the dispensing of prescribed medications, drugs, and other pharmaceuticals to provide the highest quality pharmaceutical care to Oyáte Health Center (OHC) patients.Key Responsibilities:Mixes pharmaceutical preparations and fills bottles with prescribed tablets and capsules, and compounds...
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LPN Pain Management Specialist
4 weeks ago
Rapid City, South Dakota, United States 70 Monument Health Orthopedic and Specialty Hospital Full timeJob SummaryMonument Health Orthopedic and Specialty Hospital is seeking a skilled LPN to join our team in Pain Management. As a Licensed Practical Nurse, you will play a vital role in providing high-quality patient care and contributing to the success of our hospital.Key ResponsibilitiesPrepare examination and treatment areas according to clinic...
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Experienced Fire Sprinkler Specialist
3 weeks ago
Rapid City, South Dakota, United States Total Fire Protection Full timeJob OverviewTotal Fire Protection is seeking a highly skilled Fire Sprinkler Journeyman/Foreman to join our team. As a key member of our team, you will be responsible for installing Fire Sprinkler Systems according to the NFPA Codes.Key Responsibilities:Install Fire Sprinkler Systems on commercial construction projectsRead and interpret blueprints to...
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Retail Sales Consultant
4 weeks ago
Rapid City, South Dakota, United States AT&T Full time**Job Summary:**We are seeking a highly motivated and customer-focused Retail Sales Consultant to join our team. As a Retail Sales Consultant, you will be responsible for providing exceptional customer service and sales support to our customers.Key Responsibilities:Use a consultative sales approach to guide customers through their optionsWork a schedule...
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Tax Examination Technician
3 weeks ago
Rapid City, South Dakota, United States U.S. Department of the Treasury Full timeJob SummaryThis position is located in the U.S. Department of the Treasury, Internal Revenue Service (IRS). The selected candidate will serve as a Tax Examination Technician in the Small Business/Self-Employed (SB/SE) Division, Technical Services Group.Key ResponsibilitiesProtect the confidentiality of taxpayer information and disclose it only as authorized...