Prior Authorization Coordinator
1 month ago
The Prior Authorization Coordinator plays a vital role in our multi-disciplinary team, ensuring high-quality patient care. This position is responsible for processing all inbound prior authorizations for the department, coordinating the smooth flow of the authorization process, and meeting the needs of our patients, community specialists, and physicians.
Key Responsibilities:- Review chart documentation to ensure patients meet medical policy guidelines
- Prioritize incoming authorization requests according to urgency
- Obtain authorization via the payer website or by phone
- Follow up regularly on pending cases
- Initiate appeals for denied authorizations
- Respond to clinic questions regarding payer medical policy guidelines
- Confirm the accuracy of CPT and ICD-10 diagnoses in the procedure order
- Maintain individual payer files, including up-to-date requirements needed to successfully obtain authorizations
- Ability to interact with patients, physicians, and insurance companies to create relationships that promote a pleasant and caring practice
- Responsible for patient and insurance verification using automated eligibility verification systems
- Communicate with appropriate parties to obtain medical referrals/authorizations and ensure patient and insurance financial obligations are validated and met before patient's visit
- Develop relationships with other Dr. Offices, maintain and foster a network of contacts for promoting practice services
- Use Electronic Medical Records for scheduling/maintaining patient records and appointments
- Ability to perform medical assistant and/or front desk responsibilities when needed (training would be provided)
Employees acknowledge that compliance with CarePoint's HIPAA, Security, and Compliance Plan policies and procedures, as well as all other CarePoint policies and procedures, is a condition of employment. Any violation will result in sanctions up to and including termination based on the type and severity of the violation.
Access to and use of Protected Health Information – security clearance that allows employees to review, investigate, and respond to questions from payors.
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Medical Assistant
4 weeks ago
Wilson, North Carolina, United States LifePoint Health Full timeThe Pulmonary Medical Support Associate works closely with healthcare providers to deliver exceptional patient care, preparing and documenting vital information for patient visits, including medical history and other relevant details.This role performs routine clinic office functions, including paperwork, phone calls, and authorizations as needed.Key...
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Manufacturing Assembly Specialist
4 weeks ago
Wilson, North Carolina, United States Emco Wheaton Retail Corporation Full timeProduction AssemblerThis role is a 1st Shift, Monday - Friday position with a starting rate of pay at $15.75 per hour. Following a 90-day probationary period, you will be eligible for a $0.50 increase and full benefits.Key responsibilities for a Production Assembler include:Repetitive and non-repetitive assembly of small partsPerform daily tasks as assigned...
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Production Assembler
1 month ago
Wilson, North Carolina, United States Emco Wheaton Retail Corporation Full timeProduction AssemblerEmco Wheaton Retail Corporation is seeking a skilled Production Assembler to join our team. As a Production Assembler, you will be responsible for assembling small parts, performing daily tasks as assigned by your supervisor or manager, and using hand-held and power tools in assembly operations. You will also be responsible for pulling...
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Therapist for the Deaf and Hard of Hearing
1 month ago
Wilson, North Carolina, United States RHA Health Services Full timeJob Summary:We are seeking a skilled Therapist for the Deaf and Hard of Hearing to join our team at RHA Health Services. As a Therapist, you will provide comprehensive clinical assessments and evaluations to deaf and hard of hearing adults and children with mental health, developmental disabilities, and/or substance abuse challenges. Your goal will be to...
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Electrical Controls Design Engineer
3 weeks ago
Wilson, North Carolina, United States PowerSecure, Inc. Full timeJob DescriptionPowerSecure, Inc. is seeking a highly skilled and experienced Electrical Controls Design Engineer to join our team. As a key member of our engineering team, you will be responsible for providing electrical/control design on product improvements for our manufactured product lines. You will also coordinate site-wide drawings as applicable per...
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Heavy Equipment Operator
4 weeks ago
Wilson, North Carolina, United States S.T. Wooten Corporation Full timeJob SummarySeeking a skilled Heavy Equipment Operator to join our team at S.T. Wooten Corporation. The ideal candidate will have a minimum of 2 years' experience operating heavy equipment, including backhoes, dozers, and excavators. They will be responsible for operating equipment to excavate, move, and grade earth, erect structures, and pour concrete,...
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Coordinator 3 – Procurement
1 week ago
Wilson, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Coordinator 3 – Procurement. This is a 12+months contract opportunity with long-term potential and is located in Wilson, NC (Onsite). Please review the job description below and contact me ASAP if you are interested.Job ID:24-48320 Pay Range: $25 - $32/hour. Employee benefits include, but are not limited to, health insurance...
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Medical Assistant
4 weeks ago
Wilson, United States Wilson Physician Services Full timeMedical Assistant-7462-9172Wilson Physician Services Description The Medical Assistant works alongside and assists Providers in the treatment of patients, preparing and documenting information for the patient’s visit including obtaining vitals, medical history and other pertinent information from the patient. This position performs routine Clinic...
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Post Acute Coord-Infection Ctr
2 months ago
Wilson, United States Wilson Nursing Care Full timePost Acute Coord-Infection Ctr-7462-8980Wilson Nursing Care Description Under the general supervision of the Chief Nursing Officer and according to established policies and procedures, develops and coordinates a hospital wide program to analyze the incidence and distribution of infectious disease within the hospital and to develop appropriate control...
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Production Assembler
5 months ago
Wilson, United States Emco Wheaton Retail Corporation Full timeProduction Assembler 1st Shift, Monday - Friday Starting rate of pay is $15.75 per hour; $0.50 increase and full benefits following a 90-day probationary period. Essential job functions for a Production Assembler: Repetitive and non-repetitive assembly of small parts Perform daily tasks as assigned by supervisor or manager Use hand-held and power tools in...
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Commissioning and Qualification Engineer
2 weeks ago
wilson, United States Source One Technical Solutions Full timeSource One is a consulting services company and we’re currently looking for the following individual to work as a consultant with our direct client, a global pharmaceutical manufacturer in Wilson, NC. This role will require you to be onsite. Title: Commissioning and Qualification Engineer – Downstream/Upstream Openings: 2 w2 hourly: up to $125.00 per...
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Commissioning and Qualification Engineer
2 weeks ago
wilson, United States Source One Technical Solutions Full timeSource One is a consulting services company and we’re currently looking for the following individual to work as a consultant with our direct client, a global pharmaceutical manufacturer in Wilson, NC. This role will require you to be onsite. Title: Commissioning and Qualification Engineer – Downstream/Upstream Openings: 2 w2 hourly: up to $125.00 per...
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Maintenance Planner
2 months ago
Wilson, United States Refresco Full timeDescription Make a Difference in YOUR Career! Our vision is both simple and ambitious: to put our drinks on every table. We are the world’s largest bottler for retailers and A-brands. Our products are distributed worldwide from our production sites in Europe and North America. Although our own branding may not appear on the labels of the beverages we...
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Commissioning and Qualification Engineer
2 weeks ago
Wilson, United States Source One Technical Solutions Full timeSource One is a consulting services company and we’re currently looking for the following individual to work as a consultant with our direct client, a global pharmaceutical manufacturer in Wilson, NC. This role will require you to be onsite. Title: Commissioning and Qualification Engineer – Downstream/Upstream Openings: 2 w2 hourly: up to $125.00 per...
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CQV Engineer
2 weeks ago
Wilson, United States US Tech Solutions Full timeDuration: 12 months contract, Full-TimeEmployment Type: W-2Job Description:· Leading and coordinating the commissioning field team including CQ engineers, automation engineers, operator and site engineers, JSI sampling technicians, and external vendors and contractors.· Candidate should be local to Wilson, NC or nearby. For the first 6 months of the role,...
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CQV Engineer
2 weeks ago
wilson, United States US Tech Solutions Full timeDuration: 12 months contract, Full-TimeEmployment Type: W-2Job Description:· Leading and coordinating the commissioning field team including CQ engineers, automation engineers, operator and site engineers, JSI sampling technicians, and external vendors and contractors.· Candidate should be local to Wilson, NC or nearby. For the first 6 months of the role,...
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CQV Engineer
2 weeks ago
wilson, United States US Tech Solutions Full timeDuration: 12 months contract, Full-TimeEmployment Type: W-2Job Description:· Leading and coordinating the commissioning field team including CQ engineers, automation engineers, operator and site engineers, JSI sampling technicians, and external vendors and contractors.· Candidate should be local to Wilson, NC or nearby. For the first 6 months of the role,...
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Engineer 4.
2 weeks ago
Wilson, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Engineer 4. This is a 12+months contract opportunity with long-term potential and is located in Wilson, NC (Onsite). Please review the job description below and contact me ASAP if you are interested.Job ID:24-48320 Pay Range: $65 - $70/hour. Employee benefits include, but are not limited to, health insurance (medical, dental,...
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Engineer 4.
2 weeks ago
wilson, United States Pyramid Consulting, Inc Full timeImmediate need for a talented Engineer 4. This is a 12+months contract opportunity with long-term potential and is located in Wilson, NC (Onsite). Please review the job description below and contact me ASAP if you are interested.Job ID:24-48320 Pay Range: $65 - $70/hour. Employee benefits include, but are not limited to, health insurance (medical, dental,...
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Commissioning Engineer
2 weeks ago
wilson, United States Net2Source Inc. Full timeJob Description: Title: Commissioning and Qualification Engineer – Upstream Location: Wilson, NC. (First 6 months - It will be remote supporting sites in PA.) Duration: 12+ MonthsNotes - Should source out of NC, where candidates can commute to Wilson, NC to be onsite- The role will be remote for the 1st 6 months, supporting sites in PA- Must be able to...
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Commissioning Engineer
2 weeks ago
Wilson, United States Net2Source Inc. Full timeJob Description: Title: Commissioning and Qualification Engineer – Upstream Location: Wilson, NC. (First 6 months - It will be remote supporting sites in PA.) Duration: 12+ MonthsNotes - Should source out of NC, where candidates can commute to Wilson, NC to be onsite- The role will be remote for the 1st 6 months, supporting sites in PA- Must be able to...
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Commissioning Engineer
2 weeks ago
wilson, United States Net2Source Inc. Full timeJob Description: Title: Commissioning and Qualification Engineer – Upstream Location: Wilson, NC. (First 6 months - It will be remote supporting sites in PA.) Duration: 12+ MonthsNotes - Should source out of NC, where candidates can commute to Wilson, NC to be onsite- The role will be remote for the 1st 6 months, supporting sites in PA- Must be able to...
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Registered Nurse
5 months ago
Wilson, United States Harmony Park at Wilson Full timePurpose of Your Job Position The primary purpose of your position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by CNAs/GNAs and other nursing personnel. To monitor the performance of CNAs/GNAs, nursing and non-licensed personnel, provide education and counseling, perform disciplinary action...
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Utilities Project Manager
4 weeks ago
wilson, United States Insight Global Full timeMust Haves:Bachelor's Degree in Engineering or related field5+ years of experience in a regulated environment3+ years of Supervisory or Project Management level rolesExperience in executing Scope 1, Scope 2, water, and waste reduction initiativesExperience in deviation management, troubleshooting and resolving manufacturing support system anomaliesUtility...
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Utilities Project Manager
4 weeks ago
wilson, United States Insight Global Full timeMust Haves:Bachelor's Degree in Engineering or related field5+ years of experience in a regulated environment3+ years of Supervisory or Project Management level rolesExperience in executing Scope 1, Scope 2, water, and waste reduction initiativesExperience in deviation management, troubleshooting and resolving manufacturing support system anomaliesUtility...
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Utilities Project Manager
4 weeks ago
Wilson, United States Insight Global Full timeMust Haves:Bachelor's Degree in Engineering or related field5+ years of experience in a regulated environment3+ years of Supervisory or Project Management level rolesExperience in executing Scope 1, Scope 2, water, and waste reduction initiativesExperience in deviation management, troubleshooting and resolving manufacturing support system anomaliesUtility...