Clinical Reimbursement Specialist
4 weeks ago
As a Field Reimbursement Specialist, you will be responsible for managing a territory, providing training, and educating provider office staff on Retail and Specialty pharmacy processes. This includes Prior Authorizations, Appeals, and denials. You will also be responsible for seeking a dedicated individual with expertise in these areas.
Requirements:
The ideal candidate will have a strong background in FRM territory management, be passionate about patient care, and be knowledgeable about the local payor landscape, including Medicare & Medicaid. They will also be resourceful in finding solutions when PHI is not accessible and possess experience in escalations, education, co-pay card and patient assistance program approvals, as well as staying updated on industry changes and policy updates. Preference given to candidates with a BA degree.
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Reimbursement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States ZOLL Services LLC (on SAM site) Full timeJob Summary:The Reimbursement Specialist is a key member of the Cardiac Management Solutions team at ZOLL Medical Corporation. This role is responsible for ensuring timely authorization of services for patients, working closely with insurance carriers, physician offices, and sales staff to obtain necessary documentation and information.Key...
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Reimbursement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States ZOLL Cardiac Management Solutions Full timeJob Summary:The Reimbursement Specialist plays a crucial role in the Cardiac Management Solutions division of ZOLL Medical Corporation. This position is responsible for ensuring timely initiation of initial and reauthorizations with insurance carriers for established patients.Key Responsibilities:Works with insurance carriers to authorize service for...
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Reimbursement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States ZOLL Services LLC (on SAM site) Full timeJob Summary:The Reimbursement Specialist plays a vital role in the Cardiac Management Solutions division of ZOLL Medical Corporation. This position is responsible for ensuring timely authorization of services for patients, working closely with insurance carriers, physician offices, and sales staff to obtain necessary documentation and clinical...
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Reimbursement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States ZOLL Medical Full timeJob Title: Reimbursement SpecialistAt ZOLL Medical, we are seeking a highly skilled Reimbursement Specialist to join our team. As a key member of our reimbursement team, you will be responsible for ensuring timely authorization of services for our patients.Key Responsibilities:Work with insurance carriers to authorize services for patientsObtain necessary...
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Clinical Nurse Specialist
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Reimbursement Specialist
1 month ago
Pittsburgh, Pennsylvania, United States ZOLL Services LLC (on SAM site) Full timeJob Summary:The Reimbursement Specialist is a critical member of the reimbursement team, responsible for ensuring timely initiation of initial and reauthorizations with insurance carriers for established patients.The ideal candidate will possess superior communication and customer service skills, with the ability to handle multiple tasks simultaneously under...
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Clinical Placement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States University of Pittsburgh Full timeClinical Placement Specialist Job DescriptionThe University of Pittsburgh is seeking a highly skilled Clinical Placement Specialist to support the Department of Physician Assistant Studies in the School of Health and Rehabilitation Sciences. This role will be responsible for managing the clinical placement process, ensuring site-specific clinical requirement...
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Dental Care Specialist
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Clinical Laboratory Specialist
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Dental Care Specialist
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Clinical Placement Specialist
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Clinical Healthcare Support Specialist
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Field Reimbursement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States RemX | The Workforce Experts Full timeExpertise in Retail Pharmacy and Specialty PharmacyWe are seeking a skilled Field Reimbursement Manager to join our team at RemX | The Workforce Experts. The ideal candidate will have experience in Retail Pharmacy and Specialty Pharmacy drug Prior Authorizations, Appeals, and working denials, as well as territory management experience, training, and...
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Clinical Informatics Specialist
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Clinical Psychiatric Specialist
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Pittsburgh, Pennsylvania, United States UnitedHealth Group Full timeRole SummaryUnitedHealth Group is seeking a skilled Clinical Psychiatric Specialist to join our team in Pittsburgh, PA. As a member of our Behavioral Care Team, you will play a vital role in delivering high-quality care to our patients.About the RoleThis is an outpatient clinical environment where you will interact directly with patients onsite and...
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Clinical Nurse Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States ACHIEVA Full timeAbout the Role:As a Clinical Nurse Specialist at Achieva, you will play a vital role in providing indirect and direct clinical support to individuals with disabilities. Your expertise will be instrumental in ensuring the medical needs of our clients are met, and you will work closely with our clinical team to provide oversight and guidance.Key...
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Clinical Placement Specialist
4 weeks ago
Pittsburgh, Pennsylvania, United States University of Pittsburgh Full timeThe University of Pittsburgh is seeking a qualified Clinical Placement Specialist to support the Department of Physician Assistant Studies, in the School of Health and Rehabilitation Sciences.This position will work to support clinical education which involves management of the clinical placement process by overseeing clinical agreements and student...
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Senior Manager Field Reimbursement Specialist
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Pittsburgh, Pennsylvania, United States Moleculight Inc Full timeJob SummaryMolecuLight Inc is seeking a highly skilled Senior Manager Field Reimbursement to drive market access and reimbursement strategies for our medical devices. The successful candidate will be responsible for executing the company's market access business plan, ensuring seamless reimbursement experiences for customers, and building strong...
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Dental Hygiene Specialist
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