Best Places to Work. Heartbeat Health is seeking an experienced Clinical Prior Authorization Specialist to join our Operations... We are looking for an exceptional, experienced Clinical Prior Authorization Specialist. You're an amazing problem solver who is open to new ideas...
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations... authorization requests. Pharmacy Prior Authorization Specialist Primary Responsibilities: Assist with medical necessity...
care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau...
HCBS Clinical Trainer & Documentation Specialist Brooklyn, NY (On-site) 100-150K (commensurate with experience..., accurate documentation, and smooth insurance authorization processes. The right candidate will have clinical experience...
, sometimes in consultation with clinical staff, and communicate the findings. Analyze patterns and trends to identify systemic issues within the... of the role Familiarity with relevant healthcare regulations and compliance requirements Prior experience in healthcare...
administration of benefits and clinical policy; ensure compliance of the appeal and grievance process with all regulatory... and classify member and provider appeals. Determine eligibility, benefits, and prior activity related to the claims, payment...
in the decision making process for Prior Authorization and appeals processes related to pharmacy claims. Participates...Overview: Provides technical, analytic and clinical support related to the management of VNS Health Plans...
providers for prior authorization and services covered. Coordinate with the Benefits department to ensure client financial... number, name, children and any other pertinent documents. As needed, participate in clinical staff meetings and case conferences...
of insurance providers for prior authorization and services covered. Coordinate with the Benefits department to ensure client... number, name, children and any other pertinent documents. As needed, participate in clinical staff meetings and case conferences...
purpose of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care... Knowledge of medical terminology and common medications, either from a pre-medical degree or prior clinical experience...
Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers with clinical... of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] Prior...
of a Clinical Informatics Specialist (CIS or Medical Scribe) at Oak Street Health is to support our primary care providers... of medical terminology and common medications, either from a pre-medical degree or prior clinical experience [required] Prior...
. ESSENTIAL DUTIES & RESPONSIBILITIES: Clinical Skills Provide symptom and medication assessment, evaluation, education... in a timely manner and remain in compliance with agency and OMH regulations. Coordinate services with other specialist on the...
as prescribed. II. ESSENTIAL DUTIES & RESPONSIBILITIES: Clinical Skills Provide symptom and medication assessment, evaluation... in a timely manner and remain in compliance with agency and OMH regulations. Coordinate services with other specialist on the...
as prescribed. II. ESSENTIAL DUTIES & RESPONSIBILITIES: Clinical Skills Provide symptom and medication assessment, evaluation... in a timely manner and remain in compliance with agency and OMH regulations. Coordinate services with other specialist on the...