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OOS Management Corp.
Overview
Manage the end-to-end ABA service authorization process from submission to approval. Coordinate with insurance payers and families to ensure timely access to care and maintain accurate documentation.
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Compensation
$28 - $35 / HOUR
Posted
1 month ago
Jackson Hospital
The coordinator manages the enrollment and credentialing of healthcare providers with various health plans to ensure timely claim payments. They are responsible for maintaining provider documentation, monitoring application statuses, and resolving enrollment issues.
Salary not listed
2 months ago
Onco360
The Pharmacist evaluates physician medication orders for appropriateness, maintains patient databases with relevant clinical data, and collaborates with the healthcare team to provide necessary support. Responsibilities also include implementing policies for safe drug handling, storage, distribution, and ensuring compliance with federal and state regulations.
$127,000 / YEAR
Pharmacists evaluate physician medication orders for appropriateness regarding drug, dosage, interactions, and route of administration, making recommendations as needed. They maintain detailed patient databases, ensure necessary laboratory tests are ordered and evaluated, and collaborate with the healthcare team to provide clinical and technical support.
$135 / HOUR
The Pennant Group
The coordinator will oversee all aspects of payer authorization, including the timely submission and tracking of initial requests, managing 485 and add-on authorizations, and monitoring ongoing patient eligibility.
Pharmacists evaluate physician medication orders for appropriateness, making therapy change recommendations, and maintaining detailed patient databases including medical history and concurrent medications. They also ensure proper laboratory tests are ordered and evaluated, collaborate with the healthcare team, and document all communications.
3 months ago
Pharmacists evaluate physician medication orders for appropriateness, including dosage and potential interactions, and make therapy change recommendations. They maintain detailed patient databases, ensure necessary laboratory tests are ordered and evaluated, and collaborate with the healthcare team for clinical support.
The New England Center for Children
This role involves ensuring accurate documentation of client funding sources, managing authorizations, handling denials, and maintaining comprehensive provider credentialing records for all relevant payers. The specialist must also support obtaining initial authorizations and timely reauthorizations for client services.
$22 / HOUR
Samaritan Health Services
This role involves reviewing all hospital admissions and continued stays, classifying patients according to regulations, and facilitating interdisciplinary care plans in collaboration with patients and families. The Case Management Team RN also acts as a liaison between the hospital, physician, and payer to secure maximum reimbursement and coordinates complex discharge planning.
$40 - $60 / HOUR
St. Elizabeth Healthcare
The Technical Denials Specialist analyzes, resolves, monitors, and reports non-clinical denials, following up on escalated issues through a work queue to ensure root cause resolution and reduction of denials. This role involves performing extensive follow-up, completing appeals, and interfacing with internal and external staff to manage payment variance issues.
University of Washington
The specialist supports payer relations operations by conducting research, analysis, and coordination for managed care contracting activities, including assisting with drafting, reviewing, and maintaining contract documents and credentialing applications. Key duties involve assisting in negotiations, resolving issues, handling appeals, and developing single-case contracts through policy research and stakeholder communication.
$69,720 - $90,000 / YEAR
Hebrew SeniorLife
The Wellness Coordinator leads resident engagement in wellness assessments and health education programs, connecting residents to necessary services and performing intensive case management tasks. This role is also responsible for assuring excellent communication and coordination with all partners to support residents in living independently and safely.
$53,971 - $80,957 / YEAR
4 months ago
