The Pre Authorization Specialist is a member of the Pre Authorization Department who is responsible for verifying eligibility, obtaining insurance benefits, and ensuring pre certification, authorization, and referral requirements are met prior to the delivery of inpatient, outpatient, and ancillary services. This individual determines which patient services have third par

Has deep understanding of disease process, A&P and pharmacology. Acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patients service. This position trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core fu

Meets or exceeds Company goals including and not limited to revenue, test of record, or other metrics Coordinates with Field Application Specialist (FAS) Dispatch and Project Manager team to schedule training time and to ensure laboratories have appropriate and necessary equipment and materials Organizes test materials, training materials, and personnel requirements at Co

Demonstrate strong knowledge of insurance requirements including processing of all referrals requiring authorization based on plan & type of referral. Initiate contact w/ payers to complete insurance verification activities to prevent delays in care due to missing authorizations. Use critical thinking to troubleshoot & contact payers and patients as necessary to secure co

Patient Service Specialist Location US WI Madison Job ID 287168 Pos. Category Medical Center Front Office Pos. Type Full Time Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's wo

Supports Supervisor/Manager in executing the Quality Plan and ensuring compliance with applicable regulations and standards. Identify and develop quality system improvements. May integrate continuous improvement practices adopted by Versiti into quality systems, education, and improvement activities. May support internal/external assessments as assigned and facilitates op

The Reporting Specialist I is responsible for the delivery of the finalized clinical report to the client through various delivery methods, including portal upload (myPrevent), e mail, fax, and in some instances mail. The Reporting Specialist I is also responsible for final verification of report veracity (appropriate signatures on the report, report demographic informati

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

$2,000 Retention Bonus Available! The Intake Specialist serves as a patient advocate and allows access to life changing care for members of the community. Intake Specialists work within a collaborative team including physicians, providers, other intake specialists and many other members of a multidisciplinary team. The Intake Specialist gains career experience to develop

Position Description Every great life changing discovery begins the same way with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW). As a Coding Specialist II, you will perform

Uses Respiratory therapy processes to support assessment of patient utilizing a variety of skills such as pulmonary diagnostics, chest radiograph, hemodynamic values, laboratory values, and correlates blood gases and electrolytes. Can identify and address the special needs of patient population specific to department services. Operates specialized ventilators in critical

Uses Respiratory therapy processes to support assessment of patient utilizing a variety of skills such as pulmonary diagnostics, chest radiograph, hemodynamic values, laboratory values, and correlates blood gases and electrolytes. Can identify and address the special needs of patient population specific to department services. Operates specialized ventilators in critical

Uses Respiratory therapy processes to support assessment of patient utilizing a variety of skills such as pulmonary diagnostics, chest radiograph, hemodynamic values, laboratory values, and correlates blood gases and electrolytes. Can identify and address the special needs of patient population specific to department services. Operates specialized ventilators in critical

Uses Respiratory therapy processes to support assessment of patient utilizing a variety of skills such as pulmonary diagnostics, chest radiograph, hemodynamic values, laboratory values, and correlates blood gases and electrolytes. Can identify and address the special needs of patient population specific to department services. Operates specialized ventilators in critical

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Schedule Weekly Hours 40 Are you a motivated and like to work independently? Gundersen Health System is seeking a skilled and driven new team member on their ambulatory coding team! We are seeking candidates from WI, IA & MN to work remotely