*Responsibilities** Consultant will be responsible for SAP Security access and user access controls for all the SAP instances. You will work closely with the SAP functional teams and the System integration partner in architecting, designing, implementing, and governing the SAP security framework for
*Responsibilities** Consultant will be responsible for SAP Security access and user access controls for all the SAP instances. You will work closely with the SAP functional teams and the System integration partner in architecting, designing, implementing, and governing the SAP security framework for
Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts, Fixed Weekends Off Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Trai
*Role: Prior Authorization Specialist (US Healthcare)** *About Visaya KPO:** Visaya Knowledge Process Outsourcing Corporation is a proudly Filipino organization recognized globally for service excellence, innovation, and a culture of malasakit. We are committed to building long-term partnerships thr
Position: Clinical/Prior Authorization - Quality Auditor Qualifications: Must hold an active PHRN license (not a USRN license holder) Must have at least solid 4 to 7 years experience in Clinical/Prior Authorization or Utilization Review Relevant experience as a Quality Auditor in Clinical Services w
Description Prior Authorization Coordinator – Responsibilities and Qualifications Key Responsibilities: Review patient insurance policies to determine specific prior authorization requirements based on CPT codes for all upcoming surgical procedures. Initiate prior authorization requests through prov
Location: Remote Salary: PHP 40,000/month + Performance Bonuses Benefits: 10 days PTO, Annual Appraisal, Career Growth Opportunities, Healthcare Benefits Schedule: U.S. Hours About the Role SmartScale360 is looking for a Medicaid Staffing Coordinator / Case Processor for our U.S.-based clients. This
Workers Compensation Pharmacy Prior Authorization Representative The client is a full-service Workers Compensation Pharmacy Benefit Management company focused on patient advocacy. By combining clinical expertise and advanced business analytics, it simplifies workers’ compensation claims management w
Workers Compensation Pharmacy Prior Authorization Supervisor The client is a full-service Workers Compensation Pharmacy Benefit Management company focused on patient advocacy. By combining clinical expertise and advanced business analytics, it simplifies workers’ compensation claims management while
We are seeking a detail-oriented and organized Prior Authorization Specialist to join our healthcare team. In this role, you will be responsible for obtaining prior authorizations for medical procedures, diagnostic tests, and medications from insurance providers. You will serve as a key liaison betw
Position Summary: We are seeking an experienced, motivated, and diligent benefit Verification and Authorization Specialist to join our dynamic team. The successful candidate will play a critical role in our healthcare delivery processes, ensuring compliance with Federal and State regulations and pol
Description ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Healthcare Case Manager to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-li
What Youll Do: Manage prior authorization requests Verify patient eligibility, coverage, and billing details Review and process claims accurately Coordinate with providers, payers, and patients for missing information Ensure timely resolution and excellent customer service
*Ensure Timely Treatment Through Efficient Insurance Authorizations** As a **Prior Authorization Coordinator - Healthcare**, you will; play a critical role in enabling timely patient access to essential medical services by managing insurance authorizations within a fast-moving healthcare environment
Description The Intake Coordinator is the employee that interacts and works closely with many other employees. This person also interacts with the clinical sales specialists, management team leaders, physicians, nurses and office staff, case managers, and pharmacist. This employee also works closely
Description Job Title: Healthcare Virtual Assistant – Medical Documentation & Prior Authorization Support Position Type: Part-time (20 hours per week) Work Hours: Flexible schedule between 9:00 AM – 5:00 PM EDT Work Days: Monday – Friday Salary: $5 – $6 per hour (depending on experience) Job Cod
Position Summary As a Customer Advocate, you will be supporting communication between MedRisk/SPNet’s network providers and referring adjusters and nurse case managers. You will report to the Customer Advocate Team Lead and/or Supervisor to help strengthen MedRisk/SPNet’s referral process, ensuring
Primary Duties & Responsibilities * Clinical Oversight: * Confirming attendance of initial evaluation (IE) and receipt of IE Report * Reviews documentation and updates cases with accurate clinical information, including but not limited to ICD codes, Date of Surgery, Clinical Guidelines, ROM/Strength
At Ubiquity, we live and breathe our mantra: Head, Heart, Hustle. This isn’t just a philosophy—it’s the foundation of who we are and what we do. As a Customer Service Representative, you’ll embody this mantra every day, delivering exceptional service with expertise, empathy, and a drive to succeed.