Authorization Specialist - Raleigh, North Carolina

The Authorizations Specialist supports the timely access to medically necessary services by coordinating and managing authorization processes across contracted commercial and government payors. · This role serves as an operational resource that helps translate payor requirements ...

The Authorization Specialist supports the timely access to medically necessary services by coordinating and managing authorization processes across contracted commercial and government payors. Reporting to the Manager, Revenue Cycle Operations, · Responsibilities - Clinician Part ...

This is a temporary position with no leave or retirement benefits offered. The role involves providing logistical and facility support to the NC State Laboratory of Public Health (NCSLPH) and the Office of the Chief Medical Examiner (OCME). Key responsibilities include assisting ...

+p Pharmacist as a Pharmacy Benefits Management PBM Business Integration Specialist to join the Medicaid Enterprise System MES project.+The PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System MES Program within Pharmacy Business space ...

This is a Technical Architect position requiring 7+ years of experience with skills in Identity and Access Management, ASP.NET MVC, C#, etc. · ...

We are seeking a Regulatory Affairs Specialist to support regulatory submissions lifecycle management and compliance activities for pharmaceutical or medical device products. · 2–5+ years of Regulatory Affairs experience (Pharma Biotech or Medical Devices) · Strong knowledge of F ...

The Revenue Cycle Specialist will be responsible for the day-to-day operation in the following areas: billing, claims resolution,A/R follow-up, credit balance, EDI billing or posting. · ...

It's the mission of the NC Department of Transportation to connect people, products and places safely and efficiently with customer focus, accountability, and environmental sensitivity to enhance the economy and vitality of North Carolina. · ...

Verify patient insurance coverage and eligibility prior to appointments. Obtain and document prior authorizations as required by insurance carriers. · ...

The Senior Product Specialist in SAP Security GRC Administration is responsible for overseeing the governance, risk, and compliance aspects of SAP security within the organization. · ...

Our Collections Specialists are key to the overall success of Hills Machinery. · ...

We require services of an IT Security Specialist to aid county offices in the identification of gaps through risk management. · ...

This role will work closely with external and internal customers to meet department and overall business goals. · ...

Nurse Navigator at Rezilient Health supports patients, providers and partners throughout the care continuum. Leading clinical onboarding of new contracts and managing complex tasks to ensure seamless communication between stakeholders. · ...

We are seeking an experienced Nurse Navigator to join our team at Rezilient Health. · The ideal candidate will have a nursing degree and minimum of three years experience in care coordination and/or case management. · ...

The company Greene Resources is seeking a Part-Time Education Specialist to join their growing team. · ...

· Benefits:401(k) matching · Bonus based on performance · Health insurance · We are seeking a compassionate and detail-oriented Hospice Intake Specialist to join our team. The Intake Specialist is the first point of contact for patients, families, and referral sources, ensuring ...

+ Serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space to provide expertise and business support for development and implementation of PBM Solution. + Provide expertise in Clinical policies and Prior Authorizations, Drug Utilizatio ...

We are seeking a motivated and like-minded Patient Service Representative that has a passion for providing top of the line customer service.Schedules appointments with the appropriate provider and time/location slot, utilizing appropriate scheduling protocol. · Routes calls to th ...

Job summaryThe Senior Product Specialist in SAP Security GRC Administration is responsible for overseeing the governance, risk, and compliance aspects of SAP security within the organization. · ...