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Crossroads Treatment Center Greenville, United StatesCrossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Crossroads is a leading addiction treatment provider of outpatient medication-assisted treatment (MAT). We treat patient ...
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International Mobility Specialist
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CEI Greer, United StatesSummary: · CEI's client in the retail sector is seeking a skilled International Mobility Specialist in the immigration field. · Job at a glance: · On site in Greer, South Carolina · Contract Role for 7 months · Pay Range: $35.00 to $38.00 per hour · Can not accept C2C for this r ...
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Donor Intake Nurse, EMT-P
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Biolife Plasma Services Greenville, United States Full timeJob Description · Please take this to get a sneak peek of one of our Plasma Donation Centers. · About BioLife Plasma Services · Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to cust ...
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Donor Intake Nurse
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Biolife Plasma Services Spartanburg, United States Full timeJob Description · About BioLife Plasma Services · Every day at BioLife, we feel good knowing that what we do helps improve the lives of patients with rare diseases. While you focus on our donors, we'll support you. We offer a purpose you can believe in, a team you can count on, ...
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Material Control Specialist
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Takeda Spartanburg, United States Full timeDescription · About BioLife Plasma Services · Every day at BioLife, we feel good knowing that what we do helps improve the lives of patients with rare diseases. While you focus on our donors, we'll support you. We offer a purpose you can believe in, a team you can count on, opp ...
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Biolife Plasma Services Spartanburg, United States Full timeJob Description · About BioLife Plasma Services · Every day at BioLife, we feel good knowing that what we do helps improve the lives of patients with rare diseases. While you focus on our donors, we'll support you. We offer a purpose you can believe in, a team you can count on, ...
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Tax Senior Manager, Core Tax Services
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Court Security Officer, Greenville, SC
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InsideHigherEd Greenville, United States Faculty Jobs ,Job Title:Spangler Distinguished Professor of Early Child Literacy · Position Number :600146 · Vacancy Open to :All Candidates · Department :AAH COE Litrcy Stud Engl Ed Hist Ed · Department Homepage :Advertising Department :COLLEGE OF EDUCATION · Division :Academic Affairs · Cla ...
Prior Authorization Specialist - Columbus, United States - Blue Ridge Community Health Services
Description
Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Polk County.
Company sponsored life insurance and short and long-term disability coverage
403(b) retirement account with company matching
Supplemental accident insurance available
9 paid holidays per year
PTO and Personal Day accrual, starting day 1 - (We value a work-life balance)
The Prior Authorization Specialist collaborates with patients, internal staff, other medical center representatives, and third-party payers to facilitate the smooth exchange of information related to obtaining timely prior authorizations for pharmaceutical and imaging patient needs.
Responsibilities include:
Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for pharmacy needs.
Reviews notifications of patient prescription rejections via , faxed document scanned directly to the desktop, or patient notification
Reviews received Medicaid prescription rejections in NCTracks
Applies clinical and pharmaceutical criteria for processing prior authorization requests in a timely manner for imaging needs.
Processes appeals and redeterminations as needed
Assists in provider training or updates on efficiencies related to the prescription or imaging process prior authorization process.
Communicates with appropriate parties in a timely and effective manner for completion of prior authorizations.
High School Diploma or equivalent, required
Current North Carolina Pharmacy Technician, required
Strong knowledge of pharmacy terminology
Experience working in an interdisciplinary and/or integrative health care model preferred
Proficiency in MS Office programs required. Familiarity with Electronic Health Records (EHR) and other databases, preferred.
Proficiency in Spanish a plus
At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care .
We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC.
We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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