9721 clinical insurance jobs found

Large Healthcare system is seeking a Clinical Insurance Reviewer/Prior Authorization Specialist in the San Antonio area!* In this role, you will: Reviews chemotherapy regimens in accordance with reimbursement guidelines Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments Research denied services and alternative resources to pay for treatment This position is on-site for training and can go fully remote after training is completed Qualifications:* 1+ years of prior authorization experience HS Diploma required EMR experience Pay: * $21.75 About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range...

Large Healthcare system is seeking a Clinical Insurance Reviewer/Prior Authorization Specialist in the San Antonio area!* In this role, you will: Reviews chemotherapy regimens in accordance with reimbursement guidelines Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments Research denied services and alternative resources to pay for treatment This position is on-site for training and can go fully remote after training is completed Qualifications:* 1+ years of prior authorization experience HS Diploma required EMR experience Pay: * $21.75 About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range...

Large Healthcare system is seeking a Clinical Insurance Reviewer/Prior Authorization Specialist in the San Antonio area!* In this role, you will: Reviews chemotherapy regimens in accordance with reimbursement guidelines Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments Research denied services and alternative resources to pay for treatment This position is on-site for training and can go fully remote after training is completed Qualifications:* 1+ years of prior authorization experience HS Diploma required EMR experience Pay: * $21.75 About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range...

Large Healthcare system is seeking a Clinical Insurance Reviewer/Prior Authorization Specialist in the San Antonio area!* In this role, you will: Reviews chemotherapy regimens in accordance with reimbursement guidelines Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments Research denied services and alternative resources to pay for treatment This position is on-site for training and can go fully remote after training is completed Qualifications:* 1+ years of prior authorization experience HS Diploma required EMR experience Pay: * $21.75 About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range...

Large Healthcare system is seeking a Clinical Insurance Reviewer/Prior Authorization Specialist in the San Antonio area!* In this role, you will: Reviews chemotherapy regimens in accordance with reimbursement guidelines Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments Research denied services and alternative resources to pay for treatment This position is on-site for training and can go fully remote after training is completed Qualifications:* 1+ years of prior authorization experience HS Diploma required EMR experience Pay: * $21.75 About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions. Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. Researches additional or alternative resources for...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

Equivalent Experience Description: Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. -Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...

*Description:* Reviews chemotherapy regimens in accordance to reimbursement guidelines. Obtains necessary pre-certifications and exceptions to ensure no delay in reimbursement of treatments. Researches denied services and alternative resources to pay for treatment. -Reviews, processes and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. -Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with particular insurance plans. Updates coding/payer guidelines for clinical staff. Tracks pathways and performs various other business office functions on an as needed basis - Obtains insurance authorization and pre-certification specifically for chemotherapy services. Works as a patient advocate and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays. -Researches additional or...