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Dreaming of a health care career? As a National Guard Health Care Specialist, you will address the health care needs of civilians after natural disasters or ...
Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims ...
Texas Tech University Health Sciences Center School of Medicine - Lubbock, TX US
The Department of Obstetrics and Gynecology at Texas Tech University Health Sciences Center is seeking a board eligible/board certified OB/GYN Specialist for ...
Clinical Application Specialist Department: IT Clinical Informatics Schedule: Full time Shift: Days Hours: 85 with call Job Details: * Responsibilities for ...
Clinical Application Specialist Department: IT Clinical Informatics Schedule: Full time Shift: Days Hours: 85 with call Job Details: * Responsibilities for ...
Arts and crafts retailer is seeking a Floral Design Specialist. The Floral Design Specialist is enthusiastic and passionate about creativity, people, arts, ...
Clinical Application Specialist Department: IT Clinical Informatics Schedule: Full time Shift: Days Hours: 85 with call Job Details: * RNRegistered Nurse ...
Desktop Support Technician I Department: IT Infrastructure Schedule: Full time Shift: Days Hours: 8AM 5PM MF, SOME NIGHTS AND WEEKENDS Job Details: * High ...
Position Purpose: To assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.
Knowledge/Experience: High school degree or equivalent. At least 3 months of customer service, or related experience. Knowledge of medical terminology preferred.
Position Responsibilities:
. Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed.
. Verify eligibility and benefits
. Answer phone queues and process faxes within established standards
. Data enters authorizations into the system.
Licenses/Certifications:
The position above is with Superior HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas.
Superior HealthPlan is a leading multi-line healthcare organization that provides programs and related services to individuals receiving benefits under Medicaid, including enrollees in Temporary Assistance for Needy Families (TANF), the Children's Health Insurance Program (CHIP), Supplemental Security Income (SSI)/Aged, Blind and Disabled (ABD), Foster Care and Medicare.
Superior HealthPlan offers competitive salaries and a broad range of comprehensive benefits to its employees. Some of those benefits are: Exemplary Health, Dental and Vision Insurance, 401(k) Retirement Plan, Employee Stock Purchase Plan, Tuition Reimbursement Program, and a generous Time Off policy.