Lyricist Job Description Sample
Overview St. Luke’s is looking for an Authorization Specialist to join us in our strategy to be the community’s trusted partner in providing exceptional, patient- centered care.
If you’re looking for a place where you can grow in your personal life, in your career, and in your community, St. Luke’s may be just the place for you.
Authorization Specialist The St. Luke’s Authorization Specialist is responsible for referral intake, verification of eligibility, and collection/review of benefits to verify/initiate pre-authorization/pre-certification for professional and hospital billing charges.
Required Criteria + Minimum of a high school diploma or equivalent. + 1-2 years of higher education, or equivalent 2 years work experience in healthcare or a professional office setting. 6 months authorization experience may be considered in lieu of education or healthcare/professional office setting work experience.
Preferred Criteria Applicants who have experience with EPIC applications St. Luke’s is committed to personal and professional growth, continued education, a positive work environment, and excellent patient care. We offer generous benefits, and we value work-life balance. A strong, talented staff is at the heart of St. Luke’s Health System. We are the state’s largest private employer with more than 13,500 employees and a medical staff of more than 1,800 physicians and advanced practice clinicians. Our employees are dedicated to impacting the lives of those in our community while pursuing a life-changing career at St. Luke’s. Our staff is the reason for our outstanding reputation as both a quality employer and superior healthcare organization. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue in the same tradition of excellence. With multiple locations in beautiful southern and central Idaho, our mild, four-season climate means you can play outdoors year-round. Whether you prefer leisurely walks along the river or heart-pounding climbs up a sheer cliff- there is always something to do after work. An exciting mix of urban and outdoor life defines Idaho’s culture, you can ski in the morning and watch a college sporting event at night. It is a great state to raise a family and forge lasting relationships. The cost of living is low, and quality of life is high. __________________ #One of American’s Top 15 Health Systems - U.S.News & World Report, "America's Best Hospitals 2015-2016"*St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
Department8602-PATIENT ACCESS RESOURCE CENTER
Position TypeRegular Full-Time
Location Name400 Broadway Ave, Boise, ID
Customer Support Representative, Author Support
Xulon Press, Maitland, FL is currently seeking an Author Support/Customer Support Representative. This position is 100% about serving our self-published authors with excellence, addressing their questions and concerns with respect and a genuine desire to help.
This position currently offers a salary plus performance incentives. Xulon Press was voted The Best Christian Workplace. We provide a casual, friendly atmosphere with competitive salaries and a comprehensive benefits package that includes medical, dental, life insurance, and 401K program.
Five years or more of experience in customer service. A love for people and for helping them is essential. The ability to establish rapport quickly is vital.
Must be able to work well with a team. Competitive by nature is a plus.Excellence required in verbal and written communication. Phone skills and manner must be impeccable.
Must strive for excellence and efficiency, be detail-oriented, and must multi-task with ease in a high volume environment. Proficiency with MS Outlook, word, excel, adobe, different graphic programs .jpeg & .tiff files is very important.Experience in the publishing industry is considered a plus.Bilingual/Spanish speaking candidate preferred, not required. EOE
PPG Medicat Authorization Rep
PPG Medicat Authorization Rep Requisition Number: 132941 Department: ADMN-IN-CALL CENTER Location:
PPG Call Center/1900 Carew St Suite 1 Schedule: Full Time Hours/Week: 40 Shift: Days Hours: Monday
- Friday; work hrs 8a-4:30p Job Details:
High School Diploma/GED
Responsible for obtaining medication authorizations with the use of on line tools. Education
Must be a high school graduate or the equivalent with GED. Completion of a medical assistance program or pharmacy tech program preferred. Experience/ Qualifications
Minimum of 5 years experience and currently performing these duties preferred. Must have solid communication skills.
Knowledge of pharmaceuticals and dosing. Must be familiar with computers, electronic medical records. Must demonstrate the ability to learn applications relevant to the position. Ability to successfully function in a fast paced, service oriented environment.
Authorization Coordinator - Health Plan Ops
About Fallon Health : Founded in 1977, Fallon Health is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services for independent seniors, Fallon Health supports the diverse and changing needs of all those it serves. Fallon Health has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.
The FH authorization process is an essential function to FH’s compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and customer expectations. The FH Authorization Coordinator serves to administrate the FH pre-authorization process as outlined in the Plan Member Handbook/Evidence of Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members and/or provider offices and FH with their authorization management issues. Thorough research, documentation, and corrective action planning must be established for each respective case and adjudication completed in accordance with existing regulations, policies and standards. Transplant Coordinator duties (as assigned) As a transplant authorization coordinator, the role must also sever as a liaison with the contracting department as well as a primary contact for Fallon’s re-insurance vendor. The Transplant Coordinator performs and tracks the FH authorization process as it relates to all services for transplants including pre-transplant evaluations, actual transplant services (admissions) and post-transplant follow-up services.
Administers FH authorization processes as outlined in Member Handbook/Evidence of Coverage for all products, and in compliance with applicable NCQA standards and other state or federal regulatory requirements. Strictly adheres to department turn-around time standards established in accordance with regulatory standards.
Enters, researches, investigates and documents all authorizations from receipt to notification into QNXT and/or TruCare for all product lines.
Approves authorizations when the referral meets the criteria listed in the appropriate Prior-Authorization Protocol, authorizations not meeting protocol parameters are prepared for review, including direct contact with physician’s offices and physicians to obtain records and other clinical information in support of the request; ensures that all pertinent information accompanies requests for further review.
Notifies members and providers of any additional instructions necessary once authorization approval has been obtained from the reviewers; answers questions and provides direction and support.
Works with Supervisor, Department Managers, or Medical Director to resolve issues; formulates improvement measures and response to members; prepares written correspondence to members.
Adheres to department standards for completion of referral TAT and notifications.
Accepts authorizations for FH members, screens for member eligibility and enters information into the FH Core system.
Answers claims/authorization questions from members and providers.
Answers telephone calls via ACD queue on daily basis within the Plan’s standards for quality and service.
Education : High School Diploma; College degree (B.S. or B.A.) or equivalent preferred
Certification : Medical Terminology or Medical Coding helpful
Experience : + 1-3 years professional experience in related position, preferably in health care.
Experience in a managed care or call center setting or physician’s office; knowledge of managed care and/or utilization management strategies advisable
Excellent writing skills with familiarity and comfort with medical terminology.
Ability to work independently and make appropriate decisions within the realm of set business and benefit guidelines
Excellent interpersonal communication and problem-solving skills.
Excellent research and documentation skills.
Excellent writing skills.
Computer literate, particularly in Windows based applications (Word, Excel, PowerPoint, and Access).
Job ID5085# Positions1
Prior Authorization Specialist
Job Description Prior Authorization Specialist working for a Top Medical System in Minneapolis! Managing encounters between insurance companies, patients and hospitals/clinics.
Must have previous experience in insurance and prior authorizations. EMR experience is also preferred as reviewing patient charts is part of daily routine. Position is long term contract hopefully resulting in a permanent opportunity for the right fit!
Requirements Required: Must have previous experience in medical prior authorization, pharmacy prior authorizations are preferred.
Electronic Medical Record experience is preferred. Ability to use and manage electronic job aids, most of the department is paperless Ability to manage multiple processes throughout the day
Highlights Located in popular Minneapolis neighborhood! Possible temp to hire for the right fit!
? At Kelly Services ® , we work with the best. Our clients include 95 of the Fortune 100 ™ companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.
® As a workforce advocate for over 70 years, we are proud to directly employ nearly 500,000 people around the world and have a role in connecting thousands more with work through our global network of talent suppliers and partners. Revenue in 2016 was $5.3 billion.
Visit kellyservices.com and connect with us on Facebook , LinkedIn and Twitter . Kelly Services is an equal opportunity employer including, but not limited to, Minorities, Females, Individuals with Disabilities, Protected Veterans, Sexual Orientation, Gender Identity and is committed to employing a diverse workforce. Equal Employment Opportunity is The Law. at https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm
DUTIES The Authorization Technician supports the UM Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up. The Authorization Technician collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports. In addition, the position performs data entry and processing of referrals/authorizations in the system, authorizes request consistent with auto auth criteria, maintains confidentiality when communicating member information, and assists with the communication of determinations by preparing template letters for members/ providers, with other duties as assigned.
QUALIFICATIONS AND REQUIREMENTS EDUCATION Required High School Diploma Preferred: Associate's Degree LICENSES/CERTIFICATIONS Required: Certificate in Medical Terminology Preferred Cert. in Medical Coding
EXPERIENCE Required 1-2 years of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant Knowledge of medical terminology and ICD-9 and CPT codes Strong verbal and written communication skills Proficient with Microsoft Word, Excel, and Access Excellent organizational, interpersonal and time management skills. Must be detail-oriented and an enthusiastic team player Knowledge of MHC and/or CSIIM computer systems a plus
Job Title:* Authorization Technician(Temporary)
Job Category:* Administrative & Business Professionals
Department:* Medical Management
Location:* Headquarters, Downtown Los Angeles
Position Type:* Temporary
Position Control Number:* Temp-329 Pay Grade: E
Pharmacist, Prior Authorization - Clinical Review Medical - Telecommute
You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm) Position hours are Wednesday
- Saturday (four 10 hour days, 7am-5:30pm with some flexibility), Overtime is voluntary, Weekend and Holiday, on call rotation.Primary
Positions in this function perform various duties related to the prior authorization specialty medical injectable Interprets clinical information submitted by requesting physician (or physician representative) along with information in the patient's medical records to make determinations or recommend determinations of medical necessity Enters authorizations into the appropriate system to ensure accurate claims processing Provides explanations and interpretations within area of expertise to assist with the peer to peer process Interacts with providers to gain additional clinical information when needed
BS in Pharmacy or PharmD degree Pharmacist license in good standing in state of job location 3+ years of experience as a pharmacist in retail and / or hospital / facility Basic level of experience with Microsoft Word and Outlook with the ability to navigate a Windows environment Must be able to work the hours listed for this position
Leadership experience Prior Authorization experience Experience with Specialty Medical Injections / Infusion Claims resolution experience Healthcare / Health plan experience Careers with UnitedHealthcare. Let's talk about opportunity.
Start with a Fortune 6 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture?
UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity.
It's where you can do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment. Job Keywords: Pharmacist, Medical Injection, Specialty Pharmacy, Prior Authorization, Medical records, Infusion, Telecommute, Telecommuting, Telecommuter, Remote, Work from home 26ff451e-0406-4c66-a4a9-6c1ce04fd5c5 *Pharmacist, Prior Authorization
Clinical Review Medical
Pre-Cert Authorization Coordinator
POSITION SUMMARY: Obtains pre-certification for all inpatient admission and pre-authorization for all outpatient diagnostic tests and performs an administrative support function. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting.
The purpose is to achieve the goals and to meet the denial rates set by Patient Access, the Medical Center and HSF to ensure minimum loss of revenue and maximum payment for services. The ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures is required. ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. Analyzes information required to complete pre-certifications and/or authorizations with insurance carriers, service area contacts and workman’s compensation carriers. 2.
Demonstrates skill in the proficient use of PC and UVA software systems to ensure that all pre-certification/pre-authorization information is entered into required computer systems in an accurate and timely manner. 3. Demonstrates the skills of effective communication, decision-making and organization to ensure efficient job performance and job success. 4. Demonstrates ability to adhere to policies and procedures. MINIMUM REQUIREMENTS: * Education:
High School Diploma or equivalent required. Associate’s Degree or Graduated from an accredited Licensed Practical Nurse Program preferred
Experience: 5 years relevant experience
License/Certification: Licensed to practice as a Practical Nurse in the Commonwealth of Virginia preferred GENERAL INFORMATION:
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.
Title:Pre-Cert Authorization Coordinator
Licensure & State Authorization Officer 495364
Higher Education Partnership Job Summary/Basic Function: General Description: The position of Licensure and State Authorization Officer supports Lamar University in establishing state authorization comp liance for all online courses offered outside of Texas.
The position reports to the Vice Provost of Digital earning and is charged with taking steps necessary to obtain and maintain authorization to operate in states where Lamar has determined it will provide online instruction. The Licensure and State Authorization Specialist must be a detail oriented professional, with the ability to read, interpret and analyze state regulations. The Specialist will have the ability to work independently on projects and must be able to produce accurate work under pressure and meet deadlines.
Essential Job Functions: 1. The position develops, initiates, and maintains a ll state authorization applications, reporting and continued compliance. Compiles information to prepare submissions of new and renewal state applications with accuracy and within strict deadlines; creates monitors and updates timelines for regulatory activities. 2.
This position creates and maintains tools for tracking and reporting on regulatory changes, and keeps database accurately updated to reflect changes in state authorization status. 3. This position stays current with regulatory compliance at the state and federal levels and provides reports on a regular basis. Maintains a current working knowledge of the TEA and State Board of Nursing requirements 4.
Routinely research state and federal laws, rules, and regulations including professional licensure regulations, implement communication and appropriate strategies to assure compliance. 5. Identity pending compliance changes and conduct proactive and in time training to ensure policy/procedure compliance through planning cycles. 6. Work with faculty and ensure that academic programs leading to professional certification or licensure maintain the standards required of such programs and ensure that reporting responsibilities are fulfilled. 7.
Manage the application and reporting processes for operating and degree-granting authority from state boards of higher education, including distance education requirements.
Minimum Requirements: Bachelor s degree required with training as a Paralegal/Legal office. Experience
Three years of higher education, compliance or related legal experience. Knowledge, Skills & Abilities: 0 Exceptional attention to detail and record-keeping 0 Experience coordinating project initiatives and maintaining project files 0 Experience working with state compliance issues Ability to read, interpret and analyze state regulations Experience in Microsoft Office applications Experience in problem solving, planning, analyzing and coordinating activities and establishing priorities Evident of effective and verbal and written communication skills Essential functions or requirements listed above may not be performed in every position with this title, and these essential functions may not include all related duties that might be requested and/or performed.
Master s Degree. Lamar University is proud to provide employment preference to veteran applicants in accordance with Texas SB 805, Section 657.003.
Security Sensitive Statement: This position is security-sensitive and thereby subject to the provisions of the Texas Education Code 51.215, which authorizes the employer to obtain criminal history record information. Salary: Commensurate Work Hours:
Posting Date: 12/05/2017 Close Date: Open Until Filled: Yes Special Instructions:
To apply, visit http://apptrkr.com/1132196. Lamar University is an affirmative action/
Data Link Production Support Responsible Engineering Authority (Rea)
The Mission of the SSC is to offer the best value solutions that meet our customers’ needs by balancing cost, schedule, performance, and manufacturability through continuous improvement, people development and state-of-the-art subsystems technology advancement. We are looking for candidates willing to collaborate and coordinate with Operations, Supply Chain, Quality, and other Engineering disciplines to resolve issue that may arise during production, testing, and integration. Qualified candidate must have experience with digital, analog and/or RF test and debug of complex circuit card assemblies.
Knowledge of digital communications and RF / microwave devices preferred. Responsibilities include: Troubleshooting hardware and process issues down to CCA and component levels Resolution of issues on production lines and in testing (including suppliers) Failure analysis / root cause determination and corrective action implementation Performing analog and digital circuit analysis and characterizing and modeling electrical signals of electronics subsystems in simulation Identifying and instantiating circuit card and subassembly design updates Lead electrical engineering activities performing integration, test and debug activities on data link and RF assemblies.
Provide system & telemetry analysis in support of flight test events. Location: Tucson, AZ. Some travel to suppliers may be required.
Note: This position can be Salary Grade G08 (Sr Electrical Engineer I) or Salary Grade G09 (Sr Electrical Engineer II) based upon the applicant’s qualifications as they relate to the skills, experience and responsibility requirements of the position.
Minimum 4 years of experience supporting Production and/or Test of data link and/or RF sub-systems in a manufacturing environment Knowledge of RF, analog, digital, and/or mixed signal circuit design and analysis Experience in Root-Cause Corrective Action investigations Knowledge and experience with Material Review Board, Process Configuration Board, Configuration Control Board and Failure Review Board processes, proposing/defending and implementing Change Notices Experience in resolving production issues with suppliers and sub-tier suppliers Technical writing and formal presentation experience Desired
Familiarity with digital communication topics such as: modulation schemes (PSK, FSK, QAM etc.), common receiver figures of merit (BER, MER, EVM etc), and link budgets. Experience with any of the following RF test equipment: spectrum analyzers, network analyzers, oscilloscopes, and arbitrary waveform generators. Knowledge of printed circuit board fabrication and circuit card assembly processes and related industry specifications Leadership of small technical teams, including technical oversight and direction, cost estimation, tracking & reporting, coordination and preparation of detailed technical team reports Experience with any of the following tools:
Mentor Graphics DxDesigner, PSPICE, System Vision, MATLAB, Simulink, MathCad, IDL, Computer Simulation Technologies (CST), Microwave Design Studio, High Frequency Structure Simulator (HFSS) and Advanced Design System (ADS). Experience Global Positioning System (GPS) receiver subsystems Experience in test automation scripting and test conduction Experience with post test flight analysis Experience in applying Statistical Process Control (SPC) methods in achieving production yield improvements Education : Bachelor’s degree required Major(s): Electrical Engineering or Electrical Engineering Technology Master’s degree preferred This position requires the eligibility to obtain a security clearance. Non-US citizens may not be eligible to obtain a security clearance. The Defense Industrial Security Clearance Office (DISCO), an agency of the Department of Defense, handles and adjudicates the security clearance process.
Security clearance factors include, but are not limited to, allegiance to the US, foreign influence, foreign preference, criminal conduct, security violations and drug involvement. Employment is contingent on other factors, including, but not limited to, background checks and drug screens. http://www.dss.mil/psmo-i/indus_psmo-i_interim.html 108832 Raytheon is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
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