Role Objective We are seeking a detail-oriented Prior Authorization Specialist with a focus on Urology to join our team. You will be responsible for ensuring that all urological procedures, diagnostic tests, and medications are pre-approved by insurance carriers,
We are seeking a meticulous and proactive Radiology Prior Authorization Specialist to oversee and streamline the prior authorization (PA) process for radiology procedures. This role ensures timely and accurate approvals, reduces patient wait times, and supports compliance with payer requirements.
Key Responsibilities for AR: Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. Understand the reason for rejection, denials, or no status from the payer. Work on
BreakthruAI is a U.S.-based healthcare administration company supporting medical clinics across the United States. We help clinics streamline revenue cycle and administrative operations, including medical billing, accounts receivable follow-up, credentialing, prior authorizations, referrals, and patient access support. We
Key Responsibility: • Meet Quality and productivity standards. Contact insurance companies for further explanation of denials & underpayments Should have experience working with Multiple Denials. Take appropriate action on claims to guarantee resolution. Ensure accurate &
Role Objective We are seeking a detail-oriented Prior Authorization Specialist with a focus on Urology to join our team. You will be responsible for ensuring that all urological procedures, diagnostic tests, and medications are pre-approved by insurance carriers,
Work ScheduleStandard (Mon-Fri) Environmental ConditionsOffice Job Description As part of the Thermo Fisher Scientific team, you’ll discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to
Global Legal Network is a group of professionals operating globally from 10 countries. It provides a broad spectrum of differentiated services - focused on delivering value and innovation. We partner with Legal teams across Accenture to
About Us Sophos is a cybersecurity leader defending 600,000 organizations globally with an AI-driven platform and expert-led services. Sophos meets organizations wherever they are in their security maturity and grows with them to defeat cyberattacks. Its
Business Introduction At GSK, we have bold ambitions for patients, aiming to positively impact the health of 2.5 billion people by the end of the decade. Our R&D focuses on discovering and delivering vaccines and medicines,
About 100ms 100ms is building AI agents that automate complex patient access workflows in U.S. healthcare — starting with benefits verification, prior authorization, and referral intake in specialty pharmacy. We help care teams reduce delays and administrative burden
Opportunity Overview: We are seeking a Lead Data Engineer to drive the design and delivery of our cloud-native healthcare data platform. You will lead the implementation of scalable data solutions built on AWS, Apache Iceberg, Lake
Designation : Senior Batch Specialist Key Expectations Configure, test, and maintain Alight’s proprietary Total Benefit Administration (TBA) system to support client requirements Deliver accurate analysis and test plans for low to medium complexity projects Ensure smooth
Our Story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.
The AR Senior Analyst is responsible for leading advanced A/R follow-up, analysis, and resolution activities to ensure accurate and timely reimbursement for healthcare providers. This role requires deep knowledge of payer policies, denial management, and U.S.
Salesforce Agentforce Developer1 AI & MODERN TOOLING EXPERTISE Candidates must demonstrate hands-on proficiency with next-generation AI tools, LLM platforms, and Salesforce AI capabilities: CORE AI PLATFORMS & LLMS Claude (Anthropic) OpenAI Codex GitHub Copilot Cursor IDE
Our story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”
Our story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to “Be Alight.”
Syntax is a leading Managed Cloud Provider for Mission Critical Enterprise Applications and has been providing comprehensive technology solutions to businesses of all sizes since 1972. Syntax has undisputed strength to implement and manage ERP deployments
Line of ServiceAdvisory Industry/SectorNot Applicable SpecialismOperations Management LevelManager Job Description & SummaryAt PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals