IrvingRecruiter Since 2001
the smart solution for Irving jobs

Case Manager

Company: Progenity
Location: Irving
Posted on: October 12, 2019

Job Description:

Our mission at Progenity is simple: to help healthcare providers and patients prepare for life. We provide the most advanced molecular technology and the highest levels of service to guide patient care at critical life stages. We continually seek people with the motivation and skills to advance our mission.

The Case Manager is responsible for supervising, developing, and facilitating all activities including securing insurance coverage, obtaining and maintaining relationships with healthcare payors, providers and patients for hereditary genetic testing services.RESPONSIBILITIES

  • Processes requests for prior authorization, including: review requests for completeness, communicate missing information or other follow-up activities to ordering providers and/or patients and facilitates the prior authorization with a diverse group of payors.
  • Documents all activities with payors, providers, patients and internal departments for all sample requests.
  • Adheres to all applicable company and departmental Standard Operating Procedures.
  • Supports established partnerships and relationships with payors as well as all healthcare utilization management companies.
  • Participates in organizational initiatives related to process development, program management or operational efficiencies.
  • Maintains compliance with applicable State and Federal regulations, including CLIA and HIPAA regulations.

    This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities, as deemed necessary.REQUIREMENTS

    • RN or LPN required.
    • Licensure and certification as required by individual's degree.
    • Experience working with insurance required including experience with medical benefits/claims, authorizations and provider appeals and knowledge of ICD-10 and CPT codes.
    • Familiarity and experience working with payors, minimum of 2 years required.
    • Excellent communication, interpersonal and analytical skills.
    • Ability to triage issues appropriately and understand when to escalate concerns.
    • Excellent judgement and discretion.
    • Ability to handle multiple priorities simultaneously, meet deadlines, handle work-related stress is required in a fast-paced, challenging work environment.
    • Must be detailed oriented, organized, self-starter, can prioritize workload and have a positive attitude.
    • Occasional travel will be required.
    • Must be tech-savvy, including intermediate knowledge and experience with Microsoft Windows, Microsoft Office products, Internet and general office equipment.

Keywords: Progenity, Irving , Case Manager, Executive , Irving, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Market Quality Improvement and Risk Management
Description: Description SHIFT: No Weekends br br SCHEDULE: Full-time br br normal Is your current role providing youthe level of challenge and fulfillment you are looking for Can you seeyourself as an (more...)
Company: Medical City Ambulatory Surgery Center
Location: Dallas
Posted on: 10/15/2019

Patient Care Manager (RN) - Home Health
Description: Overview br 2,500 Sign On Bonus br br The Home Health Patient Care Manager Registered Nurse is responsible for the overall supervision and coordination of clinical services. Coordinates and (more...)
Company: DFW Home Health
Location: Dallas
Posted on: 10/15/2019

Survey Manager (Infrastructure)
Description: Become Part of Our Team br br As an industry leader Balfour Beatty offers employees a comprehensive benefits package that includes competitive salaries, comprehensive benefits, paid time off, education (more...)
Company: Balfour Beatty Construction Inc
Location: Dallas
Posted on: 10/15/2019

Membership Sales Manager
Description: ACE Group Membership Sales is seeking a career-minded individual for our Membership Sales Manager opportunity in Texas. This position is responsible for achieving performance objectives as indicated as (more...)
Company: AAA Texas
Location: Coppell
Posted on: 10/15/2019

Management Trainee
Description: If you re looking to start your career with a company that grows their managers and leaders from within the organization, then the Enterprise Management Training Program is for you. Whether you see yourself (more...)
Company: Enterprise Rent-A-Car
Location: Keller
Posted on: 10/15/2019

Regional Field Manager
Description: Overview Reach have an exciting opportunity in managing field sales teams working in Wal-Mart, Target and Kroger retail outlets. The role of the Regional Field Manager will be to effectively manage a (more...)
Company: Acosta
Location: Dallas
Posted on: 10/15/2019

Project Manager (AV, Video Teleconferencing or Construction Industry Experience Required)
Description: Job Summary br br Responsible for the managing the overall direction, coordination, implementation, execution, control and completion of specific AV systems integration projects. Additionally, ensure (more...)
Company: AVI SPL
Location: Dallas
Posted on: 10/15/2019

Clinic Manager - Surgery - Oral & Maxillofacial Surgery
Description: EXPERIENCE AND EDUCATION br ------------------------- br br Bachelor's degree in Business Administration, Health Care Administration, or related field and five 5 years responsible administrative (more...)
Company: UT Southwestern Medical Center
Location: Dallas
Posted on: 10/15/2019

Chief Information Officer
Description: Officer CIO role is to align technology vision with organizational strategy by supporting Southwest Key Programs Inc. and its subsidiaries programs and processes with the appropriate technologies. Assuming (more...)
Company: Southwest Key Programs
Location: Plano
Posted on: 10/15/2019

Restaurant General Manager
Description: DescriptionTo eat. To laugh. To share. That's why people come to Pizza Hut. It's the calling of our Restaurant General Managers to make them feel like family with smiles, teamwork and dedication. If you're (more...)
Company: Pizza Hut
Location: Garland
Posted on: 10/15/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Irving RSS job feeds