CRM Integration Specialist jobs in Absarokee, MT

CRM Integration Specialist is responsible for Customer Relationship Management (CRM) system integration. Ensures all functions of CRM system effectively work with all other applications and operating systems. Being a CRM Integration Specialist requires a bachelor's degree in area of specialty. Typically reports to a manager or head of a unit/department. The CRM Integration Specialist supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. To be a CRM Integration Specialist typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

B
Authorizations Specialist
  • billingsclinic
  • Billings, MT FULL_TIME
  • Responsible for performing the medication authorization functions with insurance carriers. Coordinate with/educate physicians, nursing staff and other health care providers on the authorization process and requirements. Works as a patient advocate and functions as a liaison between the patient, staff and payer to answer avoid care delays. Tracks, documents, and monitors authorizations. Implements check and balance systems to ensure timely compliance. Processes complete prescription claims including proper adjudication/reconciliation, insurance verification, prior authorization, and compassionate care/medication assistance programs associated with patient accounts and insurance claims billing.

    Essential Job Functions

    •Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
    •Coordinates medication authorization process ensuring authorization has been obtained.
    •Identifies and initiates precertification/authorization requirements for individual payers and communicates with payer sources in a timely manner to obtain necessary pre-certification/authorization.
    •Processes complete prescription claims including proper adjudication/reconciliation, insurance verification, prior authorization, and compassionate care/medication assistance programs associated with patient accounts and insurance claims billing.
    •Enters medication charges and credits for the adjudication/reconciliation of patient accounts and insurance claims billing.
    •Participates in quality improvement activities utilizing performance improvement principles to assess and improve quality.
    •Documents and maintains patient specific precertification/authorization data within the required information systems. Documents and tracks authorizations using established process.
    •Reports denials and/or delays in the precertification/authorization process to physicians/other health care providers and/or the patient.
    •Develops and maintains collaborative working relationships with payers and health care team.
    •Reports non-compliance issues to department specific leadership team.
    •Works with Medical Staff Office validating provider enrollment and NPI numbers.
    •Tracks and verifies that medication precertification/authorization has been received either verbally or written.
    •Communicates status to health care team and patient as needed. Reviews schedules and work lists multiple times throughout the day.
    •Reports medication denials and/or delays in the authorization process to the health care team and the patient. Provides information to the patient on the appropriate appeal process for denials as needed.

    Additional Duties: Concurrent – Authorization
    •Understands insurance/payer policy language, benefits and authorization requirements upon admission, for concurrent review, and for discharge.
    •Coordinates Peer to Peer reviews. Submits letters of medical necessity and follows up on payer denial outcomes.
    •Participates in continuing education, department planning, work teams and process improvement activities.
    •Conducts follow-up calls, as necessary, to third party payers to complete authorization process validating that all days are authorized.
    •Facilitates retro-authorization process with payers. Communicates outcome with patient, physician, Patient Financial Services and other key departments
    •Responsible for coordinating resolution of varied problem situations and performing necessary investigation and research as it relates to the authorization process to resolve pre-certification/authorization problems.
    •Works closely with Payer Relations coordinating needed pre-certification/ authorizations for in-network and out of network services.
    •Maintains reference manuals that outline the individual payer requirements as it relates to precertification and authorization needs while also being responsible for the integrity and accuracy of the payer data.
    •Responsible for the orientation and education of physician, nursing staff, who rely on the pre-certification process.
    •Works with Coding Resources validating correct and billable CPT code, Writes process with critical elements for new procedures and maintains pre-certification instruction manual.
    •Reviews, updates and standardizes forms and processes as needed.
    Initiates workflow for new procedures/service lines.

  • 19 Days Ago

M
Maintenance Specialist
  • MAC LTT Manufacturing, Inc
  • Billings, MT FULL_TIME
  • We are seeking a highly skilled individual who can troubleshoot and perform maintenance on manufacturing equipment and the facility. ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. (Othe...
  • 21 Days Ago

B
Benefits Specialist
  • Billings Clinic Health System
  • Billings, MT OTHER
  • Under general supervision, the incumbent in this position provides administrative, clerical and technical support within the areas of benefits and compensation.Essential Job Functions •Supports and mo...
  • 21 Days Ago

A
Merchandiser Specialist
  • Acosta Group
  • Cody, WY FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** CODY, Wyoming, 82414 **Ref #:** 25308 **Function:** Merchandisi...
  • 22 Days Ago

B
Authorizations Specialist
  • Billings Clinic
  • Billings, MT FULL_TIME
  • You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the...
  • 22 Days Ago

B
Insurance specialist
  • BMO Financial Group
  • Billings, MT FULL_TIME
  • BMO is hiring an Insurance Claims Specialist to join the Transportation Finance Operations team. BMO Transportation Finance serves the entire supply chain of the transportation industry, including ori...
  • 23 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 CRM Integration Specialist jobs found in Absarokee, MT area

S
Open Interview - CDL-A Truck Driver - Home Daily - Average $31.52/Hour
  • Sysco - Open Interview - Local CDL-A Delivery Driver - Billings, MT
  • Columbus, MT
  • Join Sysco for an Open Interview in Billings, MT! Earn On Average $31.52 per Hour - $5,000 Sign-On Bonus - Local Routes,...
  • 3/28/2024 12:00:00 AM

S
PRN Physician Assistant or Nurse Practitioner Walk In Care Laurel
  • SCL Health
  • Laurel, MT
  • Job Description Are you ready to practice big-city medicine and have a small-town feel? Are you ready to practice at the...
  • 3/27/2024 12:00:00 AM

S
Retail Merchandiser
  • SFS, Inc.
  • Columbus, MT
  • Overview: Retail Merchandiser Come join SFS as a Retail Merchandiser independent contractor and enjoy all the benefits o...
  • 3/27/2024 12:00:00 AM

S
Process Control Engineer
  • Sibanye Stillwater
  • Columbus, MT
  • Process Control Engineer Location: Columbus, MT Centralized Engineering Schedule: 5x2, 4x3 - 9-hour days Job Responsibil...
  • 3/26/2024 12:00:00 AM

H
Remote Licensed Psychiatrist
  • Headway
  • Absarokee, MT
  • Remote Licensed Psychiatrist Wage: Between $232 - $269 an hour Are you a licensed Psychiatrist looking to launch a priva...
  • 3/25/2024 12:00:00 AM

C
General Manager
  • Crash Champions
  • Absarokee, MT
  • Champions Do More Crash Champions is home to a collection of team members driven by a deeply rooted purpose and guided b...
  • 3/24/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Absarokee, MT
  • Remote Licensed Clinical Psychologist Wage: Between $166-$196 an hour Are you a Licensed Clinical Psychologist looking t...
  • 3/24/2024 12:00:00 AM

H
Remote Licensed Professional Counselor
  • Headway
  • Absarokee, MT
  • Remote Licensed Professional Counselor (LPC) Wage: Between $120-$131 an hour Are you a Licensed Professional Counselor l...
  • 3/24/2024 12:00:00 AM

Absarokee (/æbˈsɔːrkiː/ ab-SOR-kee) is a census-designated place (CDP) in Stillwater County, Montana, United States, approximately 14 miles (23 km) south of Columbus on Highway 78. It is named after the Crow Indians who formerly inhabited the land. The population was 1,234 at the 2000 census. The Stillwater Mine, operated by the Stillwater Mining Company, is located near Absarokee. Absarokee is located at 45°31′13″N 109°26′38″W / 45.52028°N 109.44389°W / 45.52028; -109.44389 (45.520147, -109.443782) in a valley of the Beartooth Mountain foothills. According to the United States Census Bu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for CRM Integration Specialist jobs
$129,282 to $174,389
Absarokee, Montana area prices
were up 3.1% from a year ago

CRM Integration Specialist in Portland, OR
Professional experience with configuration, integration, and evolution of marketing technologies within B2B professional services environment/ad agency or manufacturer is essential.
December 22, 2019
CRM Integration Specialist in New Suffolk, NY
Top 12 Stress Based Interview Questions As CRM Integration Specialist.
December 09, 2019
CRM Integration Specialist in Newark, NJ
This person will also be tasked with monitoring the integration between marketing automation CRM technology across the organization for day-to-day operations, issue resolution, and overall systems management.Responsibilities Champion integrations, and coordination of marketing automation and CRM platforms.
December 07, 2019