Role Description The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include: - Collecting all the necessary documentation. - Contacting the client for additional information and completion of the required prior authorization in order to proceed with testing. - Complete, timely, and accurate identification and submission of prior and retro authorization requests to the payors. - Interacting with clients, insurance companies, patients, and sales representatives, as necessary, to request prior authorizations. - Documenting account activity and updating patient and claim information. - Demonstrating proficiencies with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing of claims. - Identifying prior authorization trends and/or issues resulting in delayed claims processing. - Providing the highest level of customer service to internal and external clients. Position is full time. Shift is Monday to Friday, 6:00am to 2:30pm (Pacific Time). Applicant must be able to work from home. Qualifications - Minimum 2 years of customer service experience in the healthcare industry. - Proficiency in the XIFIN system is preferred. - Proficiency in the Glidian system is preferred. - High level of accuracy and attention to detail. - Ability to prioritize and meet defined deadlines. - Ability to organize systematic paper and electronic files. - Ability to work in a fast-paced team environment. Requirements - Hiring range: $19.26 to $23.00. The actual rate will be determined based on experience and other factors permitted by law. Benefits - Comprehensive compensation and benefits package. - Competitive salary. - Company paid medical, dental, vision, and life insurance coverage. - 401(k) with company match. - Generous employee discounts. - Casual, but driven work environment. - Ability to make a real difference as a key contributor to our growth. Company Description Mdxhealth seeks talented people who are passionate about improving the diagnosis and treatment of cancer patients. Mdxhealth is a building world-class healthcare company, providing significant career development and financial opportunities. Mdxhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. Accessibility: If you need an accommodation as part of the employment process, please contact Human Resources at: 866-259-5644.

Become a part of our caring community Shift/Availability Requirements: - This is a full time position scheduled for 40 hours, 5 days a week for 8 hour shifts. - Days of availability are Monday-Friday. - Hours of availability are from 9:30am-6pm EST. - Weekend coverage required twice a month. When working weekends, it will allow for off days during the week. - Available to work 3 holidays a year. Based on business needs, additional holiday coverage may be required. As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and documentation, compliance, and follow up on the initial referral process and decision. You will be responsible to: - Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications. - Monitor email for request to pull referrals from all applicable referral systems. Perform follow-up and manage all related communication. - Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.) - Help with authorizations. - Monitor status of all referrals received, follow up with each throughout process, reports on status weekly. - Communicate with branch, sales, leadership by email or phone for status updates and referral decisions. - Daily management of ERST log with all referrals and ROCs decisions. - Maintain acceptable productivity level, as determined by work assignment and departmental standards. - Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices. Use your skills to make an impact Required Experience: - High School Diploma or its equivalent - Can type a minimum of 40 wpm - Comprehend and apply principles of basic math while analyzing data and generating reports - Good logical thinking and decision-making skills - Can follow strict timelines - Communication with all levels of management - Can work with multiple screens/systems ensuring attention to detail - Time management skills and can work in a fast-paced environment - Must read, write and speak fluent English - Must have good and regular attendance - Approximate percent of time required to travel: 0% Preferred Experience: - Patient referral and insurance verification experience - Minimum 1 year customer service or other healthcare related experience; preference working in a home health environment - Knowledge of the issues related to the delivery of home health services - Working knowledge of Medicare enrollment and guidelines governing home health agencies - Associates degree Additional Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-24-2026 About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

We anticipate the application window for this opening will close on - 29 May 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Join Medtronic as an Affera Mapping Specialist and be at the forefront of transforming lives through advanced medical technology! In this dynamic role, you’ll work alongside a collaborative team of clinicians, engineers, physicians, and innovators to execute mapping solutions for cardiac and other electrophysiological systems. By blending technical expertise with a passion for improving patient outcomes, you'll have the opportunity to impact global healthcare directly. If you're driven by precision, problem-solving, and the chance to make a tangible difference in people’s lives, this is your opportunity to grow your career while shaping the future of medical innovation at Medtronic. To find all CAS Mapping roles available please use #casmap in the key word search at Medtronic Careers Various levels available based on qualifications and experience Responsibilities may include the following and other duties may be assigned. - Provide clinical and technical support and training to physicians and staff on the EP mapping and navigation system and all CAS products. - Educate and train physicians, hospital personnel and office staff on technical matters relating to CAS products and related procedures. - Promote the safe and effective use of Medtronic CAS products and related procedures. - Understand and support national, regional and territory sales objectives to achieve or exceed sales goals within all CAS products. - Develop and cultivate customer relationships resulting in incremental business. - Work in partnership with Account Manager, Regional Manager and Area Directors to identify potential sales opportunities. - Collaborate and strategize with local sales team to conduct customer training for mapping and other CA Solutions products. - Collaborate and communicate with the sales and clinical teams in the region. - Serves as an effective Medtronic CAS representative to physicians and support staff regarding Medtronic CAS products, service and support. - Serve as a regional champion to share your experience and influence others to be proficient in the mapping technology. ​ The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. We seek out and hire a diverse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader —that’s why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients. To learn more about Inclusion & Diversity at Medtronic Click Here Required Qualifications To be considered for this role, please ensure these minimum requirements are evident on your resume. - High school diploma PLUS a minimum of 8 years of related work experience in cardiac mapping and navigation. OR - Associate degree PLUS a minimum of 6 years of related work experience in cardiac mapping and navigation. OR - Bachelor degree plus a minimum of 4 years of related work experience in cardiac mapping and navigation. Preferred Qualifications - B.A./B.S. Degree in nursing, cardiovascular, life sciences, or technical discipline with minimum of four years work experience in cardiac field, hospital/clinic or sales. - Proven track record with technical training assignments. - Experience in the cardiac catheter ablation field, EP lab, in a hospital/clinic or EP medical sales providing technical / clinical support. Additional Job Requirements - Environmental exposure to infectious disease and radiation - Clinical Specialists are required to be within their assigned territory each day to be available as unscheduled needs arise - Clinical Specialists will on occasion be required to travel outside of their assigned territory and possibility overnight - Must have a valid driver’s license - Ability to freely move throughout the facility, use a phone, keyboard and mouse, visually able to interact with personal computers - Must be able to stand/sit/walk for 8 hours a day - Ability to travel up to 25% Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be reviewed and will be considered as part of your application. Must be able to drive approximately 25-50% of the time within assigned territory and may require overnight travel. CARDIOVASCULAR PORTFOLIO: Cardiac Ablation Solutions offers cardiac mapping and ablation solutions to treat patients with abnormal heart rhythms. Our vision is to help patients worldwide by advancing innovation for the diagnosis and ablation of cardiac arrhythmias, enabling clinicians to perform procedures with superior outcomes. #LI-MDT For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required. Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.  The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. U.S. Work Authorization & Sponsorship At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment. Join us in our mission to alleviate pain, restore health, and extend life—where your unique background and perspective are valued. Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. Salary ranges for U.S (excl. PR) locations (USD):$130,000.00 - $140,000.00 The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others). In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums). Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico. Further details are available at the link below: Medtronic benefits and compensation plans About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people. We are engineers at heart— putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here. It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities. If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

We anticipate the application window for this opening will close on - 29 May 2026 At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Join Medtronic as an Affera Mapping Specialist and be at the forefront of transforming lives through advanced medical technology! In this dynamic role, you’ll work alongside a collaborative team of clinicians, engineers, physicians, and innovators to execute mapping solutions for cardiac and other electrophysiological systems. By blending technical expertise with a passion for improving patient outcomes, you'll have the opportunity to impact global healthcare directly. If you're driven by precision, problem-solving, and the chance to make a tangible difference in people’s lives, this is your opportunity to grow your career while shaping the future of medical innovation at Medtronic. To find all CAS Mapping roles available please use #casmap in the key word search at Medtronic Careers Various levels available based on qualifications and experience Responsibilities may include the following and other duties may be assigned. - Provide clinical and technical support and training to physicians and staff on the EP mapping and navigation system and all CAS products. - Educate and train physicians, hospital personnel and office staff on technical matters relating to CAS products and related procedures. - Promote the safe and effective use of Medtronic CAS products and related procedures. - Understand and support national, regional and territory sales objectives to achieve or exceed sales goals within all CAS products. - Develop and cultivate customer relationships resulting in incremental business. - Work in partnership with Account Manager, Regional Manager and Area Directors to identify potential sales opportunities. - Collaborate and strategize with local sales team to conduct customer training for mapping and other CA Solutions products. - Collaborate and communicate with the sales and clinical teams in the region. - Serves as an effective Medtronic CAS representative to physicians and support staff regarding Medtronic CAS products, service and support. - Serve as a regional champion to share your experience and influence others to be proficient in the mapping technology. ​ The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position. We seek out and hire a diverse workforce at every level: We need fresh ideas and inclusive insights to continue to be an innovative industry leader —that’s why we make it a point to seek out, attract and develop employees who are patient-centric, passionate, and who represent the same wide variety of life experiences as our patients. To learn more about Inclusion & Diversity at Medtronic Click Here Required Qualifications To be considered for this role, please ensure these minimum requirements are evident on your resume. - High school diploma PLUS a minimum of 6 years of related work experience in cardiac mapping and navigation. OR - Associate degree PLUS a minimum of 4 years of related work experience in cardiac mapping and navigation. OR - Bachelor degree PLUS a minimum of 2 years of related work experience in cardiac mapping and navigation. Preferred Qualifications - B.A./B.S. Degree in nursing, cardiovascular, life sciences, or technical discipline with minimum of four years work experience in cardiac field, hospital/clinic or sales. - Proven track record with technical training assignments. - Experience in the cardiac catheter ablation field, EP lab, in a hospital/clinic or EP medical sales providing technical / clinical support. Additional Job Requirements - Environmental exposure to infectious disease and radiation - Clinical Specialists are required to be within their assigned territory each day to be available as unscheduled needs arise - Clinical Specialists will on occasion be required to travel outside of their assigned territory and possibility overnight - Must have a valid driver’s license - Ability to freely move throughout the facility, use a phone, keyboard and mouse, visually able to interact with personal computers - Must be able to stand/sit/walk for 8 hours a day - Ability to travel up to 25% Must have a valid driver's license and active vehicle insurance policy. In addition, your driving record will be reviewed and will be considered as part of your application. Must be able to drive approximately 25-50% of the time within assigned territory and may require overnight travel. CARDIOVASCULAR PORTFOLIO: Cardiac Ablation Solutions offers cardiac mapping and ablation solutions to treat patients with abnormal heart rhythms. Our vision is to help patients worldwide by advancing innovation for the diagnosis and ablation of cardiac arrhythmias, enabling clinicians to perform procedures with superior outcomes. #LI-MDT For Baccalaureate degrees earned outside of the United States, a degree that satisfies the requirements of 8 C.F.R. § 214.2(h)(4)(iii)(A) is required. Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.  The physical demands described within the Responsibilities section of this job description are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. For Office Roles: While performing the duties of this job, the employee is regularly required to be independently mobile. The employee is also required to interact with a computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions and Physical requirements that may be specific to each role. U.S. Work Authorization & Sponsorship At Medtronic, we are committed to fostering an environment where employees can thrive and make a meaningful impact. In alignment with our enterprise-wide workforce planning approach, U.S. work authorization sponsorship (H-1B, TN, J, etc.) is offered exclusively for Principal-level roles and above, where specialized expertise aligns with long-term business needs. Roles below the Principal level require candidates to possess unrestricted U.S. work authorization at the time of hire and for the duration of employment. Join us in our mission to alleviate pain, restore health, and extend life—where your unique background and perspective are valued. Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. Salary ranges for U.S (excl. PR) locations (USD):$120,000.00 - $125,000.00 The base salary range is applicable across the United States, excluding Puerto Rico and specific locations in California. The offered rate complies with federal and local regulations and may vary based on factors such as experience, certification/education, market conditions, and location. Compensation and benefits information pertains solely to candidates hired within the United States (local market compensation and benefits will apply for others). In addition to Base Salary, this position is eligible for a Sales Incentive Plan (SIP), which provides the opportunity to earn significant incentive compensation for achieving or exceeding your goals. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). The following benefits and additional compensation are available to all regular employees: Incentive plans, 401(k) plan plus employer contribution and match, Short-term disability, Paid time off, Paid holidays, Employee Stock Purchase Plan, Employee Assistance Program, Non-qualified Retirement Plan Supplement (subject to IRS earning minimums), and Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums). Regular employees are those who are not temporary, such as interns. Temporary employees are eligible for paid sick time, as required under applicable state law, and the Employee Stock Purchase Plan. Please note some of the above benefits may not apply to workers in Puerto Rico. Further details are available at the link below: Medtronic benefits and compensation plans About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people. We are engineers at heart— putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here. It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Medtronic will provide reasonable accommodations for qualified individuals with disabilities. If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. Medtronic will consider for employment qualified job applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.