- Christus Health (Alamogordo, NM)
- Description * Experience in a medical office setting. * Must understand, courteous and professional at all times in contacts with patients, visitors, employees, and ... medical staff. * Assist Doctor with patients. * Demonstrate...x-rays, labs and procedure reports are in patient charts prior to seeing doctor. * Gather patient's vitals and… more
- CHRISTUS Health (Alamogordo, NM)
- Description CMA: * Experience in a medical office setting. * Must understand, courteous and professional at all times in contacts with patients, visitors, employees, ... and medical staff. * Assist Doctor with patients. * Demonstrate...x-rays, labs and procedure reports are in patient charts prior to seeing doctor. * Gather patient's vitals and… more
- CHRISTUS Health (Alamogordo, NM)
- Description CMA: Experience in a medical office setting. * Must understand, courteous and professional at all times in contacts with patients, visitors, employees, ... and medical staff. * Assist Doctor with patients. * Demonstrate...x-rays, labs and procedure reports are in patient charts prior to seeing doctor. * Gather patient's vitals and… more
- GPI (Wilmington, MA)
- …and substructure design, cost estimation, and specification preparation Prior successful experience in project management, effective communication, and ... GPI offers excellent benefits, including a 401(k) plan, ESOP, medical /dental/vision plans, paid time off, and more. GPI is...not be considered a valid contract for service. Work Authorization In compliance with the Immigration Reform and Control… more
- Atlantic Health System (Morristown, NJ)
- Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The ideal candidate will be responsible for obtaining prior ... entire authorization process. Responsibilities: 1. Initiate and manage the prior authorization process for all obstetrical patients and gynecological… more
- Texas Health Action (Austin, TX)
- …experience required. No licensure required. Experience - 1+ years experience in a medical setting processing prior authorization . Knowledge of medical ... throughout the state. Read more about THA here: http://texashealthaction.org. The Prior Authorization Specialist serves our Kind Clinics and Waterloo… more
- Beth Israel Lahey Health (Beverly, MA)
- …experience in Financial Clearance activities. Knowledge of payer policies for medical necessity/ authorization requirements. Prior experience working with ... failed instances. When circumstances dictate, requests additional information to re-run medical necessity check. Determines authorization requirement and, when… more
- Actalent (Oklahoma City, OK)
- …RPh License Required* Job Description: + Completes assigned daily cases by processing prior authorization and medical necessity requests. + Review specialty ... medication prior authorization requests. + Conduct comprehensive medication reviews for select...Qualifications: + 2+ years experience as a pharmacist in prior authorization or medication therapy management. Retail… more
- HonorHealth (Phoenix, AZ)
- …applicable to their scheduled service(s), or to discuss any issues with eligibility, medical necessity, or prior authorization . The position works closely ... tasks related to the management of prior authorization , insurance eligibility and benefits, and medical ...according to department standards. Provides results of benefits, eligibilty, prior authorization , and medical necessity… more
- US Tech Solutions (GA)
- …medication prior authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations ... staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and… more
- Centene Corporation (Sacramento, CA)
- …100% remote. Candidate must have CA RN Licensure.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service ... to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness… more
- Molina Healthcare (San Bernardino, CA)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... _JOB TITLE: CARE REVIEW CLINICIAN, PRIOR AUTHORIZATION (REGISTERED NURSE, OR LVN)_ **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works… more
- Molina Healthcare (ID)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Aston Carter (Louisville, KY)
- …as needed for order shipment. Essential Skills + Insurance verification + Healthcare + Medical billing + Prior authorization + Data entry + Pharmacy ... and performing patient-level benefits verifications. The coordinator will also complete prior authorization templates, evaluate prior authorizations for… more
- Beth Israel Lahey Health (Westwood, MA)
- … guidelines and processes. 2. Collects and reviews all data needed pharmacy and/or medical for prior authorization approvals. 3. Resolves insurance related ... the prescribers to document, submit, communicate outcomes and appeal if necessary all pharmacy/ medical prior authorizations. Is also involved in all aspects of… more
- Georgetown Behavioral Health Institute (Georgetown, TX)
- …Education and/or Licensure - High School diploma (or equivalent). Experience: * 2 years medical prior authorization experience preferred * 2 years of ... Job Summary The Intake Clerk is responsible for obtaining prior authorizations for all Admissions within 24 Monday through...experience in a medical related field required Additional Requirements - None Knowledge… more
- TEKsystems (Appleton, WI)
- …Therapy Coverage" policies. -Fax/ upload into Forward Health portal and look over all Medical Assistance prior authorization forms. Contact Medical ... to for therapy services by calling on insurance benefits, tracking authorization deadlines, and obtaining therapy referrals. -Verify all therapy patients' insurance… more
- TEKsystems (Appleton, WI)
- …Therapy Coverage" policies. -Fax/ upload into Forward Health portal and look over all Medical Assistance prior authorization forms. Contact Medical ... to for therapy services by calling on insurance benefits, tracking authorization deadlines, and obtaining therapy referrals. -Verify all therapy patients' insurance… more
- TEKsystems (San Antonio, TX)
- … record, medical terminology, customer service, call center, healthcare, medical billing, benefit verification, prior authorization , claims processing, ... service skills, medical record, medical terminology,customer service,call center,healthcare, medical billing,benefit verification, prior authorization ,claims processing,insurance,… more
- TEKsystems (Tempe, AZ)
- … medical billing, medical claim, Insurance Verification, EOB, ERB, Medical Records, prior authorization , Schedule appointments Top Skills Details: ... *Procedure Orders (Ex: MRI/CTs, Radiology, DME, Mammogram, etc.) *Prescription Authorization (Ex: High Cost Specialty Medications) *Provider Support Room (Ex:… more
