- SUNY Upstate Medical University (Syracuse, NY)
- …Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. Observe ... and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care… more
- HonorHealth (Scottsdale, AZ)
- …Learn more at HonorHealth.com. Responsibilities Job Summary The Research Infusion Authorization Coordinator I position within the HonorHealth Research Institute ... through the HonorHealth Network. Preforms tasks related to the management of prior authorization for patients served by HonorHealth Research Institute. Reviews… more
- The Cigna Group (Bloomfield, CT)
- Pharmacy Tech ( Pharmacy Care Coordinator ) - Evernorth - California **Summary:** _The Pharmacy Care Coordinator helps analyze client data to identify ... wellness and health promotion services and patient education._ **Description:** The Pharmacy Care Coordinator supports quality, safety, and trend initiatives… more
- Truman Medical Centers (Kansas City, MO)
- …+ Experience and Training: 3 to 5 years of health care and/or specialty pharmacy and/or insurance prior authorization experience. Exceptional aptitude or ... position will conduct benefit investigations, complete necessary third party (insurance) prior authorization requests and associated services related to high… more
- Mount Sinai Health System (New York, NY)
- …rejected claims, conducting and completing necessary third party (insurance) prior authorization requests (when applicable), and verifies prescriptions ... **Job Description** Under direct supervision of the Director of Pharmacy and Clinical Coordinator , this Specialty ...follow up on rejected claims. 2. Completes third party prior authorization requests and verifies prescriptions. 3.… more
- Henry Ford Health System (Troy, MI)
- …and new pharmacy benefit structures. (eg benefit design, claims processing, prior authorization procedures, etc.) + In conjunction with the pharmacy ... GENERAL SUMMARY: The Pharmacy Benefits Coordinator facilitates the operations...development of new benefit designs and programs, organizing the prior authorization process and management of the… more
- Highmark Health (Harrisburg, PA)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer...requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +… more
- Mount Sinai Health System (New York, NY)
- …rejected claims, conducting and completing necessary third party (insurance) prior authorization requests (when applicable), and verifies prescriptions ... & Responsibilities:_** Under direct supervision of the Director of Pharmacy and Clinical Coordinator , this Specialty ...follow up on rejected claims. 2. Completes third party prior authorization requests and verifies prescriptions. 3.… more
- Mount Sinai Health System (New York, NY)
- …and working with clinical staff to complete necessary third party (insurance) prior authorization requests (when applicable). They are primarily responsible for ... Program (WTCHP) Clinical Pharmacy Manager, this World Trade Center Pharmacy Benefits Coordinator interacts with patients, hospital employees, specialty … more
- HonorHealth (Phoenix, AZ)
- …as necessary to become proficient. Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... Job Summary Under the direction of Leadership, performs Infusion/medication authorization functions for the hospital outpatient infusion departments (or other… more
- Centene Corporation (Austin, TX)
- …the health plan's pharmacy program. + Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process + ... on workplace flexibility. **Position Purpose:** Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of… more
- Cleveland Clinic (Cleveland, OH)
- …systems simultaneously. + Knowledge of insurance coverage, limitations, requirements, eligibility, pharmacy formulary, prior authorization , coordination of ... is eligible for a sign-on bonus of $2,500 Patient Specific Medications Coordinator Join Cleveland Clinic's Main Campus where research and surgery are advanced,… more
- AbbVie (North Chicago, IL)
- …years of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization , appeals, and specialty pharmacy operations. + ... programs, billing, alternate funding resources, reimbursement processes, prior authorization and appeal filings, and specialty pharmacy operations. +… more
- University of Virginia (Charlottesville, VA)
- …eligibility and verification of benefits, obtaining all necessary pre-authorizations and authorization for transplant event and admission for Stem Cell transplant ... discussion and collection with patient of any financial responsibility. Additionally the Coordinator will provide necessary support functions within the PAU and act… more
- National Youth Advocate Program (Aurora, CO)
- …scheduling initial, follow-up, wellness, and specialist appointments; preparing Treatment Authorization Requests (TARs) prior to appointments and following ... **Position Summary** The Medical Coordinator for La Jornada arranges the proper delivery...assigned cross-functional team and medical, mental health, dental, and pharmacy providers to ensure appropriate care to the children,… more
- BrightSpring Health Services (Lenexa, KS)
- …this in the computer system + Ensures that insurance verification is completed, and authorization is in place or requested prior to giving the referral to ... home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we grow...checklists are complete + Enters patient demographic, insurance and authorization information into the computer system + Obtains authorizations… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Care Coordinator , Penn Signature Services** Job Summary: + Under minimal supervision, the Care ... Coordinator in Penn Signature Services (PSS) is responsible for...as well as policies surrounding insurance verification, referral and authorization , and point-of-service payment after communication with financial officers… more
- National Youth Advocate Program (Fairfax, VA)
- …an approved provider; making initial, follow-up, and wellness appointments; preparing Treatment Authorization Requests (TAR) prior to appointments and follow up ... Repayment Assistance, CEU's and ongoing trainings/education **Position Title:** Medical Coordinator **Reporting Relationship:** Lead Clinician **Position Summary** The Medical… more
- BrightSpring Health Services (Duluth, GA)
- …this in the computer system + Ensures that insurance verification is completed, and authorization is in place or requested prior to giving the referral to ... Our Company Amerita Overview Amerita's intake coordinator are responsible for working in coordination with...responsible for working in coordination with the sales and pharmacy teams process patient referrals and admissions in a… more
- Humana (Miramar, FL)
- …physician, referral source and provider interactions and communications. Work with Pre- Authorization , Utilization Management, Billing, Pharmacy , Home Care and ... and help us put health first** Job Description Summary The Pre-Service Coordinator is responsible for all aspects of referral management and accurately process… more