- University of Utah (Salt Lake City, UT)
- …clinic managers, and financial advocates to resolve issues that arise during the prior authorization process . **Compensation & Benefits** The starting salary for ... Details **Open Date** 11/08/2024 **Requisition Number** PRN40292B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization Rep I… more
- Atlantic Health System (Morristown, NJ)
- …documentation, scheduling peer-to-peer reviews, and meticulously documenting the entire authorization process . Responsibilities: 1. Initiate and manage the prior ... Overview: We are seeking a skilled Medical Prior Authorization Specialist to join our team. The...Document all communication and actions taken throughout the authorization process accurately and thoroughly. 8. Monitor the progress of… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and ... prior authorization guidelines. Communicates regularly with patients, families, clinical...and efficient follow through on all aspects of the process which has direct, multifaceted impact (quality, financial, patient… more
- Texas Health Action (Austin, TX)
- …Prior Authorizations Specialist, you will be responsible for managing the prior authorization process for medications + Collaborate with healthcare providers, ... throughout the state. Read more about THA here: http://texashealthaction.org. The Prior Authorization Specialist serves our Kind Clinics and Waterloo Counseling… more
- US Tech Solutions (RI)
- …duties as assigned by the leadership team. + Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple ... and courteous phone assistance to all callers through the criteria based prior authorization process . + Maintains complete, timely and accurate documentation… more
- University of Utah (Salt Lake City, UT)
- …nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process . A high level of computer literacy for daily ... Number** PRN39803B **Job Title** PS Coordinator, Scheduling **Working Title** Prior Authorization Coordinator **Job Grade** C **FLSA Code** Nonexempt **Patient… more
- University of Rochester (Rochester, NY)
- …With minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests. Provides multiple ... execution, appeals and efficient follow through on all aspects of the process which has direct, multifaceted impact (quality, financial, patient satisfaction, etc.)… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …**Travel Required:** Up to 25% **Major/Essential Functions:** + Handle authorization process and obtain pre-certification approvals prior to service. + ... **39493BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech...and maintenance of a standardized workflow for the pre-authorization process . + Provide instruction and guidelines on coding and… more
- US Tech Solutions (May, OK)
- …other duties as assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple ... and courteous phone assistance to all callers through the criteria based prior authorization process . Maintains complete, timely and accurate documentation of… more
- University of Virginia (Charlottesville, VA)
- …necessary treatments and supporting overall healthcare outcomes. + Prioritize and process incoming prior authorization requests with urgency, utilizing ... As a Prior Authorization Technician at UVA Specialty Pharmacy, you...of Virginia Pharmacy Technician Registration required. CPhT credential through National Healthcareer Association (NHA) or Pharmacy Technician Certification Board… more
- Actalent (Oklahoma City, OK)
- Actalent is currently hiring for a Remote Prior Authorization Pharmacist! *Oklahoma RPh License Required* Job Description: + Completes assigned daily cases by ... processing prior authorization and medical necessity requests. + Review specialty...applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity,… more
- Baystate Health (Holyoke, MA)
- …**2)** Monitors and works denial and no referral reports to obtain required prior authorizations and referrals. Process appeals for denied claims. **3)** Manages ... **Summary:** The Prior Authorization Specialist is responsible for obtaining authorizations...for departmental statistics. Accurately manages the referral and authorization process . Able to secure authorization and necessary documentation to… more
- UCLA Health (Los Angeles, CA)
- …receive urgent, routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will ... of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use your… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call after… more
- Randstad US (San Antonio, TX)
- …8 AM - 5 PM education: High School Responsibilities + Review and build Prior Authorizations for members + Process authorizations + Work with Electronic Medical ... prior authorization - san antonio, tx. + san...for the request + Assist with the authorization review process and document all information in accordance with policies… more
- Elevance Health (Columbus, OH)
- **Pharmacist Clinical- Prior Authorization (Pharmacist Clinical)** _Location: Virtual with the ideal candidate living within 50 miles of one of our Elevance Health ... dosage conversion and clinical support for therapeutic interventions. + Makes prior authorization determinations based upon formulary and evidence- based clinical… more
- Actalent (St. Louis, MO)
- Prior Authorization Specialist Job Description Support a variety of outpatient clinics in a pharmacy prior authorization capacity. You will report to the ... issues to the pharmacist during daily morning huddles. Essential Skills + Prior authorization experience. + Experience with EPIC software. + Clinical experiece in… more
- US Tech Solutions (RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process . Maintains complete, timely and accurate documentation of ... **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies,...Active pharmacy technician license per state requirements, or active national certification. Trainee license in states where applicable are… more
- CVS Health (Jefferson City, MO)
- …and courteous phone assistance to all callers through the criteria based prior authorization process . Maintains complete, timely and accurate documentation of ... budget impact, strategic and operational impact, business complexity). The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing… more
- University of Rochester (Rochester, NY)
- …judgment performs routine and non- routine administrative duties to monitor and process department's referrals. Is accountable for completing all referrals in a ... in a timely way so that patients are always cleared for their appointment prior to their arrival. Enters progress notes and other pertinent information into the… more