- University of Utah Health (Salt Lake City, UT)
- …a health care financial setting, or the equivalency. + Six months of experience as a Prior Authorization Rep I or equivalent prior - authorization ... verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of ... timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and courteous when addressing… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Description:** The Rep I, Clinical Services takes in-bound calls from...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... CRS, and private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology, CPT, and ICD-10… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of ... timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing… more
- Ochsner Health (New Orleans, LA)
- …with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Lake Region Healthcare (Fergus Falls, MN)
- …will facilitate the gathering of information to verify medical necessity to meet prior authorization and insurance referral requirements, as well as gather ... limited to: + Receive and review requests from provider and determine if a prior authorization is required according to the payer's criteria. + Gather, collect… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** 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 non-clinical staff,… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Prime Healthcare (Chicago, IL)
- …West Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining ... are required. Preferred qualification: 1. Previous experience in pharmacy, infusion, or prior authorization process is preferred. Pay Transparency Saint Francis… more
- University of Rochester (Rochester, NY)
- …some interpretation; maintains an expert-level understanding of the department/division + Prior authorization functionality will be required for testing and ... medical information outside of URMC. + It also includes getting prior authorization for surgeries that may require speaking with insurance company nurses… more
- St. Luke's Health System (Boise, ID)
- …regulations, and insurance guidelines. + Stays updated on insurance policy changes, prior authorization trends, and oncology treatment protocols. + Performs ... pharmacy staff, coders, and insurance companies, to navigate the treatment authorization process and secure prior authorizations for oncology treatments,… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol + ... Week: 40.00 Work Schedule: 8:00 AM to 5:30 PM Summary: The Patient Service Representative III is a supporting position and is responsible for a variety of activities… more
- Northern Light Health (Bangor, ME)
- …appropriate depart/office and documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... Per Week: 40.00 Work Schedule: 8:30 AM to 5:00 PM Summary: The Patient Service Representative II is an advanced support position and is responsible for a variety of… more
- UnityPoint Health (Cedar Rapids, IA)
- …services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits. + Coordinates Price-line ... performs reception, billing, scheduling, charge and data entry, insurance pre- authorization , verification and benefit coordination, filing, record keeping and other… more
- University of Rochester (Rochester, NY)
- …policies of the most common payors for the relevant administered drugs that require prior authorization (PA) and works with the prior authorization ... in advance of requesting PA. Initiates, documents, and tracks all prior authorization on behalf of the location(s) to improve patient experience, ensure… more
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