- Sutter Health (Los Altos, CA)
- …: **EDUCATION:** HS Diploma or General Education Diploma (GED) Pharmacy Technician Certified Preferred **TYPICAL EXPERIENCE:** 5 years of recent relevant experience. ... We are so glad you are interested in joining Sutter Health! **Organization:** PAMF-Palo Alto Medical Foundation CAD **Position Overview:** Responsible for daily departmental operations, implementing standardized processes and best practices, carrying out the… more
- University of Virginia (Charlottesville, VA)
- As a Prior Authorization Technician at UVA Specialty Pharmacy, you will play a crucial role in positively impacting the lives of patients in the fastest growing ... and supporting overall healthcare outcomes. + Prioritize and process incoming prior authorization requests with urgency, utilizing CoverMyMeds, payer websites,… more
- Alabama Oncology (Birmingham, AL)
- …Verification Clerk Supervisor Summary: Responsible for the supervision of prior authorization and insurance verification staff; this includes the supervision ... and coordination of insurance verification and eligibility determination duties based on patient's current insurance coverage, updating system with any changes, and maintaining accurate patient demographics. This is a full-time, in person position in… more
- InnovaCare (San Juan, PR)
- …others as required. Performs any other job related duties as assigned by the Supervisor . General knowledge of Prior authorization criteria and pharmacy ... CMS requirements to the members and prescribing physicians. Perform system overrides (eg, prior authorization ) on the PBM claims processing system to ensure that… more
- University of Virginia (Charlottesville, VA)
- As a Prior Authorization Technician at UVA Specialty Pharmacy, you will play a crucial role in positively impacting the lives of patients in the fastest growing ... outside the pharmacy technician scope of practice to the staff pharmacist or supervisor as needed. + Uses appropriate systems for processing of patient information.… more
- KPH Healthcare Services, Inc. (North Syracuse, NY)
- …and accurately each month + Maintain and keep reasonable production as determined by supervisor + May be required to travel to individual homes for meetings or drug ... exchanges + May assist in orienting and training new employees + Responsible for completing all mandatory and regulatory training programs + Perform other duties as assigned **Qualifications** **Attendance Requirements:** + Must be available, and on-time for… more
- Fallon Health (Worcester, MA)
- …expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of ... when the authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol parameters are prepared… more
- Beth Israel Lahey Health (Beverly, MA)
- …Financial Clearance activities. Knowledge of payer policies for medical necessity/ authorization requirements. Prior experience working with Craneware software. ... dictate, requests additional information to re-run medical necessity check. Determines authorization requirement and, when necessary, obtains authorization from… more
- Option Care Health (Seattle, WA)
- …From $21/hour This position is responsible for processing benefit verification or prior authorization responsibilities of all new referrals within the expected ... quality. **Job Description:** **Job Responsibilities** + Processes benefit verification or authorization for all new referrals with speed and accuracy. + Assist… more
- Covenant Health (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …course work preferred **Work Experience** + 1 year call center experience or prior knowledge of a health insurance pre-service authorization required **Skills ... manage people + This role reports to this job: SUPERVISOR , CLINICAL INQUIRY + Necessary Contacts: All levels of...drug screening after an offer has been extended and prior to hire for all positions. As part of… more
- Essentia Health (Duluth, MN)
- …to perform all aspects of managed care, including the referral, prior authorization /precertification processes, using and revising Essentia Health's established ... services both internally and externally. Supports efforts and participates with the Supervisor of Contracting & Payor Relations and the Health Plans Medical… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and its Code of Conduct. + Assigns financial clearance on all patients prior to treatment to teams of coordinators, which includes outlining and explaining financial ... or billing and insurance questions before they are escalated to a supervisor or manager. + Effectively determines primary, secondary, and tertiary liability by… more
- Constellation (Pottstown, PA)
- …Program Personnel and ensure qualifications are maintained. Maintain First Line Supervisor Qualifications. + Manages implementation of Access Authorization , ... of all activities associated with the NRC regulated Access Authorization (10 CFR 73.56, 10 CFR 73.57, 10 CFR...and maintain the Master Mobilization schedule for the site prior to outage. Ensure all levels of management and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- PRISON ENTERPRISES SUPERVISOR (OUTSIDE SALES REPRESENTATIVE) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4728948) Apply PRISON ... ENTERPRISES SUPERVISOR (OUTSIDE SALES REPRESENTATIVE) Salary $3,574.00 - $7,232.00 Monthly...employee may be required to serve a trial detail prior to being permanently promoted. + PROBATIONAL APPOINTMENT: Current… more
- AbbVie (North Chicago, IL)
- …groups to develop creative solutions to challenging patient access issues regarding prior authorization , financial situations and denied coverage requests to ... of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization , appeals, and specialty pharmacy operations. + 1-2 years… more
- AbbVie (North Chicago, IL)
- …groups to develop creative solutions to challenging patient access issues regarding prior authorization , and denied coverage requests to ensure patient care. ... of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization , appeals, and specialty pharmacy operations + 1-2 years… more
- University of Kansas (Lawrence, KS)
- **28721BR** **Job Title:** Early Childhood Teacher Candidate Supervisor **Department:** Special Education **Primary Campus:** University of Kansas Lawrence Campus ... 100% - Supervisors are responsible for the following: + Attend University Supervisor Training sessions, seminars, and meetings + Initiate and attend an initial… more
- University of Kansas (Lawrence, KS)
- **28540BR** **Job Title:** POOL - Teacher Candidate Supervisor **Department:** Curriculum & Teaching **Primary Campus:** University of Kansas Lawrence Campus **Job ... are responsible for the following (1.0 FTE): + Attending University Supervisor Training sessions offered throughout the semester + Attending online monthly… more
- Cuyahoga County Board of Developmental Disabilities (OH)
- …to ensure fiscal responsibility including: use of Cost Projection Tools, the Prior Authorization Review Process, implementation of AAI Administrative Review, and ... County Board of Developmental Disabilities (Cuyahoga DD) is seeking a new Supervisor to plan, organize and supervise all Service and Support Administration… more
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