- Merck & Co. (Rahway, NJ)
- …with our company's Chief Patient Office, Global Human Health (Commercial), Center for Observational and Real-World Evidence (CORE) and our Manufacturing Division ... that accelerate and maintain access of product through market authorization , execute of post marketing commitments and meet compliance...of twelve (12) months of service in current position prior to applying for open positions.If you have been… more
- Yakima Valley Farm Workers Clinic (Lake Oswego, OR)
- …for reverse billing. Completes third party billing form and contacts Provider if prior authorization is required. Performs other duties as assigned. Performs ... to earn extra income working part time when needed at Rosewood Family Health Center in Portland, OR. Pharmacy hours are Monday - Friday, 8:00am - 6:00pm. What… more
- SunCrest Home Health - Manchester PD (Manchester, TN)
- …might be a great opportunity if you believe in putting the patient at the center of everything. Apply today! The Home Care Clinical Manager is responsible for the ... assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates...indicated by the physician. Receives report from field clinicians prior to scheduled days off on patient status and… more
- Assured Home Health (Tualatin, OR)
- …be a great opportunity if you believe in putting the patient at the center of everything. Apply today! *Responsibilities The Home Health Patient Care Manager is ... therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits.Coordinates determination of… more
- CVS Health (Austin, TX)
- …that is in good standing in the state of residence. Preferred Qualifications* PGY1/PGY2* Prior authorization , call center and clinical experience.* ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the… more
- Adecco US, Inc. (Woonsocket, RI)
- …phone use + Digital charting and Managed care or health plan previous experience + Call center experience + Prior remote experience + High production ... pharmacists, other clinical colleagues, healthcare professionals and members + Follow all prior authorization procedures to guarantee an accurate process on each… more
- CVS Health (Austin, TX)
- …to work in a fast paced environment Preferred Qualifications + Previous prior authorization experience Education Associates degree required BSN preferred Pay ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...Friday 8am to 5 pm CST with occasional weekend/holiday on- call + Position requires proficiency with computer skills which… more
- CVS Health (Honolulu, HI)
- …Position Summary This position provides processing and communication of Specialty medication prior authorization referrals reviewed by the Case Review Unit for ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...is also responsible for fax processing and providing telephone call assistance for prescriber office staff, pharmacies and members… more
- Beth Israel Lahey Health (Beverly, MA)
- …Under the direction of the Director and/or Manager of Patient Access Services Call Center performs the function of obtaining referrals, and/or authorizations ... information. Notifying the proper individuals of patients that do not have a prior referral and/or authorization for the test, exam, procedure, or admission… 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 ... authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol...health care. + Experience in a managed care or call center setting or physician's office; knowledge… more
- Carle (Urbana, IL)
- Pre- Authorization Spec + Department: Registration Center - CFH_10_19 + Entity: Champaign-Urbana Service Area + Job Category: Clerical/Admin + Employment Type: ... IL + Usual Schedule: M-F 8AM -5PM + On Call Requirements: NO + Work Location: Working from Home...a Friend Save Save Apply Now Position Summary: The Pre- Authorization Specialist is responsible for identifying prior … more
- Health First (Melbourne, FL)
- …* Process referrals and submit medical records to insurance carriers to expedite prior authorization processes in accordance with Health First policy and ... and submit medical records to insurance carriers to expedite prior authorization processes in accordance with Health...screens and website windows and function effectively in a call center environment **Job:** **Clinic Clerical Support*… more
- Health First (Melbourne, FL)
- …* Process referrals and submit medical records to insurance carriers to expedite prior authorization processes in accordance to Health First policy and ... using multiple computer screens and website windows and function effectively in a call center environment. *PHYSICAL DEMANDS:*Sedentary Work: * Exerting up to 10… more
- Health First (Melbourne, FL)
- …* Process referrals and submit medical records to insurance carriers to expedite prior authorization processes in accordance to Health First policy and ... using multiple computer screens and website windows and function effectively in a call center environment. *PHYSICAL DEMANDS:* Sedentary Work: * Exerting up to… more
- Conn's HomePlus (San Antonio, TX)
- …+ 1+ years' prior experience in customer service required. **Preferred Experience** + Prior call center experience preferred. + Prior experience ... **Overview -** The Representative, Credit Authorization , is responsible for reviewing and dispositioning customer...+ Work is performed in an office (retail, distribution, call center ) environment. + May require prolonged… more
- Penn State Health (Hershey, PA)
- **Penn State Health** - **Hershey Medical Center ** **Location:** US:PA:Hershey **Work Type:** PRN **FTE:** 0.001 **Shift:** Varied **Hours:** varied **Recruiter ... School Diploma or equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE,… more
- Carle (Urbana, IL)
- Supervisor Call Center - Care Coordination -...a more effective process for obtaining prior authorization . + Handles all staff call -offs. + ... No Email a Friend Save Save Apply Now Position Summary: The TrilliumPlace Call Center Supervisor will provide leadership to staff to ensure effective… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization + Establishes and maintains communication, health plan and… more
- UNC Health Care (Chapel Hill, NC)
- …years of experience in Hospital or Physician Insurance related activities ( Authorization , Billing, Follow-Up, Call - Center , or Collections). ... **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Customer Service Call Center Work Type: Full Time Standard Hours Per Week:… more
- Quinnipiac University (Hamden, CT)
- …+ Ability to work from a quiet and private location when working remotely + Prior call center experience a plus Special Instructions to Applicants: ... work from home, and on-site shifts in our state-of-the-art call center facility in Hamden, CT. We...University is considering only those applicants who have valid authorization to work in the United States. Quinnipiac University… more
