- Robert Half Office Team (Minnetonka, MN)
- Description We are seeking an organized and detail-oriented Prior Authorization Coordinator . In this critical administrative role, you will help ensure ... and clinical staff. What You'll Do: + Review and submit prior authorization requests for medical procedures, medications, and services + Communicate with… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Health Support Coordinator Location: Remote Career Area: Customer Service/Operations About Blue Cross and ... to make a difference, join us. The Impact You Will Have The Health Support Coordinator (HSC) is a member of the Blue Cross Blue Shield of Minnesota (BCBSMN) Care… more
- Highmark Health (St. Paul, MN)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments necessary to… more
- Option Care Health (Roseville, MN)
- …the best and brightest talent in healthcare. **Job Description Summary:** A Warehouse Coordinator is responsible for the daily flow of clinical supplies between the ... the time for business purposes. **Preferred Qualifications & Interests** **(PQIs)** + Prior experience working in a warehouse or delivery setting. _This job… more
- Cardinal Health (St. Paul, MN)
- …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... population . + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product… more
- Fairview Health Services (Edina, MN)
- …in a professional andtimelymanner. + Assistin resolving any billing issues, obtaining prior authorization for medications as needed, verifying eligibility and ... Technician Certification Board within 12 months of hire. If hired prior to 1/1/2018, National Healthcare Certification will be accepted. **Preferred** **Education**… more
- Cardinal Health (St. Paul, MN)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. Job Purpose: The ... Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ensuring the accuracy of accounts and supporting overall revenue cycle process. This includes, billing follow up, collections, payment posting, denial resolution, and… more
- Fairview Health Services (Minneapolis, MN)
- …and tertiary insurance claims. Assist in resolving any billing issues, obtaining prior authorization for medications as needed, verifying eligibility and ... escalating as appropriate. + Under the direction of the pharmacist, receive prescription/orders from patients, process manually or using the appropriate computer system and protocols, prepare drug therapy and/or dispense medication in an accurate and timely… more
- Adecco US, Inc. (Minneapolis, MN)
- …authorizations submitted by providers within the designated turnaround times specified in the Prior Authorization List for all lines of business, including RMHP ... RMHP CHP+, RMHP IFP, and NHP RAE Medicaid + When processing authorization requests, the Clinical Coordinator applies approved medical necessity criteria… more