- University of Utah (Salt Lake City, UT)
- Details **Open Date** 02/21/2025 **Requisition Number** PRN41250B **Job Title** Prior Authorization Representative II **Working Title** Prior ... these attributes too. We are looking for an experienced ** Prior Authorization Representative II** to join our...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position ... individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah (Salt Lake City, UT)
- …about this process. o If the family chooses to donate, the Donor Coordinator obtains recorded authorization and completes a medical/social history questionnaire ... * Experience with medical terminology also preferred. * Each Eye Bank Donor Coordinator completes a formal training period prior to assuming these… more
- University of Utah (Salt Lake City, UT)
- …about this process. + If the family chooses to donate, the Donor Coordinator obtains recorded authorization and completes a medical/social history questionnaire ... relations and effective communication skills also required. + Each Eye Bank Donor Coordinator completes a formal training period prior to assuming these… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 02/21/2025 **Requisition Number** PRN41246B **Job Title** Coordinator , Information **Working Title** Scholarships Information Coordinator ... and compliance for scholarship programs. This position is the primary coordinator and point of contact for processes and systems involving departmental… more
- University of Utah Health (Salt Lake City, UT)
- …and documents it in their chart. Instructs patient regarding their medications prior to the procedure. Orders new medications as needed, per procedure protocol. ... work. + Verifies and obtains all insurance information ensuring pre- authorization is completed. + May see patients in the...+ May administer intravenous and oral medications to patients prior and during procedures. + May assists in the… more
- Humana (Salt Lake City, UT)
- …+ Behavioral health experience + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Additional ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … more
- University of Utah Health (Salt Lake City, UT)
- …material and coordinates training of staff. + May obtain insurance pre- authorization and other related appropriate documentation. + Compiles and maintains accurate ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
- Cardinal Health (Salt Lake City, UT)
- …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
- Cardinal Health (Salt Lake City, UT)
- …intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up ... experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare, Medicaid… more
- Highmark Health (Salt Lake City, UT)
- …creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered ... at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax, Predictal Availity portal and/or service form inquiry. At times may require follow-up communication with the… more
- University of Utah (Salt Lake City, UT)
- …plan outreach events on behalf of OEO . **Responsibilities** The Training Coordinator is responsible for developing and implementing the training and education ... Act, and the Age Discrimination in Employment Act. The Training Coordinator will assess training needs, develop training curricula, and deliver individual,… more
- University of Utah Health (Salt Lake City, UT)
- …for evaluation. Collaborates with Transplant Financial Coordinators to assure appropriate authorization obtained for patients prior to evaluation visit. + ... mission. EO/AA_ Under the direction of the RN Nurse Coordinator and Transplant Management, the Transplant Program Specialist proactively...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
- University of Utah (Salt Lake City, UT)
- …the electronic medical record. 8. Draft letters of medical necessity, support prior authorization processes, and coordinate the completion of appropriate forms ... of employees assigned to the job. **Preferences** **Preferences** + Prior experience working in pediatrics or sleep medicine is...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah (Salt Lake City, UT)
- …team members, timely reports and scheduling of team conferences. 9. Assist with prior authorization , working with family and payor to ensure appropriate testing ... with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah (Salt Lake City, UT)
- …to appropriate care teams. 8. Routes prescription refills, medical orders, prior - authorization forms, outside medical records, patient school plans, patient ... with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah Health (Salt Lake City, UT)
- …doctoral internship. + 400 hours of practicum experience. + Internship authorization and coursework verification. **Licenses Required** + Current RQI Healthcare ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
- University of Utah (Salt Lake City, UT)
- …surgeries, working with UMB if there are issues with surgery pre- authorization , ordering pre-operative labs, follow-up patient calls, etc. (appropriate software ... with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah Health (Salt Lake City, UT)
- …the Manager of Expressive Therapies and implemented only after obtaining proper authorization and/or consent from supervisors. **Knowledge / Skills / Abilities** + ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
- University of Utah Health (Salt Lake City, UT)
- …indicated. + Collaborates with social worker/nurse case manager and others to confirm authorization for services is in place. + Assists in collecting data related to ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more