- 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
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …Medicaid) to be in place to cover any newborn care required beyond VA's authorization . Educate the Veteran on local and community resources (eg, Women, Infants, and ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement… 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
- Owens & Minor (Salt Lake City, UT)
- …applicable. * Manages assigned patients though medical records retrieval requests, prior authorization submissions, and shipments processes. * Ensures patients ... meet all insurance criteria for specific CGM and insulin pumps being ordered. Completes benefits verification and eligibility checks with insurance plan providers. * Accurately selects correct product and catalog codes, and billing and insurance information.… 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)
- …this position will: + Monitor all scheduled visits to ensure proper pre- authorization is acquired. + Determines appropriate billing and coding for services provided ... + Resolve account issues prior to billing. This position will also collaborate with...position will also collaborate with OSS and Scheduler staff; Pr- authorization , Financial Advocates, and referring clinics to ensure that… 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 (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