- Prime Healthcare (Aurora, IL)
- …https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Infusion Insurance and Prior ... authorization process is preferred. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/180813/ infusion - insurance -and- prior - authorization -representative/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMercy… more
- Actalent (St. Louis, MO)
- …and referring providers and their support staff. Essential Skills + Experience in infusion prior authorization . + Proficiency with EPIC software, Required. ... Specialist - Infusion Prior Authorizations Job Description Purpose:...for intervention, and eligibility for prescription assistance. + Conduct prior authorization services. + Understand payer reimbursement… more
- HonorHealth (Phoenix, AZ)
- …to become proficient. Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical records for ... Responsibilities Job Summary Under the direction of Leadership, performs Infusion /medication authorization functions for the hospital outpatient … more
- HonorHealth (Scottsdale, AZ)
- …Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Research Infusion Authorization Coordinator I position within the HonorHealth Research ... through the HonorHealth Network. Preforms tasks related to the management of prior authorization for patients served by HonorHealth Research Institute. Reviews… more
- University of Rochester (Rochester, NY)
- … insurance coverage determination, patient out of pocket estimation, determination of prior authorization and assembly of documentation to ensure payment for ... **For incoming referrals:** + Retrieve and evaluate incoming home infusion referrals to verify insurance coverage and...billed goods and services to include proper documentation, and prior authorization .Renew prior authorizations. +… more
- Option Care Health (Tappahannock, VA)
- …step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider, there is no limit to the growth...experience as a registered nurse or recent graduate with prior experience as an IV Certified LVN/LPN with one… more
- Option Care Health (Rutland, VT)
- …step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... **Extraordinary Care. Extraordinary Careers.** **With the nation's largest home infusion provider, there is no limit to the growth...experience as a registered nurse or recent graduate with prior experience as an IV Certified LVN/LPN with one… more
- RWJBarnabas Health (Lakewood, NJ)
- … prior to scheduling, and collaborates with Admin Coordinators to ensure authorization is obtained prior to scheduling. Qualifications: Required: + High ... obtained prior to scheduling + Collaborates with Admin Coordinators to ensure authorization is obtained prior to scheduling. Other Duties: Please note this… more
- Prime Healthcare (Chicago, IL)
- …in pharmacy medication and/or supply inventory management preferred. 4. Experience in insurance eligibility and prior authorization activities preferred. 5. ... protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Home Infusion Senior Pharmacy Technician is cross-trained under the supervision… more
- Penn Medicine (Philadelphia, PA)
- …a referral and make patient aware of any co-pays. Pre-certify and obtain authorization numbers and enter into Epic insurance flowsheet. Obtaining medical, ICD-9 ... financial information required for payer reimbursement. Fax all information required to insurance companies to ascertain an authorization number for pre-cert.… more
- Mount Sinai Health System (New York, NY)
- …addressing and rectifying rejected claims, conducting and completing necessary third party ( insurance ) prior authorization requests (when applicable), and ... with appropriate follow up on rejected claims. 2. Completes third party prior authorization requests and verifies prescriptions. 3. Provides a high… more
- BrightSpring Health Services (Oklahoma City, OK)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating ... Our Company Amerita Overview Come join our closed-door specialty infusion pharmacy! Amerita is a leading provider of Specialty...This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30a… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/ infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll ... Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is… more
- Cedars-Sinai (Beverly Hills, CA)
- …in a row on the "Best Hospitals" Honor Roll. The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center will be ... responsible for supporting clinical evaluation and prior authorization , preventing denials, providing patient advocacy and assistance, and evaluating payer (… more
- Option Care Health (Seattle, WA)
- …step of the infusion therapy process including: intake coordination, insurance authorization , resources for financial assistance, education and customized ... From $21/hour This position is responsible for processing benefit verification or prior authorization responsibilities of all new referrals within the expected… more
- AdventHealth (Denver, CO)
- …ongoing, new, or altered. After gathering clinical information, responsible for obtaining prior authorization for infusion and injectable medications based ... as well as expiring medication-based referrals. + Verifies Prior authorization requirements based on patient's specific insurance provider. + Obtains… more
- UPMC (Wexford, PA)
- …with providers for prescriptions authorizations infusions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical ... system and insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize authorization resources… more
- Providence (Spokane Valley, WA)
- …This position is responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical ... component of home infusion . Other responsibilities include entering patient referral data into...progress notes, responding to billing department requests, calling providers, insurance companies and patients. Providence caregivers are not simply… more
- Hartford HealthCare (Farmington, CT)
- …interpret insurance pre- authorization requirements for scheduled treatments. Contacts insurance companies to obtain prior authorization via telephone ... or call reference number. Immediately communicates to provider and infusion staff when a chemotherapy drug or plan is...insurance portals Serves as a resource to other prior authorization staff Reviews insurance … more
- RWJBarnabas Health (Livingston, NJ)
- …is met. Collaborates with an Authorization team to ensure treatment authorization is completed prior to scheduling. Confirm and communicate final schedules ... #:0000165975 Category:Billing/Collections/Registration Status:Full-Time Shift:Day Facility:Cooperman Barnabas Medical Center Department:The Infusion Center Location: Cooperman Barnabas Medical Ctr, 94 Old… more