- Actalent (St. Louis, MO)
- Specialist - Infusion Prior ...and their support staff. Essential Skills + Experience in infusion prior authorization . + Proficiency ... opportunities for intervention, and eligibility for prescription assistance. + Conduct prior authorization services. + Understand payer reimbursement and… 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 ... 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 ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… more
- Option Care Health (Seattle, WA)
- …From $21/hour This position is responsible for processing benefit verification or prior authorization responsibilities of all new referrals within the expected ... through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization , resources for… more
- AdventHealth (Denver, CO)
- …ongoing, new, or altered. After gathering clinical information, responsible for obtaining prior authorization for infusion and injectable medications based ... medication-based referrals as well as expiring medication-based referrals. + Verifies Prior authorization requirements based on patient's specific insurance… more
- UPMC (Wexford, PA)
- UPMC Department of Dermatology is hiring a full-time Authorization Specialist to join their team in Wexford, PA! In this position, you will work Monday-Friday ... coordinating with providers for prescriptions authorizations infusions. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical… more
- Cedars-Sinai (Beverly Hills, CA)
- …years in a row on the "Best Hospitals" Honor Roll. The remote Oncology Clinical Prior Authorization Pharmacist Specialist in our Samuel Oschin Cancer Center ... finance and contracting to provide care for outpatients receiving infusion and injection therapies to manage complex diseases. Patient...or PGY2 in oncology (For oncology based - Clinical Prior Authorization Pharmacist Specialist Position)… more
- Providence (Anaheim, CA)
- **Description** The Patient Services Specialist performs daily new referral patient benefits verification. Obtain all necessary authorization for all services ... performed. Notification of financial responsibility to all patient's / responsible party prior to services being rendered. Mailing of all responsible party cost… more
- Berkshire Health Systems (Pittsfield, MA)
- …and verify correct insurance following strict patient privacy guidelines. The Specialist is also responsible for obtaining insurance authorization , Workmen's ... + DEFINITION/PRIMARY FUNCTION + The Day Scheduling Specialist receives requests to schedule and place orders for BMC/BFS, North Adams Satellite Office and Fairview… more
- Guthrie (Sayre, PA)
- …non- oncology treatments and that they have been entered by pharmacy and authorization prior to scheduling. + Manages the specialty pharmacy medications ensuring ... accurately and on time. Experience A minimum of two years of prior medical assisting experience preferred. Education High school diploma or equivalent required.… more
- Elevance Health (Plano, TX)
- …**Referral Specialist III** is responsible for issues involving the precertification and prior authorization review. This level is expected to be able to ... concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inpatient and outpatient services outside of… more
- Sharp HealthCare (San Diego, CA)
- …+ HS Diploma or Equivalent + 3 Years experience in specialty pharmacy, home infusion , or other prior authorization process setting. Or 3 Years ... information on alternate therapies, as needed.Acts as a resource for the Prior Authorization Service and provides technical assistance on patient's coverage,… more
- Trinity Health (Nampa, ID)
- …for service delivery. Acts as the primary point of contact between infusion clinic team and Patient Access management. **SKILLS, KNOWLEDGE, EDUCATION AND ... in behaviors, practices, and decisions. + Performs accurate insurance verification, pre- authorization , scheduling, and patient estimates in advance of patient care +… more
- Avera (Sioux Falls, SD)
- …patients testing, infusions, and services closer to home if patient requests. + Ensures authorization is in place prior to tests being performed. + Responsible ... opportunity to be the first impression of Avera as a Scheduling Specialist for patient scheduling.** **_Position Highlights:_** + **One week of PTO front-loaded… more
- Sanofi Group (Cambridge, MA)
- …+ Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs for one case + Rare disease experience ... management organization and people leadership of the Strategic Accounts Case Management Specialist team that supports the patients within the division. Lead the… more
- Medtronic (Denver, CO)
- …Degree plus 3 years of Medtronic Neuroscience (Pain, Brain or Spine) Clinical Specialist experience or Sales Rep experience along with 2 years of additional ... prior sales or clinical experience. **Nice to Have: Preferences** * Solid knowledge of the Reimbursement climate * Experience call on physicians in one or more of the… more