- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Prior Authorization Representative Location: Fully remote Duration: 10 months contract Job Description: The Rep I, Clinical Services will ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …they are handled. Collect PA requirements, follow up with the insurance for prior authorization status, and communicate the results to the healthcare provider. ... Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am...Billing and coding support. Claims assistance, tracking and submission. Prior authorization assistance and tracking. Coordination of… more
- University of Utah (Salt Lake City, UT)
- …**Job Title** Prior Authorization Representative II **Working Title** Prior Authorization Rep II **Job Grade** UGR **FLSA Code** Nonexempt ... successful candidate will exemplify these attributes too. As a ** Prior Authorization Representative II** ,...related work experience). Six months of experience as a Prior Authorization Rep I or… more
- Molina Healthcare (KY)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point of Sale… more
- Corewell Health (Kentwood, MI)
- …clinical service lines with the ability to support multiple areas within the Central Authorization team. Crucial to obtaining an authorization is the ability to ... consist of six weeks of in-person instruction and will shift to remote training after that time pursuant on satisfactory progress including authorizations obtained… more
- University of Rochester (Rochester, NY)
- …party payer systems. + Obtains benefits and pre-certification requirements. + Obtains prior authorization for surgery on behalf of designated departments and ... is produced. This role may have the option to work a hybrid- remote schedule and communicate daily through virtual meetings. **SUPERVISION AND DIRECTION EXERCISED**… more
- Queen's Health System (Honolulu, HI)
- …care, specialty care or hospital outpatient departments (HOD). Performs authorization , pre-registration, and insurance verification functions, as assigned. * ... patient access experience in a hospital or physician office setting. * Prior experience in insurance verification and registration. * Knowledge and understanding of… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …or Medicaid eligibility vendor as appropriate * Determines whether a service requires a prior authorization . If so, documents appropriately and sends to prior ... *SUMMARY:* We are currently seeking a*Pre-Registration Representative Senior*to join our Financial Securing team. This full-time role will primarily work remote … more
- Adecco US, Inc. (Woonsocket, RI)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... Adecco is currently assisting a National Pharmaceutical client, recruiting for a REMOTE - Clinical Services Representative position. The anticipated wage for… more
- Dignity Health (Oxnard, CA)
- …+ Familiarity with third party administrator operations such as eligibility, prior authorization , claims administration and provider network administration. ... that put patient care first. **Responsibilities** As a Provider Relations Representative with the Dignity Health Management Services Organization (DHMSO), now part… more
- Kepro (MD)
- … Customer Service Representative and become an essential player in the vital prior authorization process. In this dynamic role, you will be the first point ... vital partner for health solutions in the public sector. Acentra seeks a Customer Service Representative to join our growing team. Job Summary: Join our team as a … more
- Aveanna (Houston, TX)
- Intake Patient Care Representative ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 196478 Location: Houston, TX 77092 Category: OT Salary: $18.00 per ... accounts includes, but is not limited to checking prescription validity, authorization validity, insurance requirements, demographics, patient needs, and notation … more
- University of Miami (Doral, FL)
- …Verification Representative ensures that proper insurance authorizations are processed prior to patients' appointments to ensure a smooth and efficient visit for ... + Calls insurance companies and patients to verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper… more
- CommonSpirit Health Mountain Region (Layton, UT)
- …will verify insurance benefits; explain financial requirements to the patient or patient representative and collect the outstanding patient portion prior to or ... who care about your success. The primary job role for the Flex Team Representative will be to support the facilities on-site by covering open shifts/positions left… more
- Elevance Health (Atlanta, GA)
- …Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... **Title: Utilization Management Representative I** **Location:** This position will work a...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- Pfizer (Tampa, FL)
- …that significantly improve their lives. The Pfizer Connect Health & Science Representative (PCHR) is responsible to increase product awareness, educate customers and ... attain the goals of their Business Unit through fully remote / virtual customer interactions. The PCHR is charged with relationship development and promotional… more
- University of Miami (Miami, FL)
- …. The University of Miami is currently seeking an Insurance Verification Representative to work remote . The incumbent ensures that proper insurance ... authorizations are processed prior to patients' appointments to ensure a smooth and...companies and patients to verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed… more
- CareOregon (Portland, OR)
- …of CPT, HCPCS, Revenue, and ICD-9/10 coding + Strong knowledge of the CareOregon prior authorization rules + Ability to assist providers regarding the online ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...Texas, Montana, or Wisconsin. Position Title: Provider Customer Service Representative Employment Status: Non-Exempt Department: Customer Experience Title of… more
- Intermountain Health (Murray, UT)
- …with pre-op patients to explain the surgery process. **_This position is hybrid/ remote , with some in-person requirements. Candidate must live near the assigned ... orders are proposed, signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior … more
- Philips (Pleasanton, CA)
- … (Pleasanton, CA)** The INR (International Normalized Ratio) Customer Care Representative assists patients throughout the Remote INR Testing Program. ... to this for specific positions within the Company must be presented for approval prior to employment. + You have experience communicating to patients in a healthcare… more
