- CVS Health (Raleigh, NC)
- …affordable. **Position Summary** The Rep I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. ... The Rep I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be… more
- Kepro (Cary, NC)
- …a Customer Service Representative and become an essential player in the vital prior authorization process. In this dynamic role, you will be the first point ... for health solutions in the public sector. Acentra seeks a Remote Customer Service Representative to join our growing team. Job Summary Join our North Carolina team… more
- Siemens (Cary, NC)
- …far your passion can take you. **What You Can Expect:** The Sales Development Representative is Brightly's "front line" in increasing demand on the sales team. You ... United States. Qualified Applicants will not require employer-sponsored work authorization now or in the future for employment in...or related field of study OR 1+ year of prior sales experience in lieu of degree * Applicants… more
- RTX Corporation (Raleigh, NC)
- …for ensuring Global Trade policies and procedures sufficiently address global authorization requirements as well as ensure the organization has the appropriate ... will support investigations with authorizations-related matters, including assistance with authorization reviews, root cause analysis, and identification and implementation… more
- Cardinal Health (Raleigh, NC)
- …Supplemental, and pharmacy insurance benefit practices, preferred + 1-2 years' experience with Prior Authorization and Appeal submissions + Ability to work with ... needs of the patient and/or program + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance… more
- Cardinal Health (Raleigh, NC)
- …and/or Medical Claims billing and Coding work experience * 1-2 years experience with Prior Authorization and Appeal submissions * Ability to work with high ... needs of the patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance… more
- Transportation Security Administration (Raleigh, NC)
- …have resided within the United States for three of the last five years immediately prior to applying for this position. For those applicants who do not meet this ... the eligibility requirement for a salary offset waiver under the National Defense Authorization Act (NDAA) for Fiscal Year 2010. Therefore, former Federal or Postal… more
- Sutherland Global Services (Raleigh, NC)
- …+ Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and Benefits + Status Inquiries ... working in a high-volume call center environment as a customer service representative + Effective verbal and written communication skills + Strong typing and… more