- Merck & Co. (Rahway, NJ)
- …that accelerate and maintain access of product through market authorization , execute of post marketing commitments and meet compliance obligations.Qualifications ... and Skills:Required:Global Regulatory experience required across various modality types.M.D. or PhD with >20 years relevant experience preferably with >15 years in Regulatory or MS or BS with >25 years relevant experience a majority of which was in… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior Insurance Authorization Specialist position is responsible for obtaining and managing insurance authorizations for medical services, ... patient's, facilities, physician's, and department to ensure timely and accurate authorization of all services/visits. + Collaborate with internal and external… more
- UPMC (Pittsburgh, PA)
- …of Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital ... of this role include completing surgery authorizations, genetic Testing authorization , out of state authorizations, radiology authorizations (and other duties… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC is looking to hire a Prior Authorization Rep! **Additional Preferred Requirements** + Remote Role Monday - Friday 8:30-5 ... the Commons + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals, EPIC, Patient registration, and Insurance Verification + Daily Pay!… more
- Omaha Children's Hospital (Omaha, NE)
- …and make a difference where it matters most. **A Brief Overview** The Authorization Specialist plays a critical role in ensuring patients receive timely and ... by collaborating with clinical, administrative, and financial teams. The Authorization Specialist supports efficient operations by ensuring compliance with payer… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This position can further develop your skills in compliance, medical ... of benefit * Prepare and compile necessary documentation to secure prior authorization . Collect clinical information regarding service to be rendered as applicable… more
- Glens Falls Hospital (Glens Falls, NY)
- …Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist! This position can further develop your skills in compliance, medical ... of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be rendered as applicable… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement for services ... forms, applications, and necessary information. Accurately manages the referral and authorization process. Able to secure authorization and necessary… more
- Trinity Health (Syracuse, NY)
- …1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior authorizations may include ... off label drugs, and drugs for clinical trials. The Authorization Specialists will perform all job functions in a...Partners Medical Associates. Job Duties * Submit and obtain authorization requests for service line. * Maintain subject matter… more
- University of Utah Health (Salt Lake City, UT)
- …obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with physicians, ... codes and related medical records are submitted in the authorization request. Requires critical thinking to determine what each...payer requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day… more
- AdventHealth (Tampa, FL)
- …for clinical position certifications **The role you'll contribute** **:** Insurance Authorization Representative will work as a liaison with Hospital ... Authorization departments to obtain insurance verification, notification, pre-certification, authorization and obtaining reference numbers (as appropriate) for… more
- State of Massachusetts (Brockton, MA)
- …Mental Health (DMH), is seeking a dynamic candidate to be a Clinical Service Authorization Specialist (CSAS) for the Southeast Area. Primary duties will be to meet ... with youth and families to assess and determine clinical service authorization for Department of Mental Health (DMH) services in accordance with DMH criteria and… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral, precertification, ... and/or prior authorization to support insurance specific plan requirements for all...ED, ancillary and clinic/ambulatory environments. In addition, the Prior Authorization Specialist I may be responsible for pre-appointment registration… more
- Cardinal Health (Nashville, TN)
- …and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's daily schedule ... benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The... for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform other duties… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Insurance Authorization Specialist supports the Patient Access Department by accurately verifying insurance information, reviewing patient accounts for prior ... authorization needs, obtaining needed prior authorizations, and properly documenting...coworkers to ensure we process our insurance verification and authorization efforts to best care for our patients. This… more
- Sutter Health (San Francisco, CA)
- …eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization ... + Verifies patient eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization numbers in… more
- Cardinal Health (Fresno, CA)
- …specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This position is responsible for ... benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The... for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform other duties… more
- Adecco US, Inc. (Phoenix, AZ)
- A Prior Authorization Pharmacist position is now available through Adecco Healthcare and Life Science. The essential functions of a Pharmacists in Prior ... Authorization are reviewing Prior Authorization cases and rendering coverage determinations based on clinical criteria and plan design in a fast paced and dynamic… more
- University of Washington (Seattle, WA)
- …DEPARTMENT** has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER** . **WORK SCHEDULE** * Part-Time / 20 hours per week * ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as a… more
- Cedars-Sinai (Beverly Hills, CA)
- …in a row on the "Best Hospitals" Honor Roll. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in collaboration with ... the Prior Authorization Pharmacy Technician, Drug Use Policy, as well as...and reasonable use of high cost-drug therapies. Clinical Prior Authorization Pharmacists support timely patient treatment and optimize reimbursement… more
