- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position ... what each individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day surgeries, planned… 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...plan design in a fast paced and dynamic environment. Prior Authorization staff pharmacists review all adverse… more
- Cedars-Sinai (Beverly Hills, CA)
- …nine years 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 the authorizing providers to ensure safe, effective, and reasonable… more
- University of Washington (Seattle, WA)
- …PHARMACY DEPARTMENT** has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER** . **WORK SCHEDULE** * Part-Time / 20 hours ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as… 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 ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** BJC is looking to hire a Prior Authorization Rep! **Additional Preferred Requirements** + Remote Role Monday ... BJC at the Commons + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals, EPIC, Patient registration, and Insurance Verification + Daily… more
- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior … more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- Cardinal Health (Fresno, CA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This position is ... must be knowledgeable of a variety of Insurance Plans and Policies. Prior Authorization Coordinator **Responsibilities** + Receives chemotherapy orders and… more
- Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
- Prior Authorization Job Details Job Location Polaris Pharmacy Services of Los Angeles - Covina, CA Position Type Full Time Job Category Pharmaceutical ... Description PRIOR AUTHORIZATION SPECIALIST WHO WE ARE Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care settings.… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to secure ... issues with authorization and escalates complicated issues to appropriate manager. Prior Authorization Specialist acts as a liaison between patients, their… more
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization ) - Contingent Exemption Status Exempt Department Pharmacy ... Develop and conduct retrospective drug use reviews. + Review medication prior authorization requests and appeals. + Develop and implement clinical educational… more
- General Physicians PC (Buffalo, NY)
- #25-0627 Buffalo, NY, USA Job Description Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a ... Prior Authorization Specialist looking to take your...Prior Authorization Specialist looking to take your career to the...The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries.… more
- LifePoint Health (Wilson, NC)
- …opportunities * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient testing, ... a clinic setting, Gastro experience preferred . Knowledge of insurance policies, prior authorization procedures, and medical terminology. . Knowledge of… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization + Establishes and maintains communication among, health… more
- Intermountain Health (Provo, UT)
- **Job Description:** A Prior Authorization Representative is a critical link in the healthcare chain that balances the needs of patients, healthcare providers, ... authorization process. Coordinates first-level appeals and coordinates peer-to-peer reviews for prior authorization denials. **Schedule - Monday - Friday 7 am… more
- Robert Half Office Team (MN)
- …+ Sort and index incoming electronic fax transmittals into the appropriate Prior Authorization System (PAS) workbaskets. + Research and verify member, ... provider, and drug information using multiple systems. + Review incoming Prior Authorization (PA) faxes and initiate coverage determination requests within… more