- Christus Health (San Antonio, TX)
- …applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain ... patients' prior -authorizations for procedures and tests as needed Follows guidelines...needed Follows guidelines established by insurers to ensure that pre- authorization , pre-certification, and physician referrals for treatment are obtained… more
- Christus Health (New Braunfels, TX)
- …applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain ... patients' prior -authorizations for procedures and tests as needed Follows guidelines...needed Follows guidelines established by insurers to ensure that pre- authorization , pre-certification, and physician referrals for treatment are obtained… more
- Christus Health (San Antonio, TX)
- …applicable Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information Collaborates with insurers to obtain ... patients' prior -authorizations for procedures and tests as needed Follows guidelines...needed Follows guidelines established by insurers to ensure that pre- authorization , pre-certification, and physician referrals for treatment are obtained… more
- MCKESSON (Rogers, AR)
- …patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization ,Claims Assistance, and Appeals) and educating the ... CRM daily with reporting to manager weekly. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial… more
- Christus Health (Corpus Christi, TX)
- …Member within 180-days of your separation date Must obtain unit commander written authorization and approval to participate in DoD SkillBridge Program prior to ... also available) Administrative Assistant Materials Management Technician Patient Access Representative Nursing Assistant / Patient Care Technician Radiology Technician… more
- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes ... and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes ...physical demands and work environment characteristics described herein are representative of those that must be met by an… more
- University of Utah Health (Salt Lake City, UT)
- …a health care financial setting, or the equivalency. + Six months of experience as a Prior Authorization Rep I or equivalent prior - authorization ... verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Description:** The Rep I, Clinical Services takes in-bound calls from...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category ... opportunity for career advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a… more
- Mayo Clinic (Rochester, MN)
- …retirement package to secure your future. **Responsibilities** The Precertification and Authorization Representative is an intermediate level position that is ... responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance ... to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff,… more
- University of Rochester (Rochester, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative , with oversight of data ... and compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical… more
- Prime Healthcare (Chicago, IL)
- …West Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining ... are required. Preferred qualification: 1. Previous experience in pharmacy, infusion, or prior authorization process is preferred. Pay Transparency Saint Francis… more
- University of Rochester (Rochester, NY)
- …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... Full Time Hours Per Week: 40.00 Work Schedule: Variable Summary: The Patient Service Representative I is a supporting position and is responsible for a variety of… more
