- 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
- Northern Light Health (Bangor, ME)
- …appropriate depart/office and documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... Per Week: 40.00 Work Schedule: 8:30 AM to 5:00 PM Summary: The Patient Service Representative II is an advanced support position and is responsible for a variety of… more
- Northern Light Health (Brewer, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol + ... Week: 36.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Patient Service Representative III is a supporting position and is responsible for a variety of activities… more
- UnityPoint Health (Hiawatha, IA)
- …services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits. + Coordinates Price-line ... performs reception, billing, scheduling, charge and data entry, insurance pre- authorization , verification and benefit coordination, filing, record keeping and other… more
- Elevance Health (West Des Moines, IA)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II** **Location:** The selected candidate for this...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Northern Light Health (Ellsworth, ME)
- …depart/office. + Documenting information in Patient's chart. + Processing insurance referral/ prior authorization and document this per protocol. + Retrieving ... per Week Work Schedule: 7:30 AM to 4:00 PM Summary: The Patient Service Representative I is a supporting position and is responsible for a variety of activities… more
- HCA Healthcare (Brentwood, TN)
- …communication with hospital gatekeeper. + Contact physician to resolve issue regarding prior authorization or referral forms. + Perform insurance verification ... We care like family! Jump-start your career as a PTAC Central Unit Rep Insurance Notification today with Parallon. **Benefits** Parallon offers a total rewards… more