- Tris Pharma (Monmouth Junction, NJ)
- …protocols, amendments and New Drug Applications (NDAs)/ Marketing Authorization Application (MAAs) ensuring scientific, statistical and regulatory standardsPerforms ... statistical analyses using advanced methods and software (ie, SAS, R, etc.); Interprets and reports results of statistical analyses, ensuring accuracy, consistency and clarityTranslates statistical thinking into strategic input and recommendations; Ensures… more
- AdventHealth (Orlando, FL)
- **PreAccess** **Physician Collaboration and Authorization Specialist** **Outpatient Imaging** **-** **AdventHealth** **Outpatient Imaging** **All the benefits and ... **The role** **you'll** **contribute:** The PreAccess Physician Collaboration and Authorization Specialist is responsible for upholding the financial stability of… more
- Bon Secours Mercy Health (Virginia Beach, VA)
- …outpatient therapy and managed care payors to obtain and track required authorization for upcoming therapy services; the associate is expected to maintain current ... knowledge of payer authorization requirements for outpatient therapy services. This role supports...and reimbursement by proactively submitting and tracking all new authorization request following initial therapy assessment and assisting in… more
- University of Michigan (Ann Arbor, MI)
- Outpatient Authorization Specialist Apply Now **Job Summary** The Authorization Specialist is responsible for facilitating and successfully procuring outpatient ... insurance authorizations. The Authorization Specialist will be accountable to one or more...are obtained timely and appropriately prior to service. The Authorization Specialist will provide subject matter expertise in the… 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
- 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
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for ... to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior… more
- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to support Northern Gastroenterology Associates located at 5500 Brooktree Road ... Monday through Friday daylight hours (7am-3:30pm/7:30am-4pm). **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical record documentation for… 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
- 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
- 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
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …Description Our Pharmacy in Ridgefield Park, NJ is seeking a Full Time Authorization Representative to join our Billing Department. Under general supervision of the ... prescriptions from long-term care facilities. + Identify high-cost medications requiring authorization for dispensation. + Liaise with facility staff to gather… more
- Montrose Memorial Hospital (Montrose, CO)
- Montrose, CO, USA | Pre- Authorization | Hourly | 18.32-34.57 per hour $18.32 - $34.57 | Full Time About Montrose Regional Health: + As the leading healthcare in the ... the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial… more
- Cognizant (Minot, ND)
- **Pre- Authorization Specialist** This is a remote position open to any qualified applicant in the United States. **Job Overview:** Cognizant is looking to add a Pre- ... Authorization Specialist to our growing patient service team. The...growing patient service team. The main function of the Pre- Authorization Specialist is to verify benefit eligibility, review/summarize orders,… more
- University of Washington (Seattle, WA)
- …has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - INFUSION AUTHORIZATION PHARMACY** . **WORK SCHEDULE** * Full-Time/40 hours per week * ... HIGHLIGHTS** * Perform non-professional/technical tasks related to the management of prior authorization for patients served by UWMC infusion and Clinic areas * Act… more
- Centene Corporation (Sacramento, CA)
- …Standard Hours with rotating weekends.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with… more
- Cardinal Health (Fresno, CA)
- …scheduling and ends when the patient's account balance is zero. Authorization Coordinator This position is responsible for reviewing the physician's daily ... 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
- Elevance Health (San Antonio, TX)
- …consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** Onsite at 4751 Hamilton Wolf Rd, STE 101, San ... an extraordinary impact.** The Utilization Management Representative II - Prior Authorization is responsible for managing incoming calls, including triage, opening… more
- Methodist Health System (Dallas, TX)
- …**Work Shift :** **Job Description :** Your Job: The Medical Authorization Specialist professional responsible for verification of medical coverage, along with ... notification, prior authorization , and/or pre-determination of healthcare benefits for proposed medical...nurses, insurance utilization management staff, and patients to initiate pre- authorization and resolve issues that arise during the prior… more
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