- Dominos Pizza (Hutchinson, KS)
- …to work during peak seasons, including weekends and holidays. (Optional) Prior delivery experience preferred, but not required. Benefits: Competitive hourly pay. ... Flexible full-time or part-time hours to fit your schedule. Seasonal bonuses or incentives for top performers. Potential for future full-time or part-time positions after the seasonal period ends. more
- St. Luke's University Health Network (Allentown, PA)
- …health care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of ... medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors...ial cl ea rance is obtain ed + Submit prior authorizations for all STAT imaging orders for PCP… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of prior ... of reimbursement to physicians, nurses, financial clearance staff, and patients prior to services being rendered. JOB DUTIES AND RESPONSIBILITIES: + Obtains… more
- Fallon Health (Worcester, MA)
- …us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Manager, Prior Authorization RN manages all staffing and activities related to prior ... include: + Ensures that accurate, timely information for all Members requiring prior authorization is captured and disseminated to appropriate staff daily. +… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Rochester, NY area. Let us help you grow at work and ... beginning no later than January 2026 **Summary Description** The Pharmacy Prior Authorization Technician performs initial-level processing and review of prior… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 08/06/2025 **Requisition Number** PRN42768B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization ... verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position works with… 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 per week ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act… more
- 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 works with ... clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE 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, identifying… more
- US Tech Solutions (May, OK)
- …Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... 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)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... for career advancement to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of… 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 Polaris Pharmacy Services is an industry leader in both the… more
- University of Utah (Salt Lake City, UT)
- …PRN42803B **Job Title** PS Coordinator, Scheduling **Working Title** Coordinator, Prior Authorization **Job Grade** C **FLSA Code** Nonexempt **Patient Sensitive ... Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
- CVS Health (Santa Fe, NM)
- …day. **Position Summary** As a Clinical Pharmacist, you will review Prior Authorizations, verify proven and/or medically necessary indications and review clinical ... documentation in support of prior authorization reviews. The primary function of the clinical...necessary indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist… more
- US Tech Solutions (May, OK)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all ... + Communication with the provider and member regarding their prior authorization. + Review and process prior ...their prior authorization. + Review and process prior authorization requests by collecting necessary clinical and insurance… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... from physicians or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical… more
- CUNY (New York, NY)
- University Associate Director of Credit for Prior Learning, Office of Academic Affairs **POSITION DETAILS** The City University of New York's (CUNY) Office of ... strategic, equity-driven, and results-oriented University Associate Director of Credit for Prior Learning (CPL). This pivotal role will advance CUNY's CPL… 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 and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
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