- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's ... payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **42204BR** **Extended Job Title:** Prior Authorization Specialist **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Responsible ... + High school diploma or GED plus current certification as a Prior Authorization Certified Specialist (PACS), Certified Healthcare Access Associate (CHAA),… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of ... process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... departments within the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may include, but are not limited… 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… more
- Select Medical (West Orange, NJ)
- …Institute for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist / Payor Relations Specialist ( RN ... **Job ID** _339844_ **Experience (Years)** _3_ **Category** _Business Development/Marketing/Sales - Prior Authorization Specialist / Payor Relations… more
- General Physicians PC (Buffalo, NY)
- #25-0782 Buffalo, NY, USA Job Description Prior Authorization Specialist (PAS) Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! ... Are you a Prior Authorization Specialist (PAS) looking to take your career to the next level? General Physician, PC, one of Western New York's most esteemed… 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
- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit ... of experience in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity ... of experience in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... information. + Provides insurance company with clinical information necessary to secure prior - authorization or referral. + Works in alignment with Central… more
- BrightSpring Health Services (Scottsdale, AZ)
- …prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - Friday8:30am - 5:30pm * ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer… more
- Trinity Health (Grand Rapids, MI)
- …**Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue ... cycle. Preferred: 3-5 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle, within 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 ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
- Insight Global (Robinson, PA)
- …door pharmacy in the Pittsburgh, PA area is looking to hire 4 Pharmacy Prior Authorization Specialists. This role will include assisting in the initiation of ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills - High school diploma or… 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 ... + 0 to 3 years of related work experience. **Skills:** + Prior Authorization + Call handling experience. **Education:** + High School diploma or GED… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Type Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy ... Authorization Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio… more
- University of Rochester (Rochester, NY)
- …equity 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… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist , with direct supervision of the Prior Authorization Supervisor, is responsible for managing all work related to drug ... payer guidelines to all aspects of drug prior authorization work. The Drug Authorization Specialist creates accurate, thorough, and concise prior… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your skills in compliance, ... coordination of benefit * Prepare and compile necessary documentation to secure prior authorization . Collect clinical information regarding service to be… more
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