- Hartford HealthCare (Farmington, CT)
- …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required ... to obtain insurance prior authorizations for chemotherapy and other services in a...*Key Areas of Responsibility* 1. Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- Carle (Urbana, IL)
- Prior Authorization Specialist- CPKH Pain Mgmt Center + Department: Pain Mgmt Center- CPKH + Entity: Peoria Service Area + Job Category: Clerical/Admin + Employment ... this position is responsible for ensuring accurate and timely prior -authorization of procedures, medications, and other insurance verifications as assigned.… more
- University of Colorado (Aurora, CO)
- Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Pediatrics - Hemophilia & Thrombosis Center** **Job Title: Prior Authorization and Payer Reimbursement Coordinator** **Position #: 00821459 - Requisition: #**… more
- CVS Health (Austin, TX)
- …with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization ... within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria… more
- St. Luke's University Health Network (Allentown, 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
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior ... providers, insurance companies, and patients to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB… more
- Hartford HealthCare (Hartford, CT)
- …specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance ... prior authorizations for all in office procedures, medications, and...clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior ... pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization, then notify the patient aiding in the coordination of… more
- Fresenius Medical Center (Franklin, TN)
- **PURPOSE AND SCOPE:** Reviews, verifies, and processes prior authorizations in the pharmacy management system's work queue. Serves as a resource to patients, ... facility personnel, and other Fresenius Medical Care employees for prior authorizations. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Under general supervision,… more
- University of Rochester (Rochester, NY)
- Responsibilities **Position Summary:** 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...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- Froedtert South (Kenosha, WI)
- Prior Authorization/Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply on company site Job Details + POSITION PURPOSE + A Prior ... met for both the facility and professional services The Prior -Authorization/Referral Specialist provides detailed documentation and communication with both payors… more
- General Physicians PC (Buffalo, NY)
- …overall quality of the lives of our patients. Currently, we are seeking a Prior Authorization Specialist for our Cardiology office located in Buffalo, NY! This is a ... and includes Free Parking! No nights, weekends, or holidays! We offer our Prior Authorization Specialist: Employees are benefit-eligible on the first of the month… 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
- Elevance Health (Altamonte Springs, FL)
- …or ask you for payment as part of consideration for employment. **Pharmacy Prior Authorization Representative- BioPlus Specialty Pharmacy** + Job Family: CUS > Care ... **Build the Possibilities. Make an Extraordinary Impact.** The **Pharmacy** ** Prior ** **Authorization Representative** is responsible for the administration of … more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to enterprise ... standards of referral and prior authorization guidelines. Accountable for planning, execution, and efficient...daily assignments for the department team of Referral & Prior Authorization Representatives. Serves as liaison and focal point… more
- Elevance Health (Las Vegas, NV)
- …a check, or ask you for payment as part of consideration for employment. ** Prior Authorization Representative II - Las Vegas, NV - BioPlus Specialty Pharmacy** + Job ... within 50 miles or 1-hour commute each way of this location. The ** Prior ** **Authorization Representative II** is responsible for the administration of prior … more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: 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...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- CVS Health (Raleigh, NC)
- …Position Summary This position is for a Clinical Pharmacist working in the Prior Authorization team. This Pharmacist will: * Evaluate and review all prior ... & denial management processes. * Collaborate with the technicians and prior authorization team members to process referrals, including answering clinical questions… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: 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...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- Penn Medicine (Philadelphia, PA)
- …Retail Full Time - Day Shift Location: 3250 South 76th Street The lead prior authorization technician is responsible for helping to manage the day to day activity ... of the centralized prior authorization program for the UPHS Specialty Pharmacy Program....program for the UPHS Specialty Pharmacy Program. The centralized prior authorization program services all Penn hospitals and ambulatory… more
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