- Highmark Health (Honolulu, HI)
- …:** **JOB SUMMARY** This job captures all inbound requests for utilization review from providers and pharmacies. The incumbent assesses the request, conducts all ... necessary research such as verifying benefit coverage for the patient, and then creates the case (data entry) in Highmark's utilization management system for clinical review. Ensures all accurate information is entered at the onset of the process to ensure… more
- Cardinal Health (Honolulu, HI)
- …the particular needs of an individual patient. **_Job Summary_** The Coordinator , Individualized Care supports patient access to therapy through Reimbursement ... of their patient journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits, and proactively following up… more
- Cardinal Health (Honolulu, HI)
- …their patient journey to therapy. These steps include patient referral intake , investigating all patient health insurance benefits (pharmacy and medical benefits), ... the appropriate database for the inquiry + Must self-audit intake activities to ensure accuracy and efficiency for the...all parties + Support team with call overflow and intake when needed + Proactively following up with various… more