- Saratoga Hospital (Saratoga Springs, NY)
- …outcomes in a fast-paced healthcare environment. The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations ... Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr,...backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every… more
- University of Washington (Seattle, WA)
- …MONTLAKE PHARMACY DEPARTMENT has an outstanding opportunity for a PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER . WORK SCHEDULE *Part-Time / 20 hours per ... specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the...student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW… more
- TwelveStone Health Partners (Murfreesboro, TN)
- … medical/pharmacy authorization requests that are assigned. Follow the Prior Authorization Criteria for medications and submits requests. Communicate with ... and any relevant lab reports) necessary to complete the Prior Authorization . Reviews the clinical information for...: One year related experience and/or training with an healthcare organization, retail, or mail order pharmacy, or PBM.… more
- Develop Health (Menlo Park, CA)
- …medications. By automating complex, manual healthcare processes-like benefit verification and prior authorization - we've grown from $0 to $7M in annual ... delivery. You'll be instrumental in developing and optimizing our pharmacy and prior authorization processes, ensuring exceptional quality, and driving the… more
- Beth Israel Lahey Health (Boston, MA)
- …required in Healthcare or Retail Pharmacy. Knowledge of prior - authorization workflows, payer relations, prescription claims adjudication, and general ... Word, Excel, PowerPoint or Access. Preferred Qualifications: Experience with prior authorizations. Competencies: Decision Making: Ability to make decisions that… more
- Optum (Henderson, NV)
- …with insurance programs and basic managed care principals such as referrals and prior authorization Experience working with an electronic health record Medical ... office setting experience Knowledge/understanding of CPT/ICD-10 coding Knowledge of medical terminology Independent means of transportation during work hours for job related tasks Bilingual in Spanish/English Soft Skills: Ability to multi-task Excellent… more
- Optum (Henderson, NV)
- …with insurance programs and basic managed care principals such as referrals and prior authorization Experience working with an electronic health record Medical ... office setting experience Knowledge/understanding of CPT/ICD-10 coding Knowledge of medical terminology Bilingual in Spanish/English Soft Skills: Ability to work independently and maintain good judgment and accountability Ability to multi-task and prioritize… more
- Optum (Hillsboro, OR)
- …National Pharmacy Technician Certification 1+ years of Retail Pharmacy Technician experience Prior Authorization experience Bilingual in Spanish and English Pay ... "A Day in the Life" video Opportunities with Genoa Healthcare . A career with Genoa Healthcare means you're part of a collaborative effort to serve behavioral… more
- Optum (San Antonio, TX)
- …with insurance programs and basic managed care principals such as referrals and prior authorization Experience working with an electronic health record Medical ... office setting experience Knowledge/understanding of CPT/ICD-10 coding Knowledge of medical terminology Independent means of transportation during work hours for job related tasks Bilingual in Spanish/English Soft Skills: Ability to multi-task Excellent… more
- Optum (Milford, MA)
- …co-payment, co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination. Able to educate ... Specialist to join our growing team. At Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care… more
- Intermountain Healthcare (Midvale, UT)
- …action, up to termination, at the hiring manager's discretion. Preferred Prior Authorization processing preferred Physical Requirements: Physical Requirements ... Carrying, hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, climbing, crawling, speaking, squatting/kneeling, standing, walking as needed to perform job duties. Location: Supply Chain Center Work City: Midvale Work State: Utah Scheduled… more
- GE HealthCare (Salt Lake City, UT)
- …to cultivate a winning manufacturing attitude and creative work environment. GE HealthCare is a leading global medical technology and digital solutions innovator. ... as well as training requirements and best practices. Legal authorization to work in the US is required. We...Demonstrated ability to perform with high levels of ambiguity. Prior Team Leading experience OMLP/ETLP graduate Six Sigma Greenbelt… more
- Healthcare Outcomes Performance Co. (HOPCo) (Glen Mills, PA)
- …a wide range of orthopaedic injuries and conditions. Through partnership with the Healthcare Outcomes Performance Company (HOPCo), we have grown to over 50 specialty ... follow-up appointments and notifies patient if service requires an authorization or referral, and sends the request to PCP...reviews HIPAA requirements and patient Medical Record Request form prior to the release of patient information to any… more
- VITAS Healthcare (Dallas, TX)
- …on all required documentation such as Plans-Of-Care, Attending Physician Authorization forms and Medical Information Request forms. Provides back-up documentation ... Team Manager. This posistion is onsite NOT remote. QUALIFICATIONS Three years prior work experience preferred. Good typing skills. Computer literate. Able to handle… more
- The Judge Group Inc. (Batavia, IL)
- …is seeking a Remote Pharmacist in Illinois ! Job Details: Title: Remote Pharmacist ( Prior Authorization ) Location: Remote must be licensed in state of residence ... necessary *Work is computer based and include receiving phone calls from prior authorization pharmacy technicians and/or providers for clinical information… more
- Mary Washington Healthcare (Bowling Green, VA)
- …support the mission, vision, values and strategic initiatives of Mary Washington Healthcare and must demonstrate a commitment to quality service to patients, ... patients with scheduling of procedures, tests, and radiological exams. Obtains authorization for procedures and studies as required. Schedules patient surgeries.… more
- Massachusetts Bay Transportation Authority (Boston, MA)
- …of the internship / co-op. Additionally, interns / co-ops must have valid work authorization and US Social Security Number prior to starting their positions and ... but a valid work authorization and US Social Security Number are required prior to starting work. In compliance with federal law, all persons hired will be… more
- EVERSANA (Mason, OH)
- …Payers by providing reimbursement support for activities related to benefit coverage, prior authorization , claim denials, appeals, triage to third party support ... of life to help build the future of the healthcare and the life sciences industry. We believe our...including information about coverage and out-of-pocket costs. Assist with prior authorization and medical necessity processes, benefit… more
- Northwestern Memorial Healthcare (Chicago, IL)
- …care professionals Assist in inventory management Understand third party specific requirements for prior authorization and be able to complete prior ... what sets us apart as a leader in the healthcare industry. As an integral part of our team,...have the opportunity to join our quest for better healthcare , no matter where you work within the Northwestern… more
- Molina Healthcare (Long Beach, CA)
- …responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. Processes requests within ... Pacific daytime business hours required. JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team… more
