- CNY Family Care LLP (Syracuse, NY)
- …or any other characteristic protected by law. Description Hybrid - Medication Prior Authorization Representative Full-time Monday - Friday Hybrid, Day schedule ... minimum in office training and satisfactorily complete all essential job functions prior to hybrid** Medication Prior Authorization Representative benefits:… more
- Blink Health (Pittsburgh, PA)
- …historically has resisted innovation. Join us! We are looking for you to join our Prior Authorization team to raise the bar on our customer service we provide ... affordable for all Americans. Responsibilities: Assist in the initiation of new prior authorization requests to providers Identify the correct prior … more
- Giving Home Health Care (Austin, TX)
- …member of the Giving Home Medical Equipment patient service team, specializing in the Prior Authorization Management. As part of the HME Operations Team which ... compiles, submits, and manages all Prior Authorization requests to the Dept of Labor. Background check, fingerprinting and TB test required #IND… more
- The Oncology Institute of Hope and Innovation (Cerritos, CA)
- …Coordinate with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for all Office Visits. Compile clinical ... documentation for prior authorizations (ex: progress notes, labs, diagnoses codes, previously...labs, diagnoses codes, previously tried therapies, doctor visits) Review authorization queue for applicable orders Verify and comply with… more
- Teton Valley Health (Driggs, ID)
- …families and other health care organizations assuring a seamless disposition. Assures prior authorization from insurance carriers for services rendered in ... outpatient therapies. Maintains up to date knowledge of TVHC strategic objectives and assists in coordination of operational planning and related quality improvement tools. Maintains skills for effectively deploying these tools to the organization. Creates and… more
- Molina Healthcare (Long Beach, CA)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... NCQA guidelines, and CMS standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains Point of Sale claims… more
- Medix (Aliso Viejo, CA)
- …a clinical laboratory, preferably in genetics. 1-2+ years' experience in securing prior authorization approvals. Skills Technical skills in navigating insurance ... handling insurance verification exceptions, and coordinating with vendors for prior authorizations in a high-production environment. Responsibilities / Job Duties… more
- Mount Sinai Hospital (New York, NY)
- …exclusive and may not be performed by the same employee. 8. Facilitates prior authorization and appointment scheduling for diagnostic testing requested by ... demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with determining and… more
- Local Infusion (Morristown, NJ)
- …Required Prior Experience in Infusion is Preferred Insurance Prior Authorization Experience Medical Terminology Experience Overall Medical Insurance ... be located onsite in Morristown, NJ. The ideal candidate will have prior experience reading medical charts and working on insurance pre-authorizations. The Infusion… more
- Positive Impact Health Centers INC (Jonesboro, GA)
- …access to medication services including, but not limited to: benefits investigation, prior authorization , appeals, copay assistance, refills, and all other ... PIHC Pharmacy's Policies and Procedures *Assists patient and prescribers with the Prior Authorization process *Coordinates billing and obtains cost approval… more
- Nest Health (Mesa, AZ)
- …care team Assists in patient registration, administrative workflows, and prior authorization approvals Fulfill clerical responsibilities which may ... School Diploma or equivalent required: 1-3 years of relevant experience US work authorization Vital Signs and phlebotomy experience: 1 year EMR Systems experience: 1… more
- Akumin (Lake Worth, FL)
- …responsibility. May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: May perform preliminary screening of ... patients prior to procedures, which may include medical history. May...May schedule patient appointments and obtain insurance verification and/or authorization . May prepare medical records for physicians, patients and… more
- Quipt Home Medical Corp (Duncan, SC)
- …maintenance, processing in a timely as per policy and procedure. Obtains appropriate prior authorization number and time frame from appropriate third party ... Intake Procedures Insurance Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the Equipment Patient's Financial… more
- PeopleOne Health (Kissimmee, FL)
- …via the member portal. Ensures patients are pre-approved for care by collecting prior authorization from the insurance provider, for outgoing referrals, when ... Clearance - Act 38 FBI Clearance - Act 73 EXPERIENCE: 2-5 years prior experience in a medical office preferred PHYSICAL REQUIREMENTS: (The physical requirements… more
- Parrish Healthcare (Titusville, FL)
- …if they are not automatically updated. Contact physician to resolve issues regarding prior authorization or referrals. Research Patient Visit History to ensure ... identification. Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and...as much advance notice as possible, preferably 72 hours prior to date of service) to confirm or obtain… more
- Central Health (Austin, TX)
- …Collaborate with appropriate internal stakeholders, develop, implement, and maintain the prior authorization process for Central Health. Document the process ... cases. Complies with the established timeliness standards for referral and prior authorization procedures. Perform medical and administrative services under… more
- Baptist Health (La Grange, KY)
- …and maintain knowledge of payer formularies and reimbursement. Supports third party prior authorization process and obtain appropriate overrides for new ... patients. Maintains accurate insurance information and monitor for prior authorization renewal needs to avoid gaps in medication therapy. Identifies financial… more
- University Hospitals (Cleveland, OH)
- …to service being rendered including insurance eligibility, medical necessity, and prior authorization activities Ensures materials are provided for ... meetings/interviews as necessary in a timely manner and follow up is completed as assigned. Handles a variety of administrative issues with regard to phone calls, always following through to assure all request/complaints/communications are handled in the… more
- EVERSANA (Chicago, IL)
- …assigned geography Review and educate offices on payer policy, such as prior authorization requirements to ensure patient access Reviews patient-specific ... policy and reimbursement Minimum of 3 years of benefit verifications and prior - authorization requirements experience or equivalent experience in patient access,… more
- Tempus (Stoughton, MA)
- …PCM Administrative processes with the required recordkeeping, including Consumer records, Prior Authorization records, FST records, I+O Session records, ... with matching Continuing Education, Training and Advancement opportunities Work Authorization /Security Clearance All offers of employment made by Tempus Unlimited… more
