- Agendia, Inc (Irvine, CA)
- …services, collecting and reviewing all the necessary documentation required to submit prior authorization , contacting the ordering physician or their office for ... determination. When applicable, the PA Coordinator will also submit a Prior Authorization appeal if criteria is met but the PA was denied erroneously.… more
- PharmaCord (Lexington, KY)
- …and communicates patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary exclusions. Serves ... support resources for patients. Proactively communicates needs for reverification of prior authorization or re-enrollment. Identifies and reports adverse events,… more
- PharmaCord (Jeffersonville, IN)
- …Identifies and communicates patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary exclusions Uses ... from the PharmaCord pharmacy Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program Reports… more
- PharmaCord (Jeffersonville, IN)
- …necessary. Identify and communicate patients' plan benefit coverage, including any prior authorization , appeal, tier exception, or formulary exclusion ... the PharmaCord pharmacy. Proactively communicate the need for re-verification of prior authorization or re-enrollment for patient assistance programs. Report… more
- Aveanna Healthcare (Cedar Rapids, IA)
- …O complete and document the client start of care Submit required documentation for prior authorization of client services as needed based on client's pay sources ... Document any verbal orders for the Admission/Start of Care through timely communication with the clients physician and other caregivers Support agency audits Support other visits: Skilled Nursing Visits, Resumption of Care, Recertifications, Discharges, and… more
- PharmaCord (Jeffersonville, IN)
- …6 months customer service experience, payer benefits experience (reimbursement, prior authorization , etc.), healthcare industry experience or healthcare ... for a minimum of 6 months, or 1 year within a client-facing role, prior to being considered eligible for lateral or promotion level move. PharmaCord is committed… more
- Knox Community Hospital (Mount Vernon, OH)
- …with patients. Adjusts frames and completes frame repairs to patient satisfaction. Obtains prior authorization for hardware when they have not already been ... obtained. Follows rules and regulations regarding dispensing laws and OnSight Optical's Operating Manual. Stays current of optical plans being offered in this area. Verifies patient eligibility for insurances and timely processing of insurance claims to the… more
- PharmaCord (Jeffersonville, IN)
- …required 6 months customer service experience, payer benefits experience (reimbursement, prior authorization , etc.), healthcare industry experience or healthcare ... maintain role for a minimum of 6 months, or within a client-facing role, prior to being considered eligible for lateral or promotion level move. PharmaCord is… more
- HealthCare Support (Houston, TX)
- …systems. Verifies member eligibility, benefit coverage and facility contract status prior to processing authorization requests. Accurately enters the required ... information into the managed care platform, adhering to UM policies and procedures. 5. Assists in the coordination of care of hospitalized members, medically complex members and members with special needs if applicable. Makes appropriate referrals and follow… more
- Azend Pharma (Piscataway, NJ)
- …(Pharm.D.) degree Immunization License- a MUST Compounding Experience - a MUST Prior Authorization experience- a MUST Current state pharmacist license in ... good standing Previous experience as a licensed pharmacist Strong knowledge of pharmacology, physiology, and drug interactions Leadership and management skills Excellent communication and interpersonal skills to effectively collaborate with healthcare… more
- NORTH RANGE BEHAVIORAL HEALTH (Greeley, CO)
- …ensure payment of services; align services with payor authorizations and/or request authorization prior to provision of service. Assume responsibility to follow ... infection control guidelines and report infection control issues. May provide infection control/management, including milieu management, staff and client education, and consultation to residential facilities;may perform health tests for TB and administer… more
- GIBSON AREA HOSPITAL (Gibson City, IL)
- …chemistry testing, immunology testing, and microbiology testing as ordered. 16. Obtain prior authorization (s) for procedures and testing. 17. Follows Infection ... Control fundamentals r/t: Standard Precautions, good hand washing, disposal of bio hazardous materials, sterile or aseptic technique, disinfection of instruments/equipment, and preparation for autoclaving. 18. Working knowledge and use of computer… more
- NORTH RANGE BEHAVIORAL HEALTH (Greeley, CO)
- …to ensure payment of services; align services with payor authorizations and/or request authorization prior to provision of service. Meet guidelines and program ... requirements for fidelity and evidence-based Clubhouse model; ensure progressional performance effectively and actively promotes the Standards for Clubhouse Model of Psychiatric Rehabilitation as developed by Clubhouse International. Provide training and… more
- Universities of Wisconsin (Whitewater, WI)
- …Benefits Brochure. Required Qualifications: Bachelor's degree Preferred Qualifications: Prior Housing/Residence Life experience Experience with StarRez or other ... to employment. A criminal background check will be conducted prior to an offer of employment. All final candidates...of Wisconsin-Whitewater does not offer H-1B or other work authorization visa sponsorship for this position. Candidates must be… more
- Universities of Wisconsin (Oshkosh, WI)
- …process. Applicants must complete all required fields and attach all required documents prior to submitting the online application. Note: Once you have attached your ... to a pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require you and your… more
- Universities of Wisconsin (Oshkosh, WI)
- …must complete all required fields and attach all required documents prior to submitting the online application. Contact Information: For questions regarding ... to a pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require you and your… more
- Universities of Wisconsin (Oshkosh, WI)
- …process. Applicants must complete all required fields and attach all required documents prior to submitting the online application. Note: Once you have attached your ... to a pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require you and your… more
- Universities of Wisconsin (Oshkosh, WI)
- …Resume Applicants must complete all required fields and attach all required documents prior to submitting the online application. Note: Once you have attached your ... to a pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require you and your… more
- Universities of Wisconsin (Oshkosh, WI)
- …process. Applicants must complete all required fields and attach all required documents prior to submitting the online application. Note: Once you have attached your ... to a pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require you and your… more
- Universities of Wisconsin (Oshkosh, WI)
- …process. Applicants must complete all required fields and attach all required documents prior to submitting the online application. Note: Once you have attached your ... to a pre-employment screening which includes a criminal background check, work authorization , and verification of education. It will also require you and your… more
