- Saratoga Hospital (Saratoga Springs, NY)
- Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, ... exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… 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 ... what each individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day surgeries, planned… more
- University of Washington (Seattle, WA)
- …Pharmacy Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Per Diem * Day ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Manager, Network Prior Authorization Services is responsible for monitoring and facilitating the referral ... the department, coordinating day-to-day activities, including direction of the Network Prior Authorization and Referral Specialists. JOB DUTIES AND… more
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work is maintained… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Prior Authorization Manager is responsible for the work of the Prior Authorization Coordinators and ensuring the quality of the prior ... performance, tracking productivity towards goals, hiring, training, and managing the Prior Authorization Coordinators, and completing the necessary functions to… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN43444B **Job Title** PS Coordinator, Scheduling **Working Title** Coordinator, Prior Authorization **Career Progression Track** C **Track Level** ... School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
- Montrose Memorial Hospital (Montrose, CO)
- …practice serving Montrose and surrounding counties. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- US Tech Solutions (May, OK)
- **Job Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior … more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- General Physicians PC (Buffalo, NY)
- #25-0782 Buffalo, NY, USA Job Description Prior Authorization Specialist (PAS) Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are ... you a Prior Authorization Specialist (PAS) looking to take your career to the next level? General Physician, PC, one of Western New York's most esteemed… more
- Centene Corporation (Cheyenne, WY)
- …5pm Pacific, with occasional weekends and holidays. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- BrightSpring Health Services (New Hyde Park, NY)
- …Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Prior Authorization Specialist to join our team as we grow to be one of ... authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Amerita is an entrepreneurial-founded company and a… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization + Establishes and maintains communication among, health… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare… more
- Truman Medical Centers (Kansas City, MO)
- …myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** OMFS Prior Authorization Specialist 101 Truman Medical Center **Job ... Utilization Specialist is responsible for correctly and efficiently facilitates the prior authorization and scheduling process for Oral Maxillofacial Surgery… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $19.00 - $23.00 Hourly Job Category ... for career advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more