- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Prior Authorization Specialist Location: Fully Remote Duration: 12 months contract Job Description: The CD Representative II will work closely ... with providers to process prior authorization (PA), and drug benefit exception requests on behalf of as the client and in accordance with Medicare Part D CMS… more
- Option Care Health (Denver, CO)
- …facing responsibilities. Basic Qualifications Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies ... hiring, developing, and retaining a diverse workforce. Job Description Summary:The Specialist , Pharma Support Services serves as the designated representative on… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- UT Health (Houston, TX)
- REMOTE - Insurance Authorization Verification Specialist II (Rev Cycle) **Location:** Houston, Texas **Category:** Professional/Managerial McGovern Medical ... more! **Position Summary:** Verifies insurance policy benefit information and obtains Authorization / Precertification, prior to the patient's visit or scheduled… more
- Fairview Health Services (St. Paul, MN)
- …computer systems, including Microsoft Office 365 **Preferred** **Experience** + Referrals and/or prior authorization experience + Epic experience + Knowledge of ... **Overview** This is a remote position under Revenue Cycle Management that is...appropriate clinical documentation to submit to ensure a complete authorization request. + Submit and manage authorization … more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Summary** The...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- Randstad US (Woodland Hills, CA)
- …job details A trusted client of Randstad's has an immediate opening for an experienced Authorization Specialist . This is a remote role, but the right ... authorization specialist . + woodland hills ,... authorization specialist . + woodland hills , california + posted... requests for services in accordance with the insurance prior authorization list and routes to the… more
- Commonwealth Care Alliance (Boston, MA)
- …and requests from CCA Clinicians, Members, Vendors and Providers for services needing prior authorization . The Service Authorizations Specialist reports to ... and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible for providing accurate, prompt, and appropriate… more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- Option Care Health (Denver, CO)
- …responsibilities. **Basic Qualifications** + Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies preferred. ... developing, and retaining a diverse workforce. **Job Description Summary:** The Specialist , Pharma Support Services serves as the designated representative on their… more
- Marshfield Clinic (Marshfield, WI)
- …Specific Responsibilities: + Interpret clinical guideline criteria to make clinical prior authorization and appeal determinations in accordance with medical ... Pharmacy Specialist - Temporary Position from Mid-May to Mid-August ( Remote or Hybrid Option) **Cost Center:** 682891381 SHP-Pharmacy **Scheduled Weekly Hours:**… more
- AbbVie (Mettawa, IL)
- …the larger Cyber Security Operations (CSO) function. Join us as Senior Security Specialist , Application Security to support and improve our efforts to identify and ... our business continue to have remarkable impacts on people's lives. The Senior Security Specialist is a key member of the Application Security team and works with… more
- Alight (Lincolnshire, IL)
- …and will collaborate with marketing peers across the globe. This role requires prior international event management experience. While remote position, the ideal ... possible. Alight has been a leader in the flexible workspace and "Top 100 Company for Remote Jobs" 5 years in a row. **Benefits** We offer programs and plans for a… more
- Prime Therapeutics (Columbus, OH)
- …may be in use in a Pharmacy Benefit Management setting (Claims Processing, Prior Authorization , Telephony, Membership, etc.) + Related industry experience. + ... every decision we make. **Job Posting Title** Sr. BI Specialist - BI and Reporting - Remote ...of individuals with 4+ years of work experience. + Prior experience as a Business Intelligence Developer or Data… more
- Umpqua Bank (OR)
- Senior Collection Specialist - Financial Pacific Leasing - Remote Asset Based Lending United States NA, Arizona NA, Nevada NA, CA NA, Colorado NA, Washington NA, ... arranged with Lessees. + Collect and resolve ending residuals prior to NPA. + Prepare repossession authorization ...residuals prior to NPA. + Prepare repossession authorization packets as needed. + Meet individual call volume… more
- CDI (Chesterfield, MO)
- …of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as ... formerly Center for Diagnostic Imaging and Insight Imaging, is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining… more
- St. Luke's University Health Network (Allentown, PA)
- …patient class obtained prior to discharge, communicate back to PEC for re- authorization , as needed + Is a resource to the Coding department, SLPG practices, ... ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment...patient class is obtained for IP only Medicare cases prior to date of service + Ensure all IP… more
- TEKsystems (Minneapolis, MN)
- …Quality Assurance Analysts, Network Pricing Data Specialists, Network Pricing Data Analysts, Prior Authorization Analysts, Supervisors, and Managers * Have a ... is a great foot in the door! The knowledge gained in the Quality Assurance Specialist role can be applied to a full-time position within Benefits and beyond. Skills:… more
- AdventHealth (Altamonte Springs, FL)
- …: Full-time; 8:30am- 5pm CST and 9:30-6pm CST **Job Location** : Remote **The role you'll contribute:** Ensures patients are appropriately registered for all ... meetings and promotes positive dialogue within the team . Insurance Verification/ Authorization : . Contacts insurance companies by phone, fax, online portal, and… more
- Logan Health (Kalispell, MT)
- Job Description Summary: Remote Workers - MUST reside in one of these states: * Arizona * Florida * Idaho * Illinois * Indiana * Kansas * Louisiana * Missouri * ... + Proficient with basic accounting and ten-key by touch preferred. Prior experience with business mathematical tasks and correspondence preferred. + Excellent… more
