- Great River Health (West Burlington, IA)
- …Monday - Friday, 8:00am - 4:30pm Job Description: A Brief OverviewThe Prior Authorization Clinician coordinates and manages the prior authorization process ... reviewing clinical documentation, verifying insurance benefits, verifying and obtaining prior authorizations for medical services, and coordinating with clinical… more
- St. Luke's University Health Network (Allentown, PA)
- …in the communities we serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the ... or in a similar healthcare setting. Preferred: + Customer service experience. + Previous prior authorization experience....Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.… more
- Elevance Health (San Antonio, TX)
- …Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health . Through our distinct ... and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. + Obtains… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …Posting NumberSRGV8268 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST (UT Health RGV Cancer and Surgery Center-Rehabilitation Center) Number of Vacancies1 ... Scope of Job Responsible for obtaining and processing all prior authorizations and referrals and entering the completed referral...+ Obtains and receives referral requests from providers and health plans related to services for patient visits and… more
- BrightSpring Health Services (Louisville, KY)
- …to Louisville. We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD and LTD ... environment Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals,… more
- LifePoint Health (Wilson, NC)
- …** . Comprehensive medical, dental, and vision plans, plus flexible-spending and health - savings accounts . Competitive paid time off and extended illness bank ... * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient testing, scheduling… more
- BrightSpring Health Services (Totowa, NJ)
- …relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and ... prior authorization process. Schedule: Monday to Friday9:00am - 5:30pm *Competitive Pay * Health , Dental, Vision & Life Insurance *Company-Paid Short & Long-Term… more
- 24 Hour Fitness, INC. (Thousand Oaks, CA)
- …E Thousand Oaks Blvd Thousand Oaks CA 91362 JOB SUMMARY The Sales and Service Expert (SSE) delivers an outstanding and well-rounded sales and service experience ... translates the value of 24 Hour Fitness product and service offerings, and has a strong focus on behaviors...* Bachelor's degree preferred. Work Experience and Qualifications * Prior experience in fitness or retail industry preferred. *… more
- Arnot Health (Elmira, NY)
- Job Description Join the dedicated team at Arnot Health as a Pre-Authorization Representative supporting the Falck Cancer Center! In this essential role, you will ... involves a moderate level of complexity and benefits from prior education in anatomy or clinical coding. Your attention...for our patients while supporting maximum reimbursement for the health system. Your Schedule + Full-Time - 40 hours… more
- Dignity Health (Rancho Cordova, CA)
- …the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is responsible ... Supervises the use of established criteria sets (Medicare Guidelines InterQual Health Plan Benefit Interpretation Guidelines and Medical Management Policies and DHMF… more
- Trinity Health (Columbus, OH)
- …Acquisition Partner, at ###@mchs.com Mount Carmel Nurses are the heartbeat of our health system. We have several opportunities for both new graduates and experienced ... fully integrated cardiovascular center, a Comprehensive Stroke Center, a dedicated Women's Health Center, a maternity center, a Network Cancer Program, and a… more
- University of Utah (Salt Lake City, UT)
- …front desk teams to deliver exceptional customer service and guiding prior authorization staff in working with health insurance companies to ensure ... complaints, concerns, and suggestions and providing appropriate follow-through. Oversees customer service provided by registration and prior authorization staff… more
- The Cigna Group (Bloomfield, CT)
- **Pharmacy Prior Authorization Senior Representative - Remote AZ - Remote IL - Remote MA** The job profile for this position is Pharmacy Prior Authorization ... all the difference in our success. As a Pharmacy Prior Authorization Senior Representative, you will be working on...representatives are dedicated team members who excel at customer service , helping us elevate our pharmacy patient care to… more
- University of Utah (Salt Lake City, UT)
- …in a health care financial setting. + Two years of prior authorization experience, including robust experience and understanding of prior authorization ... to 5:00pm **Mountain Time** **VP Area** U of U Health - Academics **Department** 00209 - Univ Medical Billing...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… more
- New England Cancer Specialists (Scarborough, ME)
- Job Descriptions: Do you have experience in health care prior -authorizations of drugs and medications? Are you working in a retail pharmacy and looking for a ... is currently seeking a full-time 40 Monday-Friday remote Oral and IV Drug- Prior Authorization Specialist. Our Prior Authorization Specialists are responsible for… more
- US Tech Solutions (May, OK)
- …medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. ... role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. + The clinical pharmacist will apply clinical… more
- University of Rochester (Rochester, NY)
- …GENERAL PURPOSE: POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise ... standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying barriers to… more
- Montrose Memorial Hospital (Montrose, CO)
- …they facilitate the process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports ... including vacation, sick and holiday pay. About Montrose Regional Health : + As the leading healthcare in the Uncompahgre...standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) Range: UR ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… more
- US Tech Solutions (May, OK)
- …medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. ... regarding Prior Authorization + Establishes and maintains communication among, health plan and employer group staff. + Maintain professional and technical… more