- SUNY Upstate Medical University (Syracuse, NY)
- …medications, physician orders and insurance claim submission preferred. Experience with healthcare insurance prior authorization /coding and performing ... and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care… more
- SUNY Upstate Medical University (Syracuse, NY)
- …reimbursement, medications, physician orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing ... Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is… more
- General Physicians PC (Buffalo, NY)
- …PC - Your Gateway to a Fulfilling Healthcare Career! Are you a Prior Authorization Specialist looking to take your career to the next level? General ... #25-0627 Buffalo, NY, USA Job Description Prior Authorization Specialist Join General Physician,...college degree preferred + Proven work experience in a healthcare facility and/or strong customer service experience preferred +… more
- Saratoga Hospital (Saratoga Springs, NY)
- …outcomes in a fast-paced healthcare environment. The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations ... Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr,...backgrounds and experiences to apply. If you're passionate about healthcare and community service-even if you don't meet every… more
- CVS Health (Austin, TX)
- …- Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or ... Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior … more
- CVS Health (Harrisburg, PA)
- …agreements. Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, ... **Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must hold active pharmacist licensure in the… more
- Montrose Memorial Hospital (Montrose, CO)
- …the highest standards of healthcare . About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and ... 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
- Evolent (Baton Rouge, LA)
- …center team, ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is ... at least 2 years in a supervisory role. + Experience in healthcare , insurance, or prior authorization services is highly desirable. + Strong leadership and… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on each ... prior authorization . + Train and mentor representatives on the PA team. + Complete other PA assignments as delegated by the PA leadership team. **Experience:**… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... prior authorization . + * Train and mentor representatives on the PA team. + * Complete other PA assignments as delegated by the PA leadership team. **Education:**… more
- US Tech Solutions (AZ)
- … Prior Authorization Experience. + Medicare Experience + Experience working in healthcare . **Skills:** + Prior Authorization . + Medicare. + Prior ... This is a great opportunity to initiate a career with a leading healthcare company by reviewing information and completing timely and accurate documentation of all… more
- US Tech Solutions (San Antonio, TX)
- …Bachelor's degree in related field or equivalent work experience preferred **Skills:** Healthcare , calling, prior authorization **About US Tech Solutions:** ... based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** BJC is looking to hire a Prior Authorization Rep! **Additional Preferred Requirements** + Remote Role Monday ... BJC at the Commons + No weekends or Holidays + Prefer experience: Prior Authorization , Referrals, EPIC, Patient registration, and Insurance Verification + Daily… more
- Cardinal Health (Hartford, CT)
- …caregivers, and healthcare providers regarding the patient journey. + Support healthcare providers with Prior Authorization and Appeals submission to ... virtual or telephonic educational support to identified patients, caregivers, Healthcare Professionals (HCPs) and their staff to meet all...experience is preferred + 1-2 years of experience with Prior Authorization and Appeal submissions + 2-4… more
- Prime Healthcare (Evanston, IL)
- …Responsibilities The Infusion Insurance and Prior Authorization Representative assists ... are required. Preferred qualification: 1. Previous experience in pharmacy, infusion, or prior authorization process is preferred. 2. Epic experience preferred.… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …1-3 years of experience in a healthcare setting, insurance verification, or prior authorization . + Knowledge of medical terminology, ICD-10, and CPT ... healthcare providers, and insurance companies to streamline the authorization process. The Clinical Support Coordinator will assist SHHC... Management: + Submit and follow up on prior authorization requests for medications, procedures, or… more
- Adecco US, Inc. (Phoenix, AZ)
- …a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... A Prior Authorization Pharmacist position is now available through Adecco Healthcare and Life Science. The essential functions of a Pharmacists in Prior … more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is… more
- Elevance Health (San Antonio, TX)
- …the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, 4751 HAMILTON WOLF RD, ... Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is responsible for managing incoming calls, including… more
- Cedars-Sinai (Beverly Hills, CA)
- …Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will ... nursing excellence. From working with a team of premier healthcare professionals to using state-of-the-art facilities, you'll have everything...work in collaboration with the Prior Authorization Pharmacy Technician, Drug Use Policy,… more