- BroadPath Healthcare Solutions (Tucson, AZ)
- …is excited to announce that we are hiring for work-at-home positions! ** Prior Authorization Representatives** will receive inbound phone calls and faxes ... medications prior authorizations only. The representatives will manage the prior authorization process for medications and provide updates on approval… more
- 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 ... an authorization determination. When applicable, the PA Coordinator will also submit a Prior Authorization appeal if criteria is met but the PA was denied… more
- Catalyst Medical Clinic (Chaska, MN)
- …and review all papers in the box to ensure they are initialed by the provider prior to going to medical records for scanning. Fully participate and contribute to ... - 5:00 pm out of our Chaska location. Catalyst Medical Clinic is an operating division of Infinite Health...federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information… more
- National Youth Advocate Program (Madison, WI)
- …scheduling initial, follow-up, wellness, and specialist appointments; preparing Treatment Authorization Requests (TARs) prior to appointments and following ... related to the children's medical care, assisting them with required medical responsibilities, and supplying them with necessary authorization and ID… more
- Tidelands Health (Myrtle Beach, SC)
- …multiple resources for patient services. May also perform duties for prior authorization , referrals (incoming/outgoing), good faith estimates, and/or payment ... Team Tidelands and help people live better lives through better health!** ** Medical Assistant (Certified) II** Are you passionate about quality and committed to… more
- National Youth Advocate Program (Chicago, IL)
- …in obtaining medical clearances from healthcare providers. + Preparing Treatment Authorization Requests (TARs) prior to appointments and following up to ... related to the children's medical care, assisting them with required medical responsibilities, and supplying them with necessary authorization and ID… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Medical Assistant I is the entry, developmental and first working level of the ... Medical Assistant Job Family. Under general supervision in an...and collects medication information. * Prepares patient examination rooms prior to the visit to ensure that proper equipment… more
- Insmed Incorporated (NJ)
- …share best practices, and ensure a holistic and patient-centric approach to care. Prior Authorization & Insurance Coordination: Verify insurance coverage and ... prior authorization status, and help resolve any barriers to treatment;...your team, and yourself.Highlights of our US offerings include:Comprehensive medical , dental, and vision coverage and mental health support,… more
- Stony Brook University (Stony Brook, NY)
- …and document all financial clearance information in the patient's EMR including, prior authorization verification number, effective start and end dates, and ... Contacts insurance companies through online portal, phone, or fax to initiate authorization , obtain insurance benefits, eligibility, medical necessity, and/or … more
- Tidelands Health (Myrtle Beach, SC)
- …Triaging incoming phone calls + Preparing and administering medications with physician's authorization + Completing medical forms and obtaining referrals / ... help people live better lives through better health!** **POSITION SUMMARY:** The Medical Assistant will be responsible for providing administrative support to ensure… more
- Stanford Health Care (Palo Alto, CA)
- …Hour (United States of America) Strongly Preferred Qualifications: - Insurance knowledge - Prior Authorization experience **This is a Stanford Health Care job.** ... one of the following:(1) Certificate of completion or official transcript from a medical assisting program(2) Completion of medical assistant training by a… more
- Commonwealth Care Alliance (Boston, MA)
- …Director of Utilization Management - Oversees clinical decision review for services requiring prior authorization in a variety of clinical areas, including but ... (must have): - Expertise in managing utilization review processes including prior authorization , concurrent and retrospective reviews - Demonstrated ability… more
- Stony Brook University (Stony Brook, NY)
- …**Required Qualifications:** + Bachelor's degree + At least 3 years of prior experience working in an academic medical center/clinical setting in ... closely with Nurse Case Managers and Social Workers regarding payer delays, authorization and denial notification. Individual will also serve as a liaison between… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Coordinator** - **Clinical Appeals** performs prospective review (benefit advisory/ prior authorization ) admission, concurrent, and retrospective reviews ... necessity review that includes inpatient review, concurrent review, benefit advisory/ prior authorization , retrospective, out of network, and appropriateness of… more
- Commonwealth Care Alliance (Boston, MA)
- …Skills & Abilities (must have):** + Experience with prior authorization and retrospective reviews + Proficiency reviewing clinical/ medical records and ... Duties & Responsibilities:** + Conducts timely clinical decision review for services requiring prior authorization in a variety of clinical areas, including but… more
- Seattle Children's (Seattle, WA)
- …technical understanding of CMS/Medicaid regulations and/or commercial payor billing or prior authorization requirements, and ability to accurately interpret ... understanding of CMS/Medicaid regulations and/or Commercial Payor billing, referral and/or prior authorization requirements and ability to accurately interpret… 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
- Universities of Wisconsin (Whitewater, WI)
- …university students with learning disabilities, mental health, chronic medical conditions, developmental disabilities (autism), physical and sensory disabilities, ... 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
- PHOENIX PHYSICAL THERAPY (Natrona Heights, PA)
- …as the duration of the prescription Collect all monies that are due prior to each visit including, but not limited to co-payments, deductibles, co-insurance, ... receipt Audits each visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due each visit. Answers… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...Brook Medicine, Stony Brook University Hospital and related facilities. ** Prior to start date, the selected candidate must meet… more
Related Job Searches:
Authorization,
Medical,
Medical Prior,
Medical Prior Authorization Specialist,
Prior,
Prior Authorization