- LifePoint Health (Wilson, NC)
- …and growth opportunities * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient ... in employment. **Job:** **Nursing* **Organization:** **Wilson Physician Services* **Title:** *Clinic Prior Authorization Coordinator - LPN * **Location:**… 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
- Cedars-Sinai (Beverly Hills, CA)
- …Pharmacy Officer or designee. **Req ID** : 10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Remote **Department** : ... Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will… more
- TEKsystems (Northridge, CA)
- …in an office setting on a Team of 32 Staff Job Description: A Prior Authorization Coordinator is responsible for efficiently and accurately processing ... Position: Prior Authorization Representative Schedule: M-F 8:30am-5:30pm (60-minute lunch break) Start Date: July 8th, 2025 Benefits - (Medical, Dental, Vision,… more
- BrightSpring Health Services (Louisville, KY)
- …and top-quality care come join our team and apply today! Responsibilities + The Prior Authorization Coordinator is responsible for striving to complete ... either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a… more
- TEKsystems (Los Angeles, CA)
- Description A Prior Authorization Coordinator is responsible for efficiently and accurately processing prior authorization requests, ensuring timely ... access to care, and adhering to utilization management policies. + Processing Prior Authorization Requests: Handling requests from providers, patients, and… more
- UC Health (Cincinnati, OH)
- A Patient Access Prior Authorization Coordinator is responsible for independently managing all work related to medical necessity-based authorizations for all ... policies, applying appropriate payer guidelines to all aspects of radiology prior authorization work. The coordinator will leverage their strong… more
- TEKsystems (San Fernando, CA)
- Position Summary The Prior Authorization Coordinator plays a critical role in ensuring timely and appropriate access to care by efficiently processing ... prior authorization requests. This position requires a strong understanding of utilization management policies and a commitment to accuracy, compliance, and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior - authorization non-clinical medical management coordinator and pre-certification ... insurance environment. + Minimum 2 years of experience with pre- authorization , utilization review/management, case management, care coordination, and/or discharge… more
- Baptist Memorial (Memphis, TN)
- …and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services ... 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator - Authorization Job Summary The Authorization Coordinator is responsible for… more
- Cardinal Health (Nashville, TN)
- …scheduling and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's ... for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform...such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Utilize online insurance portals,… more
- Sutter Health (San Francisco, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record....eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization… more
- Cardinal Health (Fresno, CA)
- **_What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative ... operations of a medical practice. Benefits Eligibility and Authorization verify patient specific health benefits. **Responsibilities:** + Receives chemotherapy… more
- Sutter Health (San Francisco, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- Sutter Health (San Francisco, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- Sutter Health (Goleta, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 06/13/2025 **Requisition Number** PRN42190B **Job Title** Prior Authorization Representative II **Working Title** Prior ... - attributes a successful candidate will exemplify. As the ** Prior Authorization Representative Senior** , you will...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Utah (Salt Lake City, UT)
- …**Job Title** PS Manager, Administration **Working Title** Outpatient Reception and Prior Authorization Manager **Job Grade** F **FLSA Code** Administrative ... **Job Summary** **Job Summary** The Pediatric Outpatient Reception and Prior Authorization Manager is a member of...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- Select Medical (Peoria, AZ)
- …Rehabilitation Hospitals** A joint venture with Select Medical & Banner Health Peoria, AZ ** Prior Authorization Specialist ( RN or LPN ) - Part-Time Weekends** ... judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission...include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow… more
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Pharmacy Technician III ( Prior Authorization ) - Pharmacy - UH Truman Medical ... + Health System Reimbursement and Finance + Health System IT Operations + Prior Authorization Processes + Sterile Compounding (hazardous and non-hazardous) +… more
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