- University of Colorado (Aurora, CO)
- Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: ... Pediatrics - Hemophilia & Thrombosis Center** **Job Title: Prior Authorization and Payer Reimbursement Coordinator** **Position #: 00821459 - Requisition: #**… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... work queues. Responds to patient inquires and manages referral and/or prior authorization related issues in a timely manner. Assists with patient education… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance ... process to resolution. JOB DUTIES AND RESPONSIBILITIES: + Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance… more
- CVS Health (Austin, TX)
- …Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior ... within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- CVS Health (Austin, TX)
- …Pharmacist with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior ... within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical… more
- St. Luke's University Health Network (Bethlehem, PA)
- …serve, regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of ... scheduling, and referrals. The specialist will secure the necessary prior authorization , then notify the patient aiding in the coordination of… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 05/29/2024 **Requisition Number** PRN38698B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization ... verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position… more
- Montrose Memorial Hospital (Montrose, CO)
- …standards of healthcare. About The Career - This position will report to the Prior Authorization Department, while taking day to day direction from the ... leadership in Spine and Pain. . The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs and financial health as they… more
- Montrose Memorial Hospital (Montrose, CO)
- …Commission meeting the highest standards of healthcare. About The Career: The Hospital Prior Authorization Specialist is an advocate for the patient's medical ... 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
- 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
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of ... information + Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment with Central… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... paper trail. + May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities** + Basic knowledge of accounting, word… more
- Kepro (AL)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Prior Authorization Reviewer to join our growing team. Job Summary: The Prior ... Authorization Reviewer: + Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies … more
- St. Peters Health (Helena, MT)
- JOB SUMMARY (overview of job): The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, ... departments within the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may include, but are not limited… more
- BrightSpring Health Services (Englewood, CO)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist role will be responsible for activities ... authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. NOTE: Work Schedule: Monday - Friday / 9:00am -… more
- University at Buffalo (Buffalo, NY)
- Position Title: Prior Authorization Specialist Posting Number: U240035 Employer: UB Foundation Activities FTE: 1.00 Position Summary: The University at Buffalo ... of Dental Medicine (https://dental.buffalo.edu/) ( SDM ) is seeking a Prior Authorization Specialist. This position will report to the Billing Supervisor. The… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring ... year Seattle Children's Outpatient Pharmacy experience. + Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Min to Max Hourly Salary:… more
- Actalent (Sunrise, FL)
- Prior Authorization /Concurrent Review RN Job Description We are seeking a registered nurse with at least 2 years of experience in Managed Care Prior ... Review. Clinical experience is highly desirable. The role involves handling Prior Authorization procedures via phone calls. Hard Skills + Managed Care +… more
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of ... obtain authorizations. Qualifications Education High School Diploma or GED Required Experience 1 year health plan based prior authorization experience. Required more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare… more
Related Job Searches:
Pharmacy Technician Prior Authorization,
Prior,
Prior Authorization Clinical Pharmacist,
Prior Authorization Coordinator,
Prior Authorization Nurse,
Prior Authorization Pharmacist,
Prior Authorization Representative,
Prior Authorization Specialist,
Prior Authorization Technician,
Registered Nurse Prior Authorization