- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... referral work queues. Responds to patient inquires and manages referral and/or prior authorization related issues in a timely manner. Assists with patient education… more
- Hartford HealthCare (Hartford, CT)
- …specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance ... prior authorizations for all in office procedures, medications, and...clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- Hartford HealthCare (Farmington, CT)
- …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required ... to obtain insurance prior authorizations for chemotherapy and other services in a...*Key Areas of Responsibility* 1. Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- 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
- CVS Health (Austin, TX)
- …with CVS Health. This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization ... within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior ... providers, insurance companies, and patients to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution. JOB… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination of prior ... of reimbursement to physicians, nurses, financial clearance staff, and patients prior to services being rendered. JOB DUTIES AND RESPONSIBILITIES: + Obtains… more
- St. Luke's University Health Network (Bethlehem, PA)
- …regardless of a patient's ability to pay for health care. The Practice Prior Authorization and Referral Specialist is responsible for the coordination of prior ... pre-authorizations, scheduling, and referrals. The specialist will secure the necessary prior authorization, then notify the patient aiding in the coordination of… more
- University of Rochester (Rochester, NY)
- 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...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… 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 works with ... clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Oversees and provides direction to team of Referral Prior Authorization Representatives. Provides direction and supervision to adhere to enterprise ... standards of referral and prior authorization guidelines. Accountable for planning, execution, and efficient...daily assignments for the department team of Referral & Prior Authorization Representatives. Serves as liaison and focal point… more
- University of Rochester (Rochester, NY)
- 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...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- University at Albany (Albany, NY)
- …Posted On: Fri Feb 9 2024 Job Description: The Coordinator, Credit for Prior Learning, is responsible for providing oversight for the development and coordination of ... UAlbany's range of Credit for Prior Learning (CPL) programs, including portfolio assessment, military credit,...university-wide processes for evaluation and awarding of Credit for Prior Learning (CPL). + Advise students on Credit for… more
- Logan Health (Whitefish, MT)
- Job Description Summary: This position is responsible for obtaining prior authorizations for all procedural orders by successfully completing the prior ... specialty clinic and/or medical billing office obtaining pre-certifications and/or prior -authorizations required. + Possess knowledge and understanding of commercial… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Pharmacy Prior Authorization Lead expert will establish policy and procedures for centralized pharmacy prior authorization services, build ... relationship with supported clinics, support prior authorization pharmacy associates with clinical review work, communicate with outside retail pharmacies as… more
- Penn Medicine (Philadelphia, PA)
- …Retail Full Time - Day Shift Location: 3250 South 76th Street The lead prior authorization technician is responsible for helping to manage the day to day activity ... of the centralized prior authorization program for the UPHS Specialty Pharmacy Program....program for the UPHS Specialty Pharmacy Program. The centralized prior authorization program services all Penn hospitals and ambulatory… more
- SUNY Upstate Medical University (Syracuse, NY)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… 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 ... outbound calls as needed. + Enters data project-specific information into the prior authorization processing system. + Projects a professional company image through… more
- State of Massachusetts (Boston, MA)
- …Your responsibilities will encompass facilitating medication refills, obtaining prior authorizations, offering psycho-social support, conducting assessments, crisis ... not all inclusive):_* * Facilitate medication refill requests and process prior authorization for medications and treatments. * Administer medications and provide… more
- Centene Corporation (Tallahassee, FL)
- …This is remote position. Ideal candidate will have an RN Compact license, prior experience working in prior authorization, utilization management or med surg ... located in eastern or central time zones.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
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