- Hartford HealthCare (Hartford, CT)
- …us. *Job Summary:* Performs all clerical duties required to obtain insurance prior authorizations for all outgoing referrals including but not limited to ... chemotherapy, imaging, surgical, etc. in a timely manner. The Prior Authorization Specialist I is responsible for maintaining and managing resources including… more
- Kelly Services (Greece, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the vibrant Rochester, NY area. Let us help you grow at work ... $22.00/hour **Hours:** M-F 8am to 5pm **Summary Description:** The Pharmacy Prior Authorization Technician is responsible for the initial level processing and… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 06/18/2025 **Requisition Number** PRN42209B **Job Title** Prior Authorization Representative II **Working Title** Prior Authorization Rep ... these attributes too. We are looking for an experienced ** Prior Authorization Representative II** to join our team. As...Authorization Representative II** to join our team. As the Prior Authorization Representative II, you will be responsible for… more
- CUNY (Queens, NY)
- Credit for Prior Learning (CPL) Admissions and Advisement Specialist (Academic Program Specialist) **POSITION DETAILS** Founded in 1971 in Long Island City, Queens, ... www.laguardia.edu to learn more. LaGuardia Community College seeks a Credit for Prior Learning (CPL) Admissions and Advisement Specialist. (For more information on… 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 work in ... collaboration with the Prior Authorization Pharmacy Technician, Drug Use Policy, as well...effective, and reasonable use of high cost-drug therapies. Clinical Prior Authorization Pharmacists support timely patient treatment and optimize… more
- CVS Health (Columbia, SC)
- …**Position Summary** This position is for a Clinical Pharmacist working in the Prior Authorization team. Candidate must hold active pharmacist licensure in the State ... of North Carolina. This Pharmacist will: * Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and… more
- University of Washington (Seattle, WA)
- …PHARMACY DEPARTMENT** has an outstanding opportunity for a **PHARMACY TECHNICIAN 2 - PRIOR AUTHORIZATION CENTER** . **WORK SCHEDULE** * Part-Time / 20 hours per week ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act… more
- US Tech Solutions (May, OK)
- …Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior … 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
- Children's Clinics (Tucson, AZ)
- Children's Clinics is seeking a Full-Time Prior Authorization Specialist. This position is responsible for exercising independent judgment to process "provider ... service request" referrals and prior authorizations administration. All provider... authorizations administration. All provider service request referrals and prior authorizations will be processed according to the appropriate… 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, STE ... Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization** is responsible for managing incoming calls, including triage,… more
- General Physicians PC (Buffalo, NY)
- #25-0627 Buffalo, NY, USA Job Description Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a ... Prior Authorization Specialist looking to take your career to...The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …FTE1.0 FLSANon-Exempt Scope of Job Responsible for obtaining and processing all prior authorizations and referrals and entering the completed referral into the ... claims adjudication to ensure services are validated. Description of Duties + Processes prior authorizations and referral requests in a timely manner, prior to… more
- BrightSpring Health Services (Totowa, NJ)
- …relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and ... prior authorization process. The Prior Authorization Specialist will report to the Manager and work in ourTotowa, NJ branch. Schedule: Monday to Friday9:00am -… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is passionate ... critical role manages the process of receiving, researching, and resolving prior authorizations and appeals issues with health insurance companies, including any… more
- University of Rochester (Rochester, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910335 Ortho Prior Authorization Work Shift: UR - Day (United States of America) Range: UR ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
- Adecco US, Inc. (Cumberland, RI)
- …a high level of urgency with all calls and assignments + Follow all prior authorization procedures to guarantee an accurate process on each prior authorization ... to support the documentation and communication of medical services and prior authorization determinations + Ability to multitask, prioritize, and effectively adapt… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is seeking a Pharmacy Prior Authorization Technician to work at a top insurance client in the vibrant Rochester, NY area. Let us help you grow at work and ... **M-F 8:00 am to 5:00 pm** **Summary Description:** The Pharmacy Prior Authorization Technician provides essential functions that encompass initial level processing… more
- LifePoint Health (Wilson, NC)
- …* * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient testing, scheduling ... appointments, and managing prior authorizations for treatments, medications, and procedures. This role ensures efficient workflow in the pulmonary clinic, enhances… more
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