- CVS Health (Phoenix, AZ)
- …You will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination if ... do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc.… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology,...AND WORK ENVIRONMENT The physical demands and work environment described here are representative of… more
- CVS Health (Phoenix, AZ)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Certified Pharmacy Technicians (CPhT) are preferred and ... to detail and the ability to multi-task effectively. **Remote Work Requirements:** + Prior remote work...I, Level II, and Level III positions within the Prior Authorization (PA) team is a structured… more
- Enterprise Mobility (Phoenix, AZ)
- …years + Must be authorized to work in the United States and not require work authorization sponsorship by our company for this position now or in the future ... has an exciting opportunity for a Seasonal Customer Service Representative at the Sky Harbor Airport in Phoenix! This...hour** **Apart from religious observation, must be available to work ONE of the following schedule:** Offering morning and… more
- Banner Health (AZ)
- …and dental plan inquiries, and services of staff such as utilization review, prior authorization , billing and contract management. 6. Services inbound and ... **Department Name:** Banner Staffing Services-AZ ** Work Shift:** Day **Job Category:** Administrative Services **Estimated Pay Range:** $18.02 - $27.03 / hour, based… more
- Vanguard (Scottsdale, AZ)
- …give them the best chance for investment success." As an Advice Support Representative , you will partner closely with advisors to efficiently serve our advised ... your skill set and your career The Advice Support Representative role is a great launching point for individuals...a career in advice. In this role, you will work alongside Vanguard's financial advisors to help them meet… more
- CVS Health (Phoenix, AZ)
- …will be accountable for researching and resolving member escalations including Prior Authorization status, Specialty/Mail Order prescription concerns, as well ... with heart, each and every day. **Position Summary** The Client Support Representative for Aetna Commercial Client Support will focus on delivering exceptional… more
- Molina Healthcare (Chandler, AZ)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- HonorHealth (AZ)
- …billing and collecting, research, correspondence, payment and adjustment posting, charge entry, prior authorization , and a host of other duties to assure ... insurance accounts: Follow up required daily accounts based on work queue assignment to reduce the A/R Submit appeal...comply with Medicare and Managed care contracts payment methodologies Work the electronic denial file (835b) to ensure clean… more
- Banner Health (Phoenix, AZ)
- **Primary City/State:** Phoenix, Arizona **Department Name:** BUMCP Advanced Lung Disease ** Work Shift:** Day **Job Category:** Revenue Cycle Good health care is key ... Banner Health, we understand that, and that's why we work hard every day to make a difference in...computerized scheduling system. Verifies and reviews physician privilege status prior to scheduling. Interfaces with medical staff office to… more
- Vanguard (Scottsdale, AZ)
- …Advice & Wealth Management Qualifications: + Minimum of three years related work experience in the Financial Services industry. + Experience in client services ... are not currently registered with FINRA in any capacity, prior to moving into this licensed role, you will...this licensed role, you will be asked to provide authorization for Vanguard to conduct a credit and criminal… more
- Highmark Health (Phoenix, AZ)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- Adelante (Surprise, AZ)
- … work with patients to close gaps in care, provide insurance, referral, and prior authorization support, and may also conduct patient outreach to follow up on ... Advocate + Close gaps in care by assisting with prior authorization support and referrals + Perform...AND WORK ENVIRONMENT The physical demands and work environment characteristics described here are representative … more
- RTX Corporation (Tucson, AZ)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... + Typically requires a University Degree or equivalent experience and minimum 5 years prior relevant experience, or an Advanced Degree in a related field and minimum… more
- General Motors (Phoenix, AZ)
- …OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...employer of record on a government form, and any work authorization requiring a written submission or… more
- RTX Corporation (Tucson, AZ)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... You Must Have** + Typically requires a University Degree and minimum 2 years prior relevant experience, or an Advanced Degree in a related field. + Relevant… more
- TekSynap (Sierra Vista, AZ)
- …vision, peripheral vision, depth perception, and ability to adjust focus. ** WORK AUTHORIZATION /SECURITY CLEARANCE** + Citizenship: US + Clearance requirement: ... workflow is complete and accurate and submitted 90 days prior to ATO expiration date. + Attend monthly RMF...Information** ** WORK ENVIRONMENT AND PHYSICAL DEMANDS** The work environment characteristics described here are representative … more
- Select Medical (Phoenix, AZ)
- …financially viable. + Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. ... to improve quality of life for the community in which you live and work , developing and exploring new ideas, providing high-quality care and doing well by doing… more
- Adelante (Surprise, AZ)
- …work with patients to develop self-management goals, provide insurance, referral, and prior authorization support, and may also conduct patient outreach to ... the patient appointment by reviewing and updating patient records prior to patient arrival + Interview patient to obtain...AND WORK ENVIRONMENT The physical demands and work environment characteristics described here are representative … more
- Medtronic (Tempe, AZ)
- …experience and may require vocational or technical education or certification in addition to prior work experience **Nice to Have** + Associate or Bachelor of ... gas farm as assigned by team lead or manager. ** Work schedule: Night Shift C or D 5:30pm to...within the Responsibilities section of this job description are representative of those that must be met by an… more