- Elevance Health (Indianapolis, IN)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... **Utilization Management Representative II** **Virtual:** This role enables associates to...to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility… more
- Elevance Health (Indianapolis, IN)
- …Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... **Title: Utilization Management Representative I** **Virtual:** This role enables associates to...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- Intermountain Health (Indianapolis, IN)
- …appropriate accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . + Assists patients in completing ... **Job Description:** The Patient Service Representative (PSR) serves as the first connection between...necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary… more
- Highmark Health (Indianapolis, IN)
- …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. +...and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. +… more