- University of Utah (Salt Lake City, UT)
- …**Job Title** Prior Authorization Representative I **Working Title** Prior Authorization Rep I **Career Progression Track** UGR **Track Level** ... close at any time)** 01/22/2026 **Job Summary** We are looking for an experienced Prior Authorization Representative to join our team. As the ** Prior … more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely...and judgement calls to the pharmacist team. + The Rep I, Clinical Services will also assist with other… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of ... timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and courteous when addressing… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Job Description:** The Rep I, Clinical Services takes in-bound calls from...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing...environment PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an… more
- Avera (Pierre, SD)
- …patients. Work where you matter.** **A Brief Overview** Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and ... from insurers for testing, surgery, therapies, subspecialty referral and any other prior authorization required by the patient's insurance carrier +… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... CRS, and private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology, CPT, and ICD-10… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of ... timely billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing… more
- Ochsner Health (New Orleans, LA)
- …with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- Mayo Clinic (Rochester, MN)
- …that call into the Prior Auth department. The Precertification and Authorization Call Center Representative I is an intermediate level position that ... the Revenue Cycle Patient Access team. The Precertification and Authorization Call Center Representative I reports to...is responsible for resolving referral, precertification, and/or prior authorization concerns, to support calls coming… more
- Mayo Clinic (Rochester, MN)
- …a long, successful career with Mayo Clinic. **Responsibilities** The Precertification and Authorization Representative is an intermediate level position that is ... responsible for resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all commercial, government… more
- HCA Healthcare (Brentwood, TN)
- …Submit your application for the opportunity below: Patient Access Central Unit Authorization Rep . **Benefits** Parallon offers a total rewards package that ... location._** We are seeking a Patient Access Central Unit Authorization Rep for our team to ensure...with hospital gatekeeper. + Contact physician to resolve issueregarding prior authorization or referral forms. + Perform… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** 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 and non-clinical staff,… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Prime Healthcare (Chicago, IL)
- …West Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining ... are required. Preferred qualification: 1. Previous experience in pharmacy, infusion, or prior authorization process is preferred. Pay Transparency Saint Francis… more
- Fairview Health Services (Minneapolis, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... **Job Overview** We are seeking a financial clearance rep (FCR) to join our rehab services team!...each step taken in the process of acquiring benefits, prior authorization , or confirmation compensability determination. +… more
- University of Rochester (Rochester, NY)
- …some interpretation; maintains an expert-level understanding of the department/division + Prior authorization functionality will be required for testing and ... medical information outside of URMC. + It also includes getting prior authorization for surgeries that may require speaking with insurance company nurses… more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... 7:00 AM to 3:30 PM Summary: The Patient Service Representative III is a supporting position and is responsible...practice challenges. The PSRIII is responsible to obtain all prior images pertinent to the appointments, load and align… more
- St. Luke's Health System (Boise, ID)
- …regulations, and insurance guidelines. + Stays updated on insurance policy changes, prior authorization trends, and oncology treatment protocols. + Performs ... pharmacy staff, coders, and insurance companies, to navigate the treatment authorization process and secure prior authorizations for oncology treatments,… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more