- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the ... Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance. + Maintains working knowledge of… more
- Northern Light Health (Brewer, ME)
- …eligible. Summary: This is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the Northern Light ... centralized service which assists with all aspects of the medication refill and prior authorization ...specialist will assist with all aspects of the medication refill process using established guidelines to facilitate … more
- Froedtert South (Kenosha, WI)
- Prior Authorization /Referral Specialist Froedtert South Kenosha, WI (Onsite) Full-Time Apply on company site Job Details + POSITION PURPOSE + A Prior - ... are met for both the facility and professional services The Prior - Authorization /Referral Specialist provides detailed documentation and communication… more
- Health Advocates Network (Phoenix, AZ)
- Contract to Hire **Job # 24125 Prior Authorization /Referral Specialist ** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity ... that recognize the value of better talent. **Compensation and Schedule for the Prior Authorization /Referral Specialist ** Prior Authorization /Referral… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment... ordered is the same as what is being prior authorized + Validate medication ordered is… more
- BrightSpring Health Services (Englewood, CO)
- …patients nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist role will be responsible for ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with… more
- Sharp HealthCare (San Diego, CA)
- …pharmacy insurance eligibility.Effectively utilize the EMR, as well as online authorization sites for medication programs, ie CoverMyMeds.Demonstrate and apply ... from patients, medical providers, insurance companies and pharmacies requesting prior authorizations.Collaborate with ancillary and operational departments to research… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Summary** The...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- Beth Israel Lahey Health (Boston, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... Day (United States of America) Based in Charlestown, the Medication Access Specialist position has a hybrid...and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for… more
- Beth Israel Lahey Health (Norwood, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... Shift:** Day (United States of America) Job Summary: The Medication Access Specialist will fulfill all of...and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for… more
- UCHealth (Denver, CO)
- …an insurance specialist whose work includes benefits investigation, submitting prior authorization requests, and processing payor denials and approvals. MAS ... ambulatory specialty and primary care clinics. A Medication Access Specialist (MAS) is...third-party insurance, clinical staff/pharmacists, and patients to effectively process prior authorization requests for medications within the… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information ... orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care review… more
- DMC Primary Care (Derry, NH)
- …to process refill requests per protocol/guidelines + Calculate when refills are due prior to sending to provider for authorization + Authorize drug refill ... our patient's needs. We are seeking a personable, motivated, and professional Refill Specialist to join our multi-disciplinary healthcare team. This is a full time… more
- University of Rochester (Rochester, NY)
- …clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of ... be able to establish strong collaborative working relationships. **RESPONSIBILITIES:** ** Prior Authorization Management** Highly knowledgeable of the current… more
- Hartford HealthCare (Hartford, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... surgery and or medication . . Contacts insurance companies to obtain prior authorization via telephone and/or portals and provides necessary clinical… 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,...required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- University of Virginia (Charlottesville, VA)
- …and specialist pharmacy technician. + Prioritize and process incoming prior authorization requests with urgency, utilizing CoverMyMeds, payer websites, and ... The Pharmacy Medication Authorization Technician evaluates and obtains...internal departments to obtain necessary information and documentation for prior authorization requests. + Initiate appeals for… more
- University of Virginia (Charlottesville, VA)
- The Pharmacy Medication Authorization Technician evaluates and obtains medication authorizations for all patients. This may include authorizations covered ... and changes as well as departmental policies and procedures is required. The Pharmacy Medication Authorization Technician is able to complete the duties of a… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... regimens, adherence to medication regimens and adverse effects of medication regimens to patients/caregivers prior to discharge of allogeneic SCT patients… more
- Henry Ford Health System (Bingham Farms, MI)
- …place referral for patient follow-up in specialty clinics/departments, and facilitate prior authorization with appropriate pharmacy partners across the system. ... care team. PRINCIPLE DUTIES AND RESPONSIBILITIES: For Ambulatory Clinical Pharmacy Specialist : . Provides comprehensive medication and disease state management… more