- Molina Healthcare (South Florida, FL)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from… more
- Intermountain Health (Tallahassee, FL)
- …+ Retail pharmacy experience + Health system pharmacy. + Past Refill authorization experience + Previous experience working in an integrated healthcare delivery ... system + Board Certification + Health System Residency **Physical Requirements:** **Physical Requirements** + Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer… more
- CVS Health (Tallahassee, FL)
- …**Position Summary** The Tech I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The Tech I ... will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Tech I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be successful… more
- University of Miami (Medley, FL)
- …timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of ... + Contact Primary Care Physician offices and/or Health Plans to obtain authorization or referral for scheduled services according to authorization guidelines… more
- General Dynamics Information Technology (Pensacola, FL)
- …and the Delegated and/or Authorizing Official (DAO/AO) on any assessment and authorization issues. + Evaluate Authorization packages and make recommendation to ... the AO and/or DAO for authorization . + Evaluate IS threats and vulnerabilities to determine...and prepare the Security Assessment Report (SAR) for the Authorization boundary. + Initiate a Plan of Action and… more
- University of Miami (North Miami, FL)
- …is responsible for the verification of insurance eligibility, benefits and obtaining authorization for all insurance carriers for all outpatient office visits and ... timely manner in support of patient satisfaction and allow for referral and authorization activities prior to the patient's date of service + Verification of… more
- AdventHealth (Altamonte Springs, FL)
- …are equally respectful to all. Job Keywords: Registration Representative, Authorization Representative, Patient Registration, PreAccess, Maitland **The value you'll ... and during or after care for unscheduled patients. Accurately enters required authorization information in AdventHealth systems to include length of authorization… more
- University of Miami (Miami, FL)
- …regarding donation options. The OPO Donor Family Advocate conducts discussion of authorization by donor designation (ie, first-person authorization via the donor ... registry, when applicable) or requests authorization for donation from legal NOK. This position assists...of potential donors and participates in the discussion of authorization by donor designation (when applicable) or request for… more
- General Dynamics Information Technology (Fort Walton Beach, FL)
- …environment of operation to include developing and updating the authorization documentation, implementing configuration management across authorization ... in meeting their duties and responsibilities. + Prepare, review, and update authorization packages. + Ensure approved procedures are in place for clearing,… more
- Surgery Care Affiliates (Tallahassee, FL)
- …individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information. + Enter the patient insurance information into patient ... to review, Physician Ownership, Advance Directives and Patient Rights. Authorization : + Obtain authorizations from insurance companies/physician offices. Ensure… more