- TEKsystems (Fresno, CA)
- … Coordinator to join our team. This role is responsible for managing the prior authorization process for medical services, ensuring timely and accurate ... requirements for procedures, tests, and referrals. + Submit and track prior authorization requests to insurance providers, ensuring compliance with turnaround… more
- Sanofi Group (Bakersfield, CA)
- …billing and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization , specialty pharmacy operations, ... with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion therapy experience + Home care coordination… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing...of the business. BENEFITS for full time Employees + Medical , Dental, and Vision insurance + 401 (k) (available… more
- Stanford Health Care (Palo Alto, CA)
- …pharmacy - Manage patient scheduling for post-discharge TOC clinic -Support Medication Prior Authorization Consult Service -Projects and assignments as assigned ... related to areas of functional responsibility + Knowledge of Medical terminology and abbreviations; pharmacology and pharmacological nomenclature; medical… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …specific appeal arguments to submit to payers, where an appeal is warranted (eg medical necessity, prior authorization ). + Communicates regularly with the ... a collaborative position, the Revenue Cycle Liaison must work together with physicians, medical assistance, front desk staff, and Finance and IT staff (and staff… more
- LA Care Health Plan (Los Angeles, CA)
- …in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology required. Strong ... information in a timely manner and using the approved Authorization Request form with complete medical information ie: ICD 10 codes, CPT, HCPC codes. (35%)… more
- UCLA Health (Los Angeles, CA)
- …a flexible, customer-focused, detail-oriented individual with: + Experience with pharmaceutical/ medical insurance verification and authorization + Excellent ... Description As a Patient Authorization Representative, you will be responsible for: +...and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming… more
- Sutter Health (Sacramento, CA)
- …- Valley **Position Overview:** Successful candidate will have experience with medical authorizations including IDC-9 coding and medical terminology. Provides ... medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals and/or… more
- Sutter Health (San Francisco, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround… more
- Sutter Health (San Francisco, CA)
- …you are interested in joining Sutter Health! **Organization:** SPMF-Sutter Pacific Medical Foundation - South **Position Overview:** Provides medical ... administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals and/or authorizations… more