- Elevance Health (Los Angeles, CA)
- …quality assurance for non-clinical configuration and aids in implementing pharmacy and medical programs related to prior authorization . **Minimum ... and communicates project status. + Assist in configuring and maintaining the prior authorization workflow tool, efficiently resolving support tickets, and… more
- 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
- CVS Health (Sacramento, CA)
- …and/or medically necessary indications and review clinical documentation in support of prior authorization reviews. The primary function of the clinical ... and/or medically necessary indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist… 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