- Methodist Health System (Dallas, TX)
- …responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for proposed ... initiate pre- authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission, and strategic plans… more
- Molina Healthcare (Dallas, TX)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- Sanofi Group (Dallas, TX)
- …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
- CVS Health (Austin, TX)
- …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
- Actalent (Houston, TX)
- … Prior Authorizations + Insurance Verifications Qualifications: + 5+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy Tech State ... the benefits available for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement… more
- Molina Healthcare (Houston, TX)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
- TEKsystems (Austin, TX)
- *Candidates must have prior experience with insurance verification or prior authorization for infusion therapies.* About the Role: + We are seeking a ... You Bring: + Proven experience with insurance verification or prior authorization for infusions. + Strong understanding...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
- Elevance Health (TX)
- …background. MBA preferred. **Preferred Skills, Capabilities and Experiences** + Experience with medical benefits verification and prior authorization . + ... and incentive bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits, 401(k) +match,… more
- US Tech Solutions (San Antonio, TX)
- …that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Molina Healthcare (Houston, TX)
- …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... a compact licensure. The ideal candidate will have experience with UM and prior authorization , within both Physical Health and Behavioral Health. Candidates with… more
Recent Jobs
-
RN Cath Lab Post Op/Pre Op
- Community Health Systems (Bullhead City, AZ)
-
Licensed Practical Nurse - LPN LVN
- Fresenius Medical Center (Vancouver, WA)
-
State Income Tax Senior Manager
- EchoStar (Englewood, CO)
-
Special Education Teacher Grades 6-8 Behavior Focused (Sign on Bonus $5,000)
- Fort Dodge Community School District (Fort Dodge, IA)