- Methodist Health System (Richardson, 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
- University of Texas Rio Grande Valley (Edinburg, TX)
- …None Licenses/Certifications None Required Experience One (1) year of experience processing prior authorizations and referrals in a medical setting. Knowledge of ... Position Information Posting NumberSRGV8412 Working TitlePRIOR AUTHORIZATION AND REFERRAL SPECIALIST Number of Vacancies1 LocationEdinburg, Texas DepartmentSchool of… more
- Actalent (Houston, TX)
- … Prior Authorizations + Insurance Verifications Qualifications: + 2+ 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
- Houston Methodist (Houston, TX)
- …parties as needed. **SERVICE ESSENTIAL FUNCTIONS** + Initiate and manage the authorization process for medical services and simple procedures and treatments. ... FUNCTIONS** + Utilizes multiple online resources to initiate and verify proper insurance authorization is obtained timely and accurately prior to the patient's… 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
- Houston Behavioral Healthcare Hospital (Houston, TX)
- …Bachelors Degree in Psychology or related field preferred. 1 year experience in a medical related field and/or prior authorization experience preferred. 3 ... provided to patients or on behalf of patients in medical record and AIS. + Performs required task/duties accurately...care. + Assist with chart audits and completion of medical records. + Other duties as assigned Knowledge, Skills… 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 (San Antonio, 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
- Molina Healthcare (Fort Worth, 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