- Cardinal Health (Fresno, CA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This position is ... must be knowledgeable of a variety of Insurance Plans and Policies. Prior Authorization Coordinator **Responsibilities** + Receives chemotherapy orders and… more
- TEKsystems (Modesto, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain ... patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain … more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Experience in Medi-Cal managed care. 1 year of experience in UM/ Prior Authorization . Skills Required: Demonstrated proficiency in Medical Terminology ... Authorization Technician II (12 Month Assignment) Job Category:...net required to achieve that purpose. Job Summary The Authorization Technician II supports the Utilization Management (UM) Specialist… more
- Aston Carter (Newark, CA)
- …+ Provide orientation and training to new staff as assigned. Essential Skills + Prior authorization experience + Medical and retail pharmacy knowledge + Data ... Job Title: Authorization CoordinatorJob Description The Authorization Coordinator is responsible for confidentially reviewing medical records to ensure proper… 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....eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization… more
- TEKsystems (Emeryville, CA)
- …of Emeryville, CA. Key Responsibilities + Verify insurance coverage and determine if prior authorization is required for services + Obtain authorizations for ... system + Minimum 2 years of experience in insurance verification and prior authorization processes + High attention to detail and ability to manage… more
- Aston Carter (Stanford, CA)
- …policies. * Provides orientation and training to new staff as assigned. Skills Prior authorization , Medical, Retail pharmacy, Data entry, Health care, Medical ... terminology, Customer service, Administrative skills Top Skills Details Prior authorization ,Medical,Retail pharmacy,Data entry Additional Skills & Qualifications… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... responsible for coordinating the daily operations of the UM Pre- Authorization team in order to ensure requests are processed in a consistent and timely manner while… more
- Cedars-Sinai (Los Angeles, CA)
- …related roles required. + Certified Healthcare Access Associate (CHAA) preferred. + Prior ICD 10/CPT codes & authorization submission experience strongly ... : 10419 **Working Title** : Patient Access Rep III - CSRC Central Authorization - Full-Time **Department** : CSMC 8560014 CSRC Central Authorization **Business… more
- Sharp HealthCare (San Diego, CA)
- …to obtain laboratory data or pertinent chart notes for all prior authorization requests.Processes information received, verifying eligibility and benefits ... Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices and/or pharmacies,… more