- Alameda Health System (San Leandro, CA)
- …provide timely, accurate, and quality to care and services. Process and submit required authorization and prior authorization forms with Health Plans or ... Generate required correspondence/review notification of patients and providers of authorization determination or any barriers leading to scheduled services such… more
- Sharp HealthCare (San Diego, CA)
- …referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as ... RN CM I will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion services.The RN CM I… more
- Alameda Health System (Oakland, CA)
- …Clinical Pharmacist Specialists and pharmacists to facilitate the process of obtaining prior authorization from third party payers in order to maximize ... Highland Pharmacy. 4. Preparing, processing, renewing and ongoing tracking of Prior Authorization Applications and Patient Assistance Program Applications for… more
- Akumin (Santa Cruz, CA)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... patients prior to procedures, which may include medical history. +...May schedule patient appointments and obtain insurance verification and/or authorization . + May prepare medical records for physicians, patients… more
- Sharp HealthCare (San Diego, CA)
- …issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, drug allergies, ... issue in a timely manner.Double checks each completed prescription prior to bagging, verifying that the labeled medications match...prescriptions, refills or balance for delivery or mail out prior to arrival of daily delivery driver.Follows up … more
- Sanofi Group (Bakersfield, CA)
- …financial assistance offerings, patient support, access, payer medical policy, prior authorization , specialty pharmacy operations, infusion center procedures ... + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion therapy experience + Home care… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …and external stakeholders + Review and educate offices on payer policies, including prior authorization requirements + Provide feedback to internal teams on ... reimbursement + At least 3 years of experience in benefit verifications, prior - authorization requirements, or equivalent experience in patient access, billing,… more
- The County of Los Angeles (Los Angeles, CA)
- …response team. + Assists Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + ... until the need of the service are met and is subject to close without prior notice The LA County Board of Supervisors recently declared a local state of emergency… more
- Evolent (Sacramento, CA)
- …learning models and algorithms to primarily improve the performance of our prior authorization platforms + Construct advanced SQL queries, perform preprocessing, ... systems into production environments + Healthcare experience, particularly using administrative and prior authorization data, with a passion for solving problems… more
- The County of Los Angeles (Los Angeles, CA)
- …response team. + Assists Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + ... needs of the service are met and is subject to closure without prior notice. TYPE OF RECRUITMENT Open Competitive Job Opportunity DEFINITION Provides specialized… more