- UCLA Health (Los Angeles, CA)
- …collection of accurate demographic information, soliciting for insurance information and prior authorization requirements and follow up. Provide general ... information to incoming callers regarding the referral intake process. Process managed care authorizations. Typing, faxing and maintain daily/weekly records regarding internal and incoming transplant program referrals. Delivering CICARE World Class Care… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …to submit to payers, where an appeal is warranted (eg medical necessity, prior authorization ). + Communicates regularly with the management staff, as ... appropriate, to ensure the smooth and efficient workflow and processes throughout the Health Centers. + Maintains current knowledge of billing practices, procedure codes, and patient insurances. Enlists the assistance of the Chief Financial Officer and/or… more
- UCLA Health (Los Angeles, CA)
- …and verifying accurate patient demographic and insurance information + Coordinating prior authorization requirements and performing timely follow-up + Providing ... general information and guidance to patients and callers regarding the referral intake process + Processing managed care authorizations + Maintaining daily and weekly records of internal and incoming transplant referrals + Performing administrative tasks such… more
- Highmark Health (Sacramento, CA)
- …and implementation of utilization management programs including but not limited to: prior authorization , dose and duration edits, quantity limits, step-care ... edits, generic sampling medical policy review and development, member facing outreach initiatives + Develop and implement physician, pharmacy, account, and member educational initiatives that promote the Organization's Formularies, utilization management… more
- UCLA Health (Los Angeles, CA)
- …prescriptions as well as inventory management, medication delivery at bedside, prior authorization , Mailout process, medication reconciliation and other duties ... as assigned. Schedule: Varied hours, depending on department needs, including weekends and holidays Hourly Salary Range: $27.88 - 40.04 (Union represented, step based salary depending on years of experience) + Pharmacy Technician I (9283): Less than 2 years of… more
- UCLA Health (Los Angeles, CA)
- Description As a Patient Authorization Representative, you will be responsible for: + Pre-encountering and pre-registering patients as well as providing registration ... insurance and enter insurance benefits information into the CareConnect system prior to appointments + Determining co-pays and deductibles; confirming and obtaining… more
- Sutter Health (San Francisco, CA)
- …Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals ... accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans… more
- Chevron Corporation (San Ramon, CA)
- …given **Required Intern Qualifications** * Geographically mobile * Permanent US Work Authorization Prior interns typically have completed a bachelor's degree in ... and Business Unit roles. Assignments are driven by business needs. ** Prior internship assignments include:** * Business Intelligence & Data Visualization (eg,… more
- The County of Los Angeles (Los Angeles, CA)
- …no-cost/low-cost programs, such as ATP and UMDAP. Verifies coverage and empanelment prior to scheduling. Identifies when authorization and/or letter of agreement ... services are met and is subject to closure without prior notice. Los Angeles County is under a Department...private insurance companies to verify coverage and to obtain authorization for services; verifies existing governmental coverage for health… more
- L3Harris (San Diego, CA)
- …and initiative to learn and acquire new skillsets Preferred Additional Skills: + Prior experience with JSIG/ICD Assessment & Authorization (A&A) process. + Have ... Information System Security policies, standards, and directives to ensure authorization and accreditation of information systems processing US Government classified… more