- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the… more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the… more
- Evolent (Tallahassee, FL)
- …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
- HCA Healthcare (Trinity, FL)
- …experience is required, scheduling preferred. + Insurance verification and gaining prior authorization experience preferred. + Medical terminology is preferred. ... then monitor, audit and distribute the schedule. + You will obtain precertification/ authorization numbers and enter them in the scheduling or registration system. +… more
- Actalent (Tampa, FL)
- …Preferred Qualifications: . Previous experience in a retail pharmacy setting. . Prior authorization experience. . Certified Pharmacy Technician (PTCB or NHA). ... determination request decisions. . Responding to client inquiries regarding authorization approvals and PBM online applications. . Referring coverage determination… more
- Evolent (Tallahassee, FL)
- …with healthcare claims, reimbursement methodologies, and cost/utilization KPIs, including prior authorization data and key performance indicators (eg, ... Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population health… more
- AssistRx (Orlando, FL)
- …preferred. + Familiarity with PSP workflows including hub services, copay programs, prior authorization , and nurse support. + Strong understanding of data ... employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept… more
- University of Miami (Miami, FL)
- …+ Assists in scheduling imaging appointments at UM facility. + Assists in prior authorization paperwork for specialty medications. + Contact patients as directed ... and referral numbers. + Reviews clinical records for completeness including authorization , signatures, missing data, and other patient information. + Answers… more
- Molina Healthcare (Orlando, FL)
- …team in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management ... and interdisciplinary care team activities. + Ensures that authorization decisions are rendered by qualified medical personnel, without hindrance due to fiscal or… more
- University of Miami (Miami, FL)
- …requests and request medical records for continued patient care. + Obtain prior authorization for imaging service, Physical Therapy, Occupational Therapy, etc. ... for meetings and/or presentations and is kept abreast of important information prior to any meetings/conference calls. + Uses independent judgement to respond on… more