- Robert Half Office Team (MN)
- …+ Sort and index incoming electronic fax transmittals into the appropriate Prior Authorization System (PAS) workbaskets. + Research and verify member, ... provider, and drug information using multiple systems. + Review incoming Prior Authorization (PA) faxes and initiate coverage determination requests within… more
- Mayo Clinic (Rochester, MN)
- …Revenue Cycle, or Healthcare. **The preferred applicant** will have previous experience in prior authorization , reviewing prior authorization denials, ... with information from each new employee's Form I-9 to confirm work authorization . **Recruiter** Ronnie Bartz **Equal opportunity** As an Affirmative Action and Equal… more
- Mille Lacs Health System (Onamia, MN)
- …the direction of the Health Information Supervisor/Director of Revenue Cycle. The Prior Authorization Coordinator (PAC) is responsible for ensuring that payers ... with insurance companies within the electronic medical record. + Document all prior authorization information including approval dates, billing units, procedure… more
- Medtronic (MN)
- …patient access to technology by assisting physicians, hospitals, and patients with prior authorization and appeal management. This position will interface with ... Assist physicians, hospitals, and patients in understanding details of coverage polices, prior authorization , and denial management for pelvic health therapies.… more
- Fairview Health Services (Minneapolis, MN)
- …requirements are met per payor guidelines. They will provide support and process prior authorization appeals and denials, when necessary, in conjunction with ... . Document each step taken in the process of acquiring benefits, prior authorization , or confirmation compensability determination. . Document pertinent… more
- Evolent (Workman, MN)
- …and informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned ... Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services.… more
- Evolent (Workman, MN)
- …team, ensuring the effective and efficient management of operations related to prior authorization services for healthcare companies. This role is essential ... + Implement and manage processes that enhance efficiency and effectiveness in handling prior authorization requests. + Analyze call metrics and other performance… more
- Robert Half Office Team (Eden Prairie, MN)
- …incoming fax transmittals, ensuring they are accurately indexed into the appropriate Prior Authorization system. * Conduct research to identify member, provider, ... and drug information across multiple computer systems. * Review incoming prior authorization requests and initiate coverage determination processes promptly and… more
- Prime Therapeutics (St. Paul, MN)
- …Pharmacy Technician Sr **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Sanford Health (Bemidji, MN)
- …relating to the implementation, ongoing evaluation, and improvements to UM and/or prior authorization processes with applicable. Completes activities relating to ... regulations and internal policies that effect resource utilization and potentially, prior authorization . Assists the department in monitoring the utilization… more