- Indian Health Service (Naytahwaush, MN)
- …that includes interviewing patients, experience obtained with billing and prior authorization of insurance, updating patient registration information, ... and eligibility requirements. GS-06: Experience and expertise obtained with billing and prior authorization of insurance, hospital or clinic setting performing… more
- Adecco US, Inc. (Minneapolis, MN)
- …computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, ... clarify clinical questions, interpret guideline criteria, and provide decisions on prior authorization requests. . Collaborate with pharmacy technicians and/or… more
- Mayo Clinic (Rochester, MN)
- …their arrival to the clinic, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily with physicians, ... and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work… more
- CVS Health (Bloomington, MN)
- …Sr. Coordinator is responsible for the operational development and performance of prior authorization criteria to include configuration data, clinical protocols, ... and medical notification documents within CVS Health's Medical Claims and Prior Authorization platform (Novologix). The position works closely with other… more
- Evolent (Workman, MN)
- …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
- Mayo Clinic (Rochester, MN)
- …and in writing. Previous experience in healthcare preferred. Previous insurance and prior authorization experience preferred. 2 years' experience in an ... with information from each new employee's Form I-9 to confirm work authorization . **Recruiter** Gloria Yarwood **Equal opportunity** As an Affirmative Action and… more
- Medtronic (MN)
- …or adjacent to the managed care and health insurance industry especially in prior authorization services. + Customer-facing experience in either a call-center or ... in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify… more
- Evolent (St. Paul, MN)
- …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
- State of Minnesota (Anoka, MN)
- …treatment to some of Minnesota's most vulnerable adults? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
- State of Minnesota (Willmar, MN)
- …treatment to some of Minnesota's most vulnerable kids? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more