- CVS Health (St. Paul, MN)
- …appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus ... Board certification in Family Medicine, General Surgery or Internal Medicine / Pediatrics - Prior UM experience working at Health Plan / Insurer or experience as a… more
- Cardinal Health (St. Paul, MN)
- …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... population . + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product… more
- Fairview Health Services (Edina, MN)
- …in a professional andtimelymanner. + Assistin resolving any billing issues, obtaining prior authorization for medications as needed, verifying eligibility and ... Technician Certification Board within 12 months of hire. If hired prior to 1/1/2018, National Healthcare Certification will be accepted. **Preferred** **Education**… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …etc. in test administration office and other appropriate locations in clinic * Complete prior authorization forms for testing and therapy * Other duties as ... assigned * Assist in maintaining standards for clinic/hospital accreditation by health management organizations, internship program accreditation by the American Psychological Association (APA), and state licensure *_QUALIFICATIONS_* /*Minimum… more
- Sanford Health (Bemidji, MN)
- …documents; discussing pre-payment responsibilities; initiation of patient financial assistance; prior authorization ; track patient visits; collaborating with ... patient financial services and health information management on patient accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance;… more
- Fairview Health Services (Burnsville, MN)
- …notes, etc) are received on time and available to the provider/care team. + Prior authorization is completed, if needed. + Appointments, labs, imaging are ... prioritized and sequenced appropriately. + Effectively communicates with customers (patients, caregivers, providers, care team members, outside health systems) in a professional and respectful manner. + Deliver a consistently high level of service and goes… more
- Essentia Health (Proctor, MN)
- …policies, and practices + Ability to administer medications + Responsible for handling prior authorization requests Educational Requirements: + BSN or ADN degree ... from an accredited school or college of nursing Preferred Qualifications: + Bachelors degree in Nursing + 1 year of nursing in specialty nursing **Licensure/Certification Qualifications:** Certification/Licensure Requirements: + Current license with the… more
- Caterpillar, Inc. (Brooklyn Park, MN)
- …available on a voluntary basis based on business needs and with leader prior authorization . **Required Qualification for Consideration:** + 2 years' experience ... in a mechanic or assembly field, heavy equipment assembly, or technical school with a focus in a mechanical or manufacturing field. + **Relevant experiences such as mechanical aptitude in a personal or professional setting must be described in application**… more
- Fairview Health Services (Hibbing, MN)
- …Assists care team in processing various forms and refill requests daily. + Obtain prior authorization and verification of coverage for private, MA/PMAP and all ... other insurances at the time of scheduling. + Collects and verifies all patient data from patients and enter into the EMR accurately at the time of scheduling to ensure smooth revenue cycle. + Coordinate and schedule outreach and ancillary appointments for the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …based on the prescription order * Triages insurance rejections and initiates prior authorization claims as needed * Uses appropriate pharmaceutical-medical ... terms, abbreviations, and symbols * Maintains a working knowledge of general chemical and physical properties of drugs * Compounding medications as per Minnesota Board of Pharmacy rules and regulations * Is responsible for safe and careful handling of… more