- Actalent (Eagan, MN)
- 100% REMOTE POSITION( PRIOR AUTHORIZATION ) Job Title: Pharmacist : Job Description: Your main role will be utilizing your clinical skills to complete utilization ... management reviews ( Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will complete these reviews independently amongst a team of… more
- Abbott (Minnetonka, MN)
- …on economic buyer and commercial payer issues related to reimbursement, coverage, prior authorization , benefit management companies, and medical policy analysis ... or C-suite experience in hospital, physician practice and/or payer setting; or prior industry reimbursement and health care economics experience; or advanced degree… more
- Actalent (Minneapolis, MN)
- …experience. + Prescription review expertise. + Order verification skills. + Prior authorization knowledge. Work Environment This position operates during ... night shifts with a 7 on/7 off schedule, running from Monday to Sunday. Hours are 9:30 PM to 7:30 AM Monday-Thursday, and 9:30 PM to 8 AM on Saturday-Sunday. The pay for this position is $65/hour. Pay and Benefits The pay range for this position is $62.00 -… more
- Cardinal Health (St. Paul, MN)
- …and commercially insured payer common practices and policies, preferred * Previous prior authorization and appeals experience highly desired * Knowledge of ... ICD coding, preferred * Intermediate Microsoft skills with specific experience with Excel * Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency * Exceptional communication skills both verbally and written… 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
- Insight Global (Eagan, MN)
- …call and outbound calls to MDO, patients, PBMs, sending requests to MDO for prior authorization , etc. They will also be tasked with processing test claims ... in the system and working on rejections. Primary job responsibilities include the following: -Post all credit and debit adjustments to patient accounts -Follow-up on outstanding patient account balances -Perform collections duties on past due patient accounts… more
- Cardinal Health (St. Paul, MN)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. **Job Purpose:** This ... position is responsible for the management and maintenance of the revenue cycle practice management system, including the accurate loading and mapping of fee schedules, effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance… more
- Evolent (St. Paul, MN)
- …development methodologies and lifecycles + Experience with utilization management and/or prior authorization processes is preferred + Experience with the ... Telerik for Blazor UI component library and design system is preferred + Knowledge of health care regulations and compliance standards is preferred **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required… more
- Cognizant (St. Paul, MN)
- …provider, rendering provider, place of service, admission date, referring physician, prior authorization /referral number, procedure code (CPT) and the number ... of units performed, modifiers, and diagnosis code. + Ensure productivity and quality standards are adhered. + Highlights any process improvement ideas. + Update the daily workflow forecast process with any challenges. Requirements: + 2-3 years of experience… more
- Fairview Health Services (Brooklyn Park, 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