- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Prior Authorization UM Administration Coordinator 2 provides non-clinical support for the ... ensuring best and most appropriate treatment, care or services for members. Prior Authorization UM Administration Coordinator 2 + Support the UM Nurses to… more
- Actalent (Dallas, TX)
- … Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior Authorization pharmacy experience is Mandatory + Pharmacy Tech State ... Certification is Mandatory AND PTCB is Mandatory If you are Interested , Kindly give a call : ### Pay and Benefits The pay range for this position is $18.00 - $20.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification… more
- Methodist Health System (Dallas, TX)
- …professional responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for ... initiate pre- authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission, and strategic plans… more
- TEKsystems (Austin, TX)
- *Candidates must have prior experience with insurance verification or prior authorization for infusion therapies.* About the Role: + We are seeking a ... as needed. What You Bring: + Proven experience with insurance verification or prior authorization for infusions. + Strong understanding of healthcare billing and… more
- Molina Healthcare (Houston, TX)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional… more
- Providence (Lubbock, TX)
- …2 years of Medical office experience dealing with scheduling, telephone calls, prior pre-certification/ pre- authorization , as well as using an electronic medical ... patients requiring pre-certifications, referrals, RQI numbers or any kind of authorization from an insurance company. Primary responsibilities include speaking with… more
- US Tech Solutions (TX)
- **Job Title:** ** Prior Authorization Pharmacist** **Location:Remote** **Duration: 6+ months contract** **Job Description:** + Responsible for reviewing and ... completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual must have excellent interpersonal skills. +… more
- Evolent (Austin, TX)
- …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
- Caris Life Sciences (Irving, TX)
- …of experience in revenue cycle management with a focus on benefit verification, prior authorization , or pre-billing activities or with accessioning within a lab ... upfront portion of the billing process, including benefit investigations, prior authorizations, financial clearance, and payer-specific requirements. This leader… more
- Prime Therapeutics (Austin, TX)
- …Technician Sr - Remote **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