- TEKsystems (Dallas, TX)
- …correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care managers may also ... a commitment to lifelong learning and improvement. Skills insurance verification, prior authorization , medical insurance, Customer service, Multi tasking, Call… 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
- CenterWell (Austin, TX)
- …Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to ... Define and track KPIs related to referral throughput, network utilization, and prior authorization efficiency; use data to drive continuous improvement. +… more
- Amgen (Houston, TX)
- …on UPLIZNA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access + ... upon patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements + Provide… more
- US Tech Solutions (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- US Tech Solutions (San Antonio, TX)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Abbott (Plano, TX)
- …Blue Shield) + **Efficiently** **submits** **and manages precertification and prior authorization requests** + **Understands payer-specific requirements and ... and assisting Abbott patients with the pre-certification, pre-determination and authorization process necessary as a prerequisite to perform various procedures… more
- Abbott (Plano, TX)
- …Blue Shield) + **Efficiently** **submits** **and manages precertification and prior authorization requests** + **Understands payer-specific requirements and ... and assisting Abbott patients with the pre-certification, pre-determination and authorization process necessary as a prerequisite to perform various procedures… more
- Elevance Health (Houston, TX)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases… more
- Elevance Health (Grand Prairie, TX)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... utilizing scripts to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility information. + May… more