- Akumin (El Paso, TX)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... patients prior to procedures, which may include medical history. +...May schedule patient appointments and obtain insurance verification and/or authorization . + May prepare medical records for physicians, patients… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... of a prior authorization request + Thoroughly researches issues and takes appropriate action to resolve them using the appropriate reference material within… more
- Molina Healthcare (Fort Worth, TX)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience in a hospital acute care, inpatient review, prior authorization , and/or managed care setting, or equivalent combination of relevant education… more
- Molina Healthcare (San Antonio, TX)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- Molina Healthcare (Dallas, TX)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... health care experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- Molina Healthcare (Houston, TX)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- Molina Healthcare (Fort Worth, TX)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- Walgreens (Dallas, TX)
- …all external billing practices including but not limited to third party adjudications, prior authorization , and patient financial assistance programs in order to ... to maximize generic substitution opportunities. + Manage and collect patient balances prior to prescription dispensing, or in accordance with company policy. +… more
- Molina Healthcare (San Antonio, TX)
- …to plan members. * Provides leadership and expertise in performance of prior authorization , inpatient concurrent review, discharge planning, care management and ... mentors and develops medical director staff as needed. * Ensures that authorization decisions are rendered by qualified medical personnel and without hindrance due… more
- Actalent (Irving, TX)
- …& Qualifications + Proficient typing skills. + Experience in customer service and prior authorization . + Experience in a call center environment. Work ... Read and interpret prescriptions accurately, verifying patient information and physician authorization . + Calculate correct dosage volumes and day supply, converting… more