- 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
- Actalent (Irving, TX)
- …+ Experience in data intake pharmacy. + Ability to demonstrate professionalism and prior authorization skills. + Experience in retail pharmacy is a plus. ... prescriptions accurately. + Verify patient information and proper physician authorization . + Calculate correct dosage volumes, converting between metric and… more
- United Therapeutics (TX)
- …coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate ... and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients. + Manage… more
- Centene Corporation (Austin, TX)
- …an active Oklahoma Psychologist license + Are familiar with Medicaid guidelines, prior authorization , and telehealth practices + Thrive in a collaborative, ... + Interact with the Medical Director, or designee, to discuss clinical authorization questions and concerns regarding specific cases + Respond to state, provider,… more
- Walgreens (Frisco, TX)
- …may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims ... and calling payers to update prior authorizations, as appropriate. + Coordinates enrolling patients with...care setting, pharmacy setting, pharmacy benefit, medical billing, or prior authorizations. + Intermediate level skill in Microsoft suite… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …for community healthcare providers and correctional detention facilities. + Obtains prior authorization form for correctional detention facility as needed ... and transfers. Ensures all necessary paper work is received and scanned into EMR prior to the date of patients appointment. + Participates in outreach and in-reach… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... Obtains/maintains required and preferred licenses, certifications, training, and continuing education prior to the deadlines including but not limited to preceptor… more
- Ascension Health (Austin, TX)
- …+ Identify and assist with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assist Pharmacist in ... Registration: + Pharmacy Tech credentialed from the Texas State Board of Pharmacy obtained prior to hire date or job transfer date required. Pharmacy intern would be… more