- ASM Global (Houston, TX)
- …north dock at NRG Stadium and NRG Center. + Ensuring all shipments received have prior authorization and verifying with the tenant any shipmentswithout prior ... below are representative of the knowledge, skill, and/or ability required. + Prior facility, operations, or administrative experience preferred but not required. +… more
- Molina Healthcare (Fort Worth, 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
- University of Texas Rio Grande Valley (Mcallen, TX)
- …and outpatient and instructs patients of needed personal surgical preparation. May obtain prior authorization and assist patient with knowledge of cost of ... levels effectively. Description of Duties * Sets up operating/procedure room prior to surgical procedure/procedures. Maintains sterile field and protects the… more
- Actalent (Houston, TX)
- …+ Strong computer skills, including proficiency in Microsoft Office. + Experience with prior authorization processes. + Customer service and data entry skills. ... Job Description We are seeking a dedicated Pharmacy Technician to review Prior Authorizations for a Pharmacy Services department within a large healthcare insurance… more
- Sanofi Group (Dallas, TX)
- …financial assistance offerings, patient support, access, payer medical policy, prior authorization , specialty pharmacy operations, infusion center procedures ... + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion therapy experience + Home care… more
- Actalent (Houston, TX)
- …+ Customer service skills. + Data entry proficiency. + Experience with Prior Authorization processes. + Registered Pharmacy Technician. Additional Skills & ... within a large healthcare insurance company. The role involves reviewing Prior Authorizations for determinations, managing health plans, and handling various types… more
- Elevance Health (Grand Prairie, TX)
- …outreach to patients and prescribers for resolution on open issues. + Processes prior authorization requests from physicians and ensures compliance with all ... regulatory requirements; informs relevant parties of all prior authorization determinations. + Provides resolution to grievances and appeals issues. + Managing… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …and external stakeholders + Review and educate offices on payer policies, including prior authorization requirements + Provide feedback to internal teams on ... reimbursement + At least 3 years of experience in benefit verifications, prior - authorization requirements, or equivalent experience in patient access, billing,… more
- TEKsystems (Houston, TX)
- …and medical insurance programs billing alternate funding resources reimbursement processes prior authorization and appeal filings and specialty pharmacy ... Benefits Environment 4-5 Years of Insurance Verification 3-4 Years of Prior Authorization 3-4 Years of Call Center Strong Medical Terminology High School… more
- Evolent (Austin, TX)
- …learning models and algorithms to primarily improve the performance of our prior authorization platforms + Construct advanced SQL queries, perform preprocessing, ... systems into production environments + Healthcare experience, particularly using administrative and prior authorization data, with a passion for solving problems… more