- Prime Therapeutics (Austin, TX)
- …may be in use in a Pharmacy Benefit Management setting (Claims Processing, Prior Authorization , Telephony, Membership, etc.). + Consideration will be given as ... what is typical of individuals with 2+ years of work experience. + Prior experience as a Business Intelligence Developer/Analyst or Data Analyst supporting business… more
- Actalent (Dallas, TX)
- …Preferred Qualifications: + Previous experience in a retail pharmacy setting. + Prior authorization experience. + Familiarity with third-party claims processing. ... determination request decisions. + Responding to client inquiries regarding authorization approvals and PBM online applications. + Referring coverage determination… more
- Texas Health Resources (Dallas, TX)
- …upcoming visits/ procedures. + Contact patients regarding financial obligations. + Obtain prior authorization for procedures. + Scanning medical documents into ... policy and procedures. Insurance Verification Specialist: + Responsible for pre-certification/ authorization and insurance verification for all patients. + Research,… more
- Evolent (Austin, TX)
- …with healthcare claims, reimbursement methodologies, and cost/utilization KPIs, including prior authorization data and key performance indicators (eg, ... Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population health… more
- Molina Healthcare (San Antonio, TX)
- …team in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management ... and interdisciplinary care team activities. + Ensures that authorization decisions are rendered by qualified medical personnel, without hindrance due to fiscal or… more
- Actalent (Missouri City, TX)
- …High School diploma or GED. + Strong computer skills Skills + Experience with prior authorization processes. + Proficiency in Microsoft Office and Outlook. + ... team. As a Pharmacy Technician, you will be reviewing Prior Authorizations for a Pharmacy Services department within a...company. You will be responsible for approving or denying prior authorizations and forwarding them to a pharmacist for… more
- Subaru of America (Coppell, TX)
- …for a DPSM in terms of reviewing Policy Adjustment Requests (PARs), with prior authorization from DPSM, and handles general questions regarding the assigned ... QUALIFICATIONS + Bachelor's degree in Automotive Technology/Management or related field. + Prior automotive experience a plus. + Advanced computer skills in Word,… more
- Actalent (Dallas, TX)
- …We're Looking For + 2+ years of front office experience in a clinical setting + Prior authorization experience is a must + Bilingual in Spanish and English + ... in patients with warmth and professionalism + Manage insurance verifications, prior authorizations, and copay collections + Schedule appointments and ensure smooth… more
- Ascension Health (Round Rock, 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
- CVS Health (Austin, TX)
- …request. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review. ... - Family Medicine, Emergency Medicine, Internal Medicine-Pediatrics Specialty Preferred. - Prior UM experience working at Health Plan / Insurer or experience… more