- 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
- Actalent (Austin, TX)
- …Process and verify prescription orders with accuracy and efficiency + Support prior authorization workflows and medication reviews + Communicate with providers, ... patients, and pharmacies to resolve medication-related issues + Maintain compliance with state and federal regulations + Document activities in electronic systems with precision and confidentiality What You Bring + Active Pharmacy Technician license (required)… more
- Urology Clinics of North Texas (Dallas, TX)
- …providers * Process prescription refills and medication requests * Assist with prior authorization paperwork and insurance coordination * Communicate with ... providers and pharmacy staff to clarify or verify prescriptions * Maintain accurate documentation in patient records and pharmacy systems * Support medication adherence outreach and patient follow-up * Perform other administrative tasks to support the pharmacy… more
- Community Health Systems (Victoria, TX)
- …details from physicians as needed. + Contacts insurance companies to secure prior authorization and logs all pre-certification orders in tracking systems ... and SOAP notes when necessary. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + Coursework or certification in Healthcare Administration, Medical Office Management, or related fields preferred + 0-1 years of… more
- CVS Health (Austin, TX)
- …work schedules will include holidays and evening hours **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care ... experience + Experience using MedCompass + Ambulatory surgery experience **Education** Associates degree required BSN preferred **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $29.10 - $62.32 This… more
- Sumitomo Pharma (Austin, TX)
- …services for SMPA's product portfolio, including hub services (benefits investigation, prior authorization , and appeals support), field reimbursement managers, ... Patient Assistance Program (PAP) and copay assistance programs + Drive **data-driven decision-making** , leveraging patient insights and real-world evidence to refine program effectiveness, + **Vendor Oversight** + Oversee **third-party service providers** ,… more
- Texas Health Resources (Flower Mound, TX)
- …(REQUIRED) + At least 3 years of Clinic Experience (STRONGLY PREFERRED) + Prior Authorization experience (STRONGLY PREFERRED) + Back Office Experience (STRONGLY ... PREFERRED) **Position Responsibilities** THPG Licensed Vocational Nurse, under the supervision of a Registered Nurse or Physician, this position functions as a vital member of the healthcare team who contributes to the success of the practice by demonstrating… more
- UTMB Health (Webster, TX)
- …of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing ... of prescription + Proficient in the use of financial assistance software + Proficient in C2 safe operation and/or OR anesthesia narcotic reconciliation + Advanced skill in the use of technology within area of assignment + Works with leaders and team members to… more
- UTMB Health (Webster, TX)
- …of immunizations + Works with patients, providers, and payers to obtain prior authorization + Resolves billing/adjudication issues encountered in the processing ... of prescription + Proficient in the use of financial assistance software + Proficient in C2 safe operation and/or OR anesthesia narcotic reconciliation + Advanced skill in the use of technology within area of assignment + Works with leaders and team members to… more
- Cardinal Health (Austin, TX)
- …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance +… more