- US Tech Solutions (San Antonio, TX)
- …professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation ... professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation… more
- US Tech Solutions (San Antonio, TX)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Abbott (Plano, TX)
- …Blue Shield) + **Efficiently** **submits** **and manages precertification and prior authorization requests** + **Understands payer-specific requirements and ... and assisting Abbott patients with the pre-certification, pre-determination and authorization process necessary as a prerequisite to perform various procedures… more
- Abbott (Plano, TX)
- …Blue Shield) + **Efficiently** **submits** **and manages precertification and prior authorization requests** + **Understands payer-specific requirements and ... and assisting Abbott patients with the pre-certification, pre-determination and authorization process necessary as a prerequisite to perform various procedures… more
- Elevance Health (Houston, TX)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases… more
- Elevance Health (Grand Prairie, TX)
- …eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Obtains intake ... utilizing scripts to screen basic and complex requests for precertification and/or prior authorization . + Verifies benefits and/or eligibility information. + May… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …ambulatory surgery center, hospital, and billing department. + Responsible for collecting prior authorization information for all surgical procedures. + Schedule ... The surgical scheduler is required to initiate the insurance authorization process, schedule pre-admission testing and clearance appointments, and schedule… more
- Molina Healthcare (Austin, 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 (Houston, TX)
- …Job Duties** * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional ... requests. * Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy policies and procedures. *… more
- 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