- Molina Healthcare (Tacoma, WA)
- …are seeking a candidate with a WA state LPN licensure. Candidates with previous prior authorization and MCO experience are highly preferred. Further details to ... with all state and federal regulations and guidelines. + Provides feedback on annual prior authorization policy changes. + Ensures prior authorization … more
- Molina Healthcare (Spokane, WA)
- …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
- Molina Healthcare (Tacoma, WA)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization… more
- Molina Healthcare (Everett, WA)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. +...Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization… more
- PeaceHealth (Bellingham, WA)
- …Manage referrals and work closely with team members to ensure optimum utilization and cost containment. Provide clerical support and assistance to staff. **Essential ... data entry and completion of referral forms/notifications. + Obtain insurance pre- authorization for patients and reauthorization of additional treatment. + Ensure… more
- PeaceHealth (Bellingham, WA)
- …management of referrals; working closely with team members to ensure optimum utilization and cost containment. Provides clerical support and assistance to staff. ... data entry and completion of referral forms/notifications. Obtains insurance pre- authorization for patients and reauthorization of additional treatment. Ensures… more