- Option Care Health (Austin, TX)
- …Summary:** This position is responsible for processing benefit verification or authorization responsibilities of all new referrals within the expected speed and ... quality **Job Description:** **Job Responsibilities** "Military (Tricare/VA) Authorization experience highly preferred." + Processes benefit verification or … more
- US Tech Solutions (May, OK)
- …phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. Transfers ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or lines of… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue, Rochester, NY 14621 Hours Per Week: 20Schedule: Monday - ... across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals, step therapy… more
- Trinity Health (Stafford Springs, CT)
- …obtained + Responsible for satisfying admission notice requirements for pre-certification/ authorization for HMO/commercial payers in order to meet contractual ... that are being held in A/R due to lack of prior authorization **Minimum Qualifications** + Education: High School Graduate, some college experienced preferred… more
- Dignity Health (Woodland, CA)
- **Responsibilities** **Position Summary:** The Authorization Clerk provide support to physician offices through verification and update of patient demographics and ... insurance data. Schedule, cancel, reschedule, and coordinate patient appointments using the IDX system. Collect patient data as required. Verify and pre-authorize insurance coverage for procedures and schedule follow-up appointments. **Qualifications**… more
- SUNY Upstate Medical University (Syracuse, NY)
- …timely manner. Primary functions include: contact payers to determine if authorization for services is required prior to rendering services. Minimum Qualifications: ... Associates Degree and two years relevant patient financial/insurance services experience in a healthcare related setting or equivalent combination of education and experience required. Basic knowledge of various types of office equipment and computer programs:… more
- WesleyLife (Urbandale, IA)
- …and Medicare/Medicaid. + Maintains written and verbal communication regarding authorization , re- authorization , and retro- authorization of visits. ... + Ensures that cases are effectively managed according to utilization and authorization , as defined by payer. This includes documentation and ongoing maintenance of… more
- Polaris Pharmacy Services of Minnesota, LLC (Covina, CA)
- …- Covina, CA Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST WHO WE ARE Polaris Pharmacy Services is an industry ... Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- St. Luke's University Health Network (Allentown, PA)
- …for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ll hospital sch ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed for… more
- Northwest Florida Community Hospital (Chipley, FL)
- Referral and Authorization Specialist + Receives referral requests from providers and Health Plans representatives. Assist in processing medical services ... request. Completes clerical duties related to the processing of Authorization Requests and Provider Referrals. + Verifies member's eligibility and benefits with… more
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