- Family Life Academy Charter Schools (Bronx, NY)
- …origin, alienage and citizenship status, age, marital status, disability, sexual orientation, gender (sex) or prior record of arrest or convictions (except ... as provided by law), and to maintain an environment free of discriminatory harassment, including sexual harassment, or retaliation, as required by civil rights law. Powered by JazzHR more
- Cardinal Health (Fresno, CA)
- …management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This position is responsible ... be knowledgeable of a variety of Insurance Plans and Policies. Prior Authorization Coordinator **Responsibilities** + Receives chemotherapy orders and reviews for… more
- Penn Medicine (Philadelphia, PA)
- …seeking a full-time, day shift (hybrid) Clinical Pharmacist, Ambulatory/Retail for our prior authorization team at our specialty central fill location on 76th Street ... Oversees pharmacy technicians and students and ensures accuracy of their work prior to dispensing. Adheres to Pharmacy Policies and Procedures and organizational… more
- US Tech Solutions (RI)
- **Job Summary:** + The Tech I Prior Auth. takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ... callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation...without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a… more
- Elevance Health (Irving, TX)
- …and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - Paragon Infusion** **Location:** 3033 W President ... follow-up for additional information if necessary. + Ability to initiate pre-determination, prior authorizations, and appeals for denials based on payer policy. +… more
- CVS Health (Annapolis, MD)
- …and every day. **Position Summary** This role is Telework anywhere for prior authorization Applies critical thinking, evidenced based clinical criteria and clinical ... work in a fast paced environment **Preferred Qualifications** + Previous prior authorization experience + Compact RN licensure preferred **Education** + Associates… more
- Centene Corporation (Nashville, TN)
- …Remote** **Must have RN license in Texas** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- Actalent (Spring, TX)
- …+ Assist in other phases of computer operations including billing procedures + Prior Authorizations + Insurance Verifications Qualifications: + 2+ year of Prior ... age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.… more
- Intermountain Health (Provo, UT)
- **Job Description:** A Prior Authorization Representative is a critical link in the healthcare chain that balances the needs of patients, healthcare providers, and ... the authorization process. Coordinates first-level appeals and coordinates peer-to-peer reviews for prior authorization denials. **Schedule - Monday - Friday 7 am -… more
- Actalent (Sunrise, FL)
- …direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing ... liaison between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations to providers when… more