- Trinity Health (Grand Rapids, MI)
- …to obtain a successful authorization. Determines out of pockets costs for patients prior to treatment start and meet with patients to discuss and share findings, ... **Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle.… more
- US Tech Solutions (May, OK)
- …with resume and provide license number. **Responsibilities:** + Review criteria-based prior authorizations following policy and procedure. + Provide on-call after ... pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on each … more
- US Tech Solutions (May, OK)
- …courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews. ... but not limited to outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and...without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a… more
- US Tech Solutions (May, OK)
- …data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call after ... other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each prior… more
- CVS Health (Plymouth, MN)
- …with heart, each and every day. **Position Summary** Facilitates the loading of Prior Carrier Plan accumulators or HRA contributions, via electronic data files or ... manual entry from prior plan Explanation of Benefits (EOBs), to assure members...personnel action based on race, ethnicity, color, national origin, sex/ gender , sexual orientation, gender identity or expression,… more
- Actalent (Elk Grove Village, IL)
- Prior Authorization pharmacy technician!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit verification ... clinical documentation. + Ensure documentation meets payer requirements and initiate prior authorizations via CoverMyMeds. + Follow up on pending authorizations… more
- CUNY (Bronx, NY)
- Academic Advisor (Credit for Prior Learning) - NYSOP **POSITION DETAILS** The New York State Opportunity Promise (NYSOP) Advisor will serve as an advisor for ... no degree. Advising and support will also focus on evaluating and crediting prior learning, providing career and technical education and assisting with transfer. The… more
- Insight Global (Robinson, PA)
- …door pharmacy in the Pittsburgh, PA area is looking to hire 4 Pharmacy Prior Authorization Specialists. This role will include assisting in the initiation of new ... prior auth requests, identifying correct forms required for patients...race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry,… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity pharmaceuticals. ... clinical documentation. + Ensure documentation meets payer requirements and initiate prior authorizations via CoverMyMeds. + Follow up on pending authorizations… more
- US Tech Solutions (May, OK)
- **Duration:** 6 months contract **Job Description:** + 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 of reviews.… more