- US Tech Solutions (May, OK)
- …that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical pharmacist will ... prior authorizations. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria… more
- AssistRx (Orlando, FL)
- …therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the ... coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding… more
- Arkansas Children's (Little Rock, AR)
- …to 5:00 pm - Onsite **Additional Information:** Responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures ... insurance coverage, resolves any issues with coverage and escalates complicated issues. Verifies, interprets, coordinates, disseminates insurance information;… more
- AssistRx (Maitland, FL)
- …therapies that they need. This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the ... coverage provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding… more
- Northwell Health (Lake Success, NY)
- …to be dispensed and provides necessary timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Exhibits ... Leads team as a subject matter expert on outpatient pharmacy services, prescription insurance benefits, and financial assistance. + Leads team on patient cases and… more
- Penn Medicine (Philadelphia, PA)
- …30 minutes. Ensures a face-to-face contact is established within 5 days of authorization for all adult TCM programs. Additionally, for PARS, a billable contact (such ... as a phone call) must occur within 24 hours of authorization . Ensures compliance to TCM standards of service provision in the community: 75% of services are provided… more
- US Tech Solutions (May, OK)
- …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. + The Pharmacist/Clinician will apply clinical ... PA request as needed. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and… more
- Sutter Health (Brookings, OR)
- …the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed ... for said order. If needed, obtains authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding… more
- Tidelands Health (Myrtle Beach, SC)
- …The Pre-Services Representative II is responsible for accurate and complete insurance verification, financial clearance and prior authorization , and complete ... (2) years of experience in Healthcare Revenue Cycle that includes prior authorization . **Skills and Abilities** + Ability to interact successfully with the public.… more
- Amentum (Columbia, MD)
- …information. * Perform vulnerability/risk assessment analysis to support security authorization . * Provide configuration management (CM) for information systems ... packages, and System Requirements Traceability Matrices (SRTMs). * Support security authorization activities in compliance with National Institute of Standards and… more