- SUNY Upstate Medical University (Syracuse, NY)
- …Educates patients and clinic staff regarding requirement for insurance plan to complete prior authorization . Answers inbound inquires related to prior ... daily tasks. + Shows knowledge and understanding of insurance billing and prior authorization requirements demonstrating analytical thinking. + Monitors all… more
- University of Utah Health (Salt Lake City, UT)
- …for evaluation. Collaborates with Transplant Financial Coordinators to assure appropriate authorization obtained for patients prior to evaluation visit. + ... the RN Nurse Coordinator and Transplant Management, the Transplant Program Specialist proactively collaborates with the Transplant team to establish, coordinate, and… more
- Guthrie (Sayre, PA)
- …received paper orders for non- oncology treatments and that they have been entered by pharmacy and authorization prior to scheduling. + Manages the specialty ... pharmacy medications ensuring medications have arrived prior to scheduled appointment. Reaching out as appropriate for new prescriptions. Other Duties Other… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... parts. Join our dynamic team as a Benefits Investigation Specialist and be a crucial part of ensuring access...compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying… more
- AssistRx (Orlando, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... provided for a specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing questions regarding coding… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …product access, such as local market payor coverage, co-pay options, prior authorization requirements, formulary placement, and availability expectations. This ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more
- US Tech Solutions (San Antonio, TX)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%) 4. Establishes and maintains communication, health… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …drawing upon expertise from various fields including health psychology, clinical pharmacy , neurology, physiatry, and pain management. We are supported by a ... headache medicine through innovative treatments and research. Currently, we seek a headache specialist who is passionate about making a difference in the lives of… more
- Providence (Anaheim, CA)
- **Description** The Patient Services Specialist performs daily new referral patient benefits verification. Obtain all necessary authorization for all services ... performed. Notification of financial responsibility to all patient's / responsible party prior to services being rendered. Mailing of all responsible party cost… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... **Educational Requirements:** + Minimum: High School Diploma or GED + Preferred: Pharmacy technician or related certification **Experience:** + Past experience in a… more