- CVS Health (Phoenix, AZ)
- …it all with heart, each and every day. **Position Summary** - Processes prior authorization requests received by phone, fax, or electronically and utilizes various ... criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior authorization approvals… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical pharmacist will ... calls from physician or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Evaluate and review all prior … more
- Hartford HealthCare (Farmington, CT)
- …the system. *_Position Summary:_* Under the direction of the Manager, Prior Authorization Services, HHC Cancer Institute, performs all clerical duties required ... to obtain insurance prior authorizations for chemotherapy and other services in a...Responsibilities:_** **Key Areas of Responsibility** Monitors and reviews the prior authorization work queue daily to verify accuracy of… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- University of Washington (Seattle, WA)
- **Job Description** **UW Medicine Primary Care - Prior Authorization Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior ... to facilitate referrals to the UW Medicine Health System and to process prior authorizations + Process referrals/ prior authorization in accordance with UW… more
- University of Washington (Seattle, WA)
- …Pharmacy Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Per Diem * Day Shifts ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with ... clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process. This position is not responsible for providing care to… more
- US Tech Solutions (May, OK)
- …Description:** + Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. **Responsibilities:** + This individual ... skills. + Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. **Experience:** + Prior … more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Manager, Network Prior Authorization Services is responsible for monitoring and facilitating the referral and ... department, coordinating day-to-day activities, including direction of the Network Prior Authorization and Referral Specialists. JOB DUTIES AND RESPONSIBILITIES: +… more
- Cedars-Sinai (Los Angeles, CA)
- …Florida, or Georgia** The full time - remote role of Pharmacy Technician Prior Authorization at Cedars-Sinai Medical Center in Los Angeles, California will work ... this function to improve medication access to patients include obtaining prior authorization and co-pay assistance for injectable medications. Other responsibilities… more