- University of Utah (Salt Lake City, UT)
- …PRN43444B **Job Title** PS Coordinator, Scheduling **Working Title** Coordinator, Prior Authorization **Career Progression Track** C **Track Level** **FLSA Code** ... Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
- SUNY Upstate Medical University (Syracuse, NY)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist ... phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate...but not limited to: outbound calls, reviewing and processing Prior Auth's received via fax and ePA, monitoring and… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of rejected ... billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and courteous when addressing our… more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... from physicians or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical… more
- Actalent (Wharton, NJ)
- Job Title: Prior Authorization Specialist Job Description We are seeking a dedicated Medical Office Specialist to manage patient prior authorizations and ensure ... and maintaining accurate patient records. Responsibilities + Handle a high volume of prior authorizations for patients. + Utilize ModMed as the EMR for patient… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a ... who need it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected… more
- Avera (Pierre, SD)
- …Work where you matter.** **A Brief Overview** Responsible for obtaining prior authorization from insurers for medical tests, procedures, surgeries and specialty ... by the provider. Has understanding of tests, procedures and preparation required prior to testing. Sees that all necessary paperwork and documentation is complete… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access ... to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral process. This… more
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