- 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...the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for… more
- Insight Global (Robinson, PA)
- …pharmacy in the Robinson Township, PA area is looking to hire a Pharmacy Prior Authorization Specialist. This role will include assisting in the initiation of new ... prior auth requests, identifying correct forms required for patients...Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills -… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of rejected ... billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing our… more
- Consolidated Precision Products (Albany, OR)
- TIG Welder - Titanium Aerospace Parts: Prior Experience Required If you would love to be part of a company that is poised for substantial growth then working for CPP ... for the aerospace industry. At least one year of prior experience welding titanium is required. Duties and Responsibilities:...formal vocation program and/or 1 year or more of prior TIG welding experience is required. + Must pass… more
- Actalent (Sparta, NJ)
- …to join our team. In this role, you will handle a high volume of prior authorizations for patients, utilize EMR systems such as ModMed for patient records, and ... needed. Essential Skills + Experience with EMR systems, particularly ModMed. + Prior experience with prior authorizations. + Knowledge of insurance verification… more
- TEKsystems (Fresno, CA)
- Description The Prior Authorization Specialist is responsible for obtaining and verifying prior authorizations for medical services, procedures, and medications ... + Review provider orders and clinical documentation to determine prior authorization requirements. + Submit authorization requests to insurance carriers… more
- CVS Health (Baton Rouge, LA)
- …each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure the efficient, ... coach, and develop a multidisciplinary team responsible for utilization review, prior authorization, and case management functions. + Monitor team performance,… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! Reporting to the Director of Revenue Cycle, ... this position is responsible for obtaining prior authorizations and pre-certifications for procedures and medications, coordinating the scheduling and re-scheduling… more
- Insight Global (Montgomery, AL)
- …seasoned Project Manager to lead a large-scale healthcare IT initiative focused on Prior Authorization (PA) and API integration. This role will serve as the central ... project milestones and deliverables - Ensure compliance with healthcare standards and Prior Authorization protocols Salary - $30.00/hour up to $35.00/hour We are a… more
- Fallon Health (Worcester, MA)
- …and inpatient, utilization management operations, including but not limited to prior authorization, concurrent review and discharge planning. + Ensures that members ... activities. + Recommends and implements innovative process improvements for the prior authorization and utilization management processes + Develops and implements… more