- Fallon Health (Worcester, MA)
- …follow us on Facebook, Twitter and LinkedIn. **Brief Summary of Purpose:** The Manager, Prior Authorization RN manages all staffing and activities related to ... prior authorization which includes but is not limited to preservice, concurrent and retrospective reviews for medical necessity or benefit review. Along with… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Rochester, NY area. Let us help you grow at work and ... weekend beginning no later than January 2026 **Summary Description** The Pharmacy Prior Authorization Technician performs initial-level processing and review of … more
- St. Luke's University Health Network (Allentown, PA)
- …Responsible for reviewing medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors a ... service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows to ensure correct process is followed… 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 ... what each individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such as scheduled day surgeries, planned… more
- University of Washington (Seattle, WA)
- …Pharmacy Department** has an outstanding opportunity for a **Pharmacy Technician 2 - Prior Authorization Center** . **WORK SCHEDULE** * Part-Time / 20 hours ... * Perform specialized, technical pharmacy tasks related to the management of prior authorization for patients served by the UWMC ambulatory clinics * Act as… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 08/06/2025 **Requisition Number** PRN42768B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization ... verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position… more
- Montrose Memorial Hospital (Montrose, CO)
- …meeting the highest standards of healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs ... through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider and patient's plan of care… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN42803B **Job Title** PS Coordinator, Scheduling **Working Title** Coordinator, Prior Authorization **Job Grade** C **FLSA Code** Nonexempt **Patient ... School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** Siteman Cancer Center is looking for an Prior Authorization Specialist! Monday - Friday Remote Position No Weekends or ... assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to...net revenue loss. This position is required to obtain authorization on behalf of some physicians at Washington U… more
- University of Miami (Miami, FL)
- …Case Manager RN - Full Time The University of Miami is currently seeking a Prior Authorization Nurse Case Manager. The incumbent purose is to conduct initial ... + Adhere and perform timely prospective reviews for services requiring prior authorization + Follows the authorization process using established criteria… more