- UCHealth (Aurora, CO)
- …Responsible for providing access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs, Medication Assistance ... with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.… more
- Truman Medical Centers (Kansas City, MO)
- …optimization** . You'll advocate for patients through complex benefit investigations, prior authorization support, and financial assistance programs-making a ... reimbursement and billing processes** + Familiarity with **pharmacy benefit management (PBM), prior authorization platforms** , or EHR systems + Understanding of… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- … prior authorizations, step therapy, and specialty drug restrictions. . Determine whether prior authorization reviews are handled by the payer directly or by ... of Rx BINs, PCNs, Group numbers, and payer identification. . Understanding of prior authorization routing and third-party review processes. . Experience with… more
- TEKsystems (Morrisville, NC)
- …government: Medicare, Medicaid, VA, DoD). + Proficiency in insurance verification, prior authorization , benefits investigation, provider claims. + Familiarity ... benefits (heavier pharmacy focus). Top Skills Reimbursement, insurance verification, prior authorization , benefits verification, provider claims, benefits… more
- State of Massachusetts (Worcester, MA)
- …issues when youth are entering group home placements; follow-up on issues around prior authorization for medication and contact prescribers to inquire if the ... prior authorization request has been submitted. * Provide appropriate referrals to community-based healthcare providers; Assist staff with discharge planning. *… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... **Experience:** 0 to 3 years of related work experience. **Skills:** + Prior Authorization + Call handling experience. **Education:** + High School diploma or… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... in healthcare, social services, or a similar service position. **Skills:** + Prior Authorization **Education:** + High School diploma or GED is required. **About… more
- Pfizer (Salt Lake City, UT)
- …payer landscape, payer coverage and formulary change updates, payer policies (eg, prior authorization , step edits, specialty pharmacy coverage) and patient ... local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and… more
- Sanford Health (Fargo, ND)
- …responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization ; track patient/resident visits; health information ... needs, coordinate provider schedule - Obtain and coordinate referrals & conduct pre- authorization - Arrange interpreter services - Check patients in/out - Operate… more
- Sharp HealthCare (La Mesa, CA)
- …referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as ... RN CM will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion services.The RN CM will… more