- TEKsystems (Emeryville, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain ... patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain … 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 the UW Medicine Health System and to process prior authorizations + Process referrals/ prior authorization in accordance with UW Medicine standards,… more
- TEKsystems (Fresno, CA)
- Description The Prior Authorization Specialist is responsible for obtaining and verifying prior authorizations for medical services, procedures, and ... Key Responsibilities + Review provider orders and clinical documentation to determine prior authorization requirements. + Submit authorization requests to… more
- US Tech Solutions (RI)
- **Job Title: Prior Authorization Specialist** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Omaha Children's Hospital (Omaha, NE)
- …employer including veterans and people with disabilities. **A Brief Overview** The Prior Authorization Therapist serves as a licensed clinician responsible for ... managing the utilization review and authorization process for patients receiving care within the Partial...intensive outpatient, or inpatient care). Required + 1 year Prior experience in utilization review, case management, or managed… more
- Fallon Health (Worcester, MA)
- **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About us:** Fallon Health is a company that cares. We prioritize ... a clinical setting required. * 2 years' experience as a Utilization Management/ Prior Authorization nurse in a managed care payer preferred. * One year experience… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …who 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 ... to eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and courteous when addressing our customers'… more
- US Tech Solutions (May, OK)
- …based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization + Establishes and maintains communication among, health… more
- University of Miami (Miami, FL)
- …CORE FUNCTIONS: + Adhere and perform timely prospective review for services requiring prior authorization as well as timely concurrent review for continuation of ... initial, concurrent and retrospective chart reviews for clinical utilization and authorization . The Utilization Review Case Manager coordinates with the healthcare… 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 ... 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