- Akumin (Mount Kisco, NY)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... patients prior to procedures, which may include medical history. +...May schedule patient appointments and obtain insurance verification and/or authorization . + May prepare medical records for physicians, patients… 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 working in PBM on managed care environments **Skills:** + Prior Authorization + Medicare and Medicaid + Call handling experience. **Education:** +… more
- US Tech Solutions (May, OK)
- …availability could be required. (10%) **Experience:** + Minimum 1 year of experience in Prior Authorization & Medicare Part D although 2-5 years is preferred ... **Skills:** + Prior Authorization + Medicare Part D **Education:** + Bachelor's Degree Required, Pharm D Preferred **About US Tech Solutions:** US Tech Solutions… more
- Mayo Clinic (Rochester, MN)
- …their arrival to the clinic, researching prescription discrepancies, and/or facilitating prior authorization denials. The LPN collaborates daily with physicians, ... and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work… more
- Fenway Health (Boston, MA)
- …patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services + Coordinates preventative services for ... patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services + Helps coordinate preventative services for… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …findings per facility procedures. l. Reviews and evaluates requests for assigned prior authorization drugs as assigned for appropriateness and compliance with ... subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested...phone: ###, or through their website at: ACPE. (NOTE: Prior to 2005 ACPE accredited both baccalaureate and Doctor… more
- TekSynap (Dahlgren, VA)
- …change reviews. + Support system security testing and evaluation (ST&E) activities prior to authorization . + Ensure information system security controls are ... guidelines. + Extensive understanding of DoD cybersecurity policies, system authorization processes, and Navy cybersecurity compliance frameworks. + Security… more
- St. Luke's University Health Network (Allentown, PA)
- …their visit. + Responsible for contacting the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certs ... when not previously documented in chart prior to service to decrease denials for no authorization . + Must obtain Medical license Number, NPI and UPIN via… more
- AssistRx (Maitland, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the… more
- AssistRx (Maitland, FL)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the… more