- 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
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than… 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
- Corewell Health (Kentwood, MI)
- …or equivalent + 1 year of relevant experience in related field Preferred + Prior Authorization experience + Epic experience + Payor portal experience + Basic ... by way of obtaining accurate and timely authorizations. Crucial to obtaining an authorization is the ability to read and understand basic insurance information as… more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... CRS, and private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology, CPT, and ICD-10… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... 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… more
- Robert Half Office Team (Minnetonka, MN)
- Description We are seeking an organized and detail-oriented Prior Authorization Coordinator. In this critical administrative role, you will help ensure patients ... and clinical staff. What You'll Do: + Review and submit prior authorization requests for medical procedures, medications, and services + Communicate with… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless ... access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral… more
- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... each prior authorization . + Train and mentor representatives on the PA team. + Complete other PA assignments as delegated by the PA leadership team.… more