- 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
- 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
- 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
- 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
- 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 ... assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple clients or… more
- CVS Health (Baton Rouge, LA)
- …heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure the ... Lead, coach, and develop a multidisciplinary team responsible for utilization review, prior authorization , and case management functions. + Monitor team… more
- Cabinet Peaks Medical Center (Libby, MT)
- Cabinet Peaks Medical Center is seeking a team-oriented Prior Authorization Specialist to work in the Business Office! Reporting to the Director of Revenue ... verify patient's insurance eligibility, benefits and requirements. Request, track and obtain prior authorization from insurance carriers within time allotted for… more
- Insight Global (Montgomery, AL)
- …a seasoned Project Manager to lead a large-scale healthcare IT initiative focused on Prior Authorization (PA) and API integration. This role will serve as the ... project milestones and deliverables - Ensure compliance with healthcare standards and Prior Authorization protocols Salary - $30.00/hour up to $35.00/hour We… more
- Fallon Health (Worcester, MA)
- …and inpatient, utilization management operations, including but not limited to prior authorization , concurrent review and discharge planning. + Ensures ... activities. + Recommends and implements innovative process improvements for the prior authorization and utilization management processes + Develops and… more
- US Tech Solutions (May, OK)
- …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