- Mirror (Wichita, KS)
- … authorizations from payers to deliver services, & referrals to assist as needed. Obtain prior authorization to deliver services for a minimum of 95% of all ... current assessments/clinical information and Client Placement Agreements for all clients prior to admission for review by the clinical supervisor designated to… more
- Elevance Health (Darlington, WI)
- …health field preferred. + Knowledge of health plans, including familiarity with prior authorization and precertification process; knowledge of contracts and ... + Requires a BA/BS and minimum of 6 years experience, including prior management experience; or any combination of education and experience, which would… more
- The Cigna Group (Bloomfield, CT)
- …and provide subject matter expertise on consumer applications/websites and healthcare prior authorization /coverage by working with the delivery team, User ... digital features related to claims and accounts (HRA/FSA/HSA), coverage/benefits, prior authorizations, and ID cards are identified, prioritized, documented, and… more
- State of Minnesota (Willmar, MN)
- …treatment to some of Minnesota's most vulnerable kids? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
- State of Minnesota (Anoka, MN)
- …treatment to some of Minnesota's most vulnerable adults? Tired of hours spent in prior authorization calls and utilization reviews? Wish you could spend time ... checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be...are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin… more
- CVS Health (Manteca, CA)
- …the pharmacy team in doing so, to resolve barriers to patient care, including prior authorization , formulary changes, copay concerns, etc. + Ensures the pharmacy ... D. degree required **Doctor of Pharmacy (PharmD) is preferred** ** Prior Relevant Work Experience** + 1 to 5 years...Relevant Work Experience** + 1 to 5 years of prior related experience is preferred Essential Qualifications and Functions:… more
- Nuvance Health (Poughkeepsie, NY)
- …cardiac diagnostic imaging and cardiac specific appointments. Works close with the prior authorization team to ensure authorizations are obtained prior ... all clinic patients, obtains all records and confirms completion of the chart prior to the patient's clinic appointment. 3. Coordinates the retrieval of outside… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... setting. Proficiency in standard workplace software and/or information management applications. Prior experience working in a pharmacy or healthcare setting. Ability… more
- Beth Israel Lahey Health (Boston, MA)
- …any other pertinent hospital departments. 2. Insurance Coordination + Facilitates prior authorization for patients with worker's compensation insurance referred ... appointments + Makes follow-up appointment calls, where applicable + Obtain prior authorizations/billing for patients including Workers Comp Insurance. + Performs… more
- Ardon (Portland, OR)
- …to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance connection. ... setting. Proficiency in standard workplace software and/or information management applications. Prior experience working in a pharmacy or healthcare setting. Ability… more