- WellLife Network (Wyandanch, NY)
- …reminder calls for intake appointments and prescriber's appointments. 11. Assist with prior authorization -make sure they are completed before submitting to avoid ... paper in fax and copy machines. **Job Qualifications** 1. HS Diploma or GED 2. Prior experience working at the front desk or in customer service. 3. Work well with… more
- UPMC (Mckeesport, PA)
- …and/or behavioral management support. Works with team and pharmacy to acquire medication prior authorization as needed. Attend family meetings as needed or ... Crisis Management is required 30 days from date of hire with annual renewal prior to expiration date. + Act 31/33/34/73 clearances. + Basic Life Support (BLS) OR… more
- Humana (Baton Rouge, LA)
- …customer service telephone experience + Experience with Utilization Review and/or Prior Authorization , preferably within a Managed Care/Insurance organization ... **Work-At-Home Requirements** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps… more
- Dartmouth Health (Bennington, VT)
- …(but not limited to): Billing, athena support staff, Information Services, Prior Authorization support, Engineering, Cleaning, Medical Records, Patient Advocate, ... in a medical office providing customer service or related field required. * Prior leadership experience preferred. * High School diploma or equivalent preferred. *… more
- MaineGeneral Health (Augusta, ME)
- …records (EMR) and scheduling systems is preferred. + Familiarity with insurance verification and prior authorization processes is a plus. + A team player with a ... using computerized scheduling programs. + Verify insurance benefits and obtain prior authorizations as needed. + Process payments, including co-pays and deductibles,… more
- Northwell Health (New Hyde Park, NY)
- …timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Identifies financial assistance (eg, ... benefits investigation, coordination of financial assistance and facilitation of prior authorizations, as required. **Job Responsibility** + Collaborates with… more
- University of Miami (Medley, FL)
- …parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. + Performs all above-mentioned tasks by ... and Patient Access teams to assure pre-registration in the appropriate facility prior to the appointment. Ensure all demographic insurance information is accurate,… more
- TEKsystems (Plymouth, MI)
- …this role, you will handle inbound patient and provider calls, support prior authorization inquiries, and deliver exceptional customer service while navigating ... members, providers, and pharmacies. + Answer questions related to prior authorizations, medication coverage, and general inquiries, including confidential health… more
- CVS Health (Madison, WI)
- …appeal request. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus ... Board certification in Family Medicine, General Surgery or Internal Medicine / Pediatrics - Prior UM experience working at Health Plan / Insurer or experience as a… more
- Catholic Health Initiatives (Lisbon, ND)
- …care plans to assist with the patient's needs. + Assists as needed with obtaining referrals, prior authorization for Home Health Care, DME, SNF, etc. + Acts as a ... **Preferred** + 3-5 year's current clinical experience in acute care settings + Prior Case Management/Utilization Review **Where You'll Work** CHI Lisbon Health is a… more