- 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
- PeaceHealth (Springfield, OR)
- …coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient ... arrival. + Responds to customer's inquiries. + Assists with departmental coverage as needed. + Manages daily appointment schedules which may include reminder calls and calling all referrals. + May transport patients utilizing escort or wheeled transport… more
- Sutter Health (Oakland, CA)
- …performing specific tasks and/or orient other staff to the department. Key Responsibilities: Prior Authorization : Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. Financial Assistance: Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. Accreditation &… more
- Hudson Headwaters Health Network (Saranac Lake, NY)
- …out, including scheduling follow-up appointments and processing referrals not requiring a prior authorization + Reconciles payment batch amounts on a daily ... electronic medical records + Reviews and follows policies and legal requirements prior to releasing copies of medical records Qualifications: The requirements listed… more
- Regeneron Pharmaceuticals (Columbus, OH)
- …and Patients. Payer Formularies and restrictive Utilization Management Criteria including Prior Authorization Processes, Step Edits, Appeals, detailed Clinical ... such checks is for Regeneron to verify certain information regarding a candidate prior to the commencement of employment such as identity, right to work, educational… more
- Robert Half Office Team (Long Beach, CA)
- …check-ins and appointment scheduling. * Conduct medical insurance verifications and handle prior authorization requests efficiently. * Ensure accurate and timely ... Strong knowledge of medical insurance processes, including billing, verification, and prior authorizations. * Excellent communication skills, with the ability to… more
- Catholic Health (Buffalo, NY)
- …Oncology services KNOWLEDGE, SKILL AND ABILITY + Knowledge of insurance verification, prior authorization processes and medical terminology + Familiarity with ... for safe and effective infusion therapies, verifying insurance, obtaining/requesting prior authorizations and scheduling appointments. This role requires excellent… more