- SSM Health (Madison, WI)
- …therapist, assists in providing patient care, including assistance with insurance prior authorization . Takes responsibility for equipment maintenance and supply ... + Documents and communicates usingthe electronic health record including: insurance prior authorizations; patientcalls and communications. + Works in a constant… more
- St. Bernard's Medical Center (Jonesboro, AR)
- …will have strong experience in surgical and clinic scheduling, insurance verification, and prior authorization workflows for a specialty clinic. Prior ... experience in reviewing clinic charges, in-clinic collection review, and/or deposit collection workflows is strongly preferred. Candidates must demonstrate a high level of accuracy, organization, and professionalism with excellent communication skills and… more
- Centene Corporation (Tallahassee, FL)
- …care professionals with medication-related information and education. + Participates in the prior authorization review and appeals processes. + Participates in ... obtain Doctor of Pharmacy (PharmD) from an ACPE-accredited college/school of pharmacy prior to start date. Exposure to managed care (student rotations acceptable),… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Department, providing independent scheduling of infusion procedures, ensuring required testing, prior authorization , orders, and appointments are finalized ... prior to applicable infusion appointment date. Will assign patients to specific infusion chair based on level of acuity and length of treatment. Will monitor of data relative to the utilization of the infusion room and chairs. Acts as a liaison for… more
- Johns Hopkins University (Baltimore, MD)
- …of Epic in basket and triaging of patient requests, independently managing prior - authorization requests, etc. + Independently assess laboratory reports for ... JHU credentialing process to include verification of CPR certification is required prior to start date. + Must maintain current licensure and certification during… more
- Beth Israel Lahey Health (Boston, MA)
- …experience required in Healthcare or Retail Pharmacy. 4. Knowledge of prior - authorization workflows, payer relations, prescription claims adjudication, and ... Excel, PowerPoint or Access. **Preferred Qualifications:** 1. Experience with prior authorizations. **Competencies:** 1. **Decision Making:** Ability to make… more
- Beth Israel Lahey Health (Westwood, MA)
- …organization copay assistance programs. 10. Support health care providers with required prior authorization and required appeals. Manage all mail/delivery of Rx ... care, adherence packaging, specialty drug services, home delivery services, prior authorizations processing, and patient counseling. We are seeking a… more
- University of Virginia (Charlottesville, VA)
- As a Prior Authorization Technician at UVA Specialty Pharmacy, you will play a crucial role in positively impacting the lives of patients in the fastest growing ... (NHA) or Pharmacy Technician Certification Board (PTCB) required. For team members hired prior to February 1, 2020, certification as CPhT through NHA or PTCB is… more
- PeaceHealth (Vancouver, WA)
- …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
- Humana (Indianapolis, IN)
- …pharmacy benefits manager (PBM) activities, including the establishment of prior authorization , clinical appropriateness of use; consultations and ... working in behavioral health + Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, UM, discharge planning… more