- Actalent (Charleston, SC)
- …in retail pharmacy and data entry. + Understanding of insurance and prior authorization processes. + Excellent communication and customer service skills. ... different pharmacy stations during shifts, such as register, filling, data input, insurance/ prior authorizations, and call center (mail order). + Interact with a… more
- PeaceHealth (Bellingham, 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
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + External coordination ... and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are not limited to… more
- Arnot Health (Painted Post, NY)
- …clinical staff in timely fashion according to protocol. r. May be asked to obtain prior authorization and have method to track results in a timely fashion. s. ... provider instructions. m. Prepares orders for any testing, obtains any needed prior authorizations. n. Gives patient any needed instructions as directed by clinical… more
- CVS Health (Phoenix, AZ)
- …At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in ... organization (MCO). + Experience in a high-volume clinical call center or prior remote work environment. **Education** + Associate's degree in nursing (RN) required,… more
- Banner Health (Tucson, AZ)
- …scheduling, collaboration with other leads, and support in production where needed. Prior authorization and financial assistance experience is needed for this ... experience preferred. Experience in healthcare processes, registration or customer service preferred. Prior experience in retail pharmacy or mail order as a pharmacy… more
- Sutter Health (Berkeley, CA)
- …other staff to the department. **Job Description** : **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
- Regeneron Pharmaceuticals (Seattle, WA)
- …health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot ... 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
- Trinity Health (Albany, NY)
- …electronically and send prescriptions to providers for review and submission. + Obtains prior authorization for diagnostic testing and medication and enters into ... + Reviews supplies and notifies designated colleagues of ordering supplies prior to supply depletion. + Performs mandatory in-service training including but… more
- Trinity Health (Boise, ID)
- …documenting services and supplies provided to the patients. Complete insurance prior - authorization requirements. Performs vital signs (pulse oximetry, blood ... rehabilitation patients and recommends changes to exercise therapy to the coordinator prior to implementation. Works with patients with chronic diseases to establish… more