- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... prior authorization . + * Train and mentor representatives on the PA team. + * Complete other PA assignments as delegated by the PA leadership team.… more
- Insight Global (Robinson, PA)
- …pharmacy in the Robinson Township, PA area is looking to hire a Pharmacy Prior Authorization Specialist. This role will include assisting in the initiation of ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills - High school diploma or… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of ... to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing our customers'… more
- CVS Health (Baton Rouge, LA)
- …day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, timely, and comprehensive clinical ... supporting regulatory compliance and organizational goals. Key Responsibilities: * Perform prior authorization clinical reviews of acute admissions using… more
- UCLA Health (Los Angeles, CA)
- …position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse ... efficient utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to evaluate medical necessity and benefit… more
- Kansas Surgery & Recovery Center (Wichita, KS)
- …Requirements Applicant should have one year experience in medical prior authorization /precertification's, additional experience in third party reimbursement ... is preferred. Benefits Full and part-time employees are eligible for a variety of benefits, including health, dental, vision and 401(k). FROM OFFICE OF HUMAN RESOURCES Thank you for your interest in Kansas Surgery & Recovery Center. We are an equal opportunity… more
- Elevance Health (Seven Hills, OH)
- …**Build the Possibilities. Make an Extraordinary Impact.** **Title** : Clinical Pharmacist ( Prior Authorization ) **Location(s):** + Indianapolis, IN + Mason, OH ... + Cincinnati, OH + Louisville, KY **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by ... obtaining facility authorizations for patients scheduled at SPH. This position will be required to verify insurance coverage and obtain insurance authorizations. The Specialist is required to maintain a working knowledge of all Managed Care Contracts as well… more
- Ochsner Health (New Orleans, LA)
- …with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing ... to assess eligibility for financial support. + Navigates the medication authorization process. + Obtains and clarifies patients' home/chronic medication. + Uses… more
- Actalent (Sparta, NJ)
- …to join our team. In this role, you will handle a high volume of prior authorizations for patients, utilize EMR systems such as ModMed for patient records, and ... needed. Essential Skills + Experience with EMR systems, particularly ModMed. + Prior experience with prior authorizations. + Knowledge of insurance verification… more
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