- TEKsystems (Plymouth, MI)
- …calls regarding pharmacy / presciption benefits Answers calls and questions on prior authorization , general questions and some confidential information Great ... customer service with high level attention to detail. Entering information accurately Measured on Quality and Accuracy might range from 50-100 calls a day depending on complexity. Utilize multiple systems and programs to track information and update… more
- University of Washington (Seattle, WA)
- …clinics + Complete full registration for patients new to UW Medicine + Obtain prior authorization from managed care plans as needed + Obtain all necessary ... medical records, imaging, diagnostic studies, pathology items, etc. needed for patient care + Maintain referral work queue and other databases for tracking referrals + Schedule complex appointments including, but not limited to, post-op and correctional… more
- Henry Ford Health System (Southfield, MI)
- …+ Familiar with insurances/authorizations. + Familiar with health insurance industry, prior authorization and surgical scheduling. + Strong attention to ... detail. + Excellent customer service. Additional Information + Organization: Henry Ford Providence Hospitals + Shift: Day Job + Union Code: Not Applicable Additional Details This posting represents the major duties, responsibilities, and authorities of this… more
- Amgen (Charlotte, NC)
- …and in clinical policy discussions such as evidence-based medicine, clinical guidelines and prior authorization in areas where Amgen has therapeutic expertise. + ... Identify, develop, and maintain collaborative relationships with current and future Payer, Policy, IDN, and Health Economic and Outcomes Research opinion leaders through identifying speaker opportunities and concepts and letters of intent for investigator… more
- TEKsystems (Plymouth, MI)
- …inbound customer calls and occasional follow‑up calls + Assist customers with prior authorization questions, general inquiries, and confidential information + ... Accurately enter and update customer information across multiple systems and programs + Maintain a high level of attention to detail-quality and accuracy matter + Manage a daily call volume ranging from 50-100 calls depending on complexity What We're Looking… more
- Prime Therapeutics (Trenton, NJ)
- …functions, DUR committees and responsibilities. + Supports elevated customer service and prior authorization inquiries specific to assigned accounts. + Manages ... financial aspects of account(s). + Ensures revenue goals are met, cost of care and administrative expenses managed, and EBIDTA targets achieved for the assigned account(s). + Ensures contract performance through risk management activities including such items… more
- Bozeman Health (Bozeman, MT)
- …compliance with regulatory requirements including appropriate use documentation/criteria and prior authorization . This position provides complex scheduling ... services for all Diagnostic Imaging exams and procedures while demonstrating exceptional customer services and critical thinking skills. Minimum Qualifications: Required + High School Diploma or Equivalent2 years customer service experience + 1 year medical… more
- Corewell Health (Van Buren, MI)
- …call center + Expert pharmacists and technicians providing education, follow-up, and prior authorization assistance You'll lead a team of 17 ... professionals-including pharmacists, clerks, and technicians- in our fulfillment center near Detroit Metropolitan Airport. This position is onsite, Monday through Friday. What We're Looking For + Licensed pharmacist with strong operational knowledge +… more
- Actalent (Menomonee Falls, WI)
- …service skills. + Proficiency in HIPAA regulations. + Experience with order entry, prior authorization , and call center operations. + 2+ years of experience ... working as a Data Entry Pharmacy Technician Work Environment You will work spending 100% of your day at a desk/computer. There will be no face-to-face customer interactions, providing a relaxed work environment. The position offers flexible shifts and… more
- Amgen (San Jose, CA)
- …reimbursement regulations and processes (ie, eligibility and benefit verification, prior - authorization , billing, coding, claims, and appeals/denials), Medicare ... and Medicaid rules and regulations, and OSHA and HIPAA compliance as related to Amgen products. + Consistently meets or exceeds corporate sales goals. + Communicates territory activity in an accurate and timely manner as directed by management. + Provides… more