- Northwell Health (Lake Success, NY)
- …timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Exhibits exceptional customer service during ... pharmacy benefits investigation, oversees financial assistance and facilitation of prior authorizations, as required. Job Responsibility + Collaborates with… more
- Trinity Health (Syracuse, NY)
- …This role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... appropriate health care setting. Ideally, has a background in referrals, denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M coding… more
- Tufts Medicine (Boston, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... responsible for verifying patient insurance, confirming benefits eligibility, performing pre- authorization , pre-certification, and/or notification as required by third party… more
- Henry Ford Health System (Detroit, MI)
- …coverage is available and the scope of patient benefits are identified prior to services being rendered. Accountable for investigating and confirming coverage for ... PRINCIPAL DUTIES AND RESPONSIBILITIES: + Verify insurance coverage eligibility of patients prior to scheduling and delivery of services. + Determine the scope of… more
- Corewell Health (Grand Rapids, MI)
- …3) Act proactively on member's behalf with routine benefits, gaps in care and prior authorization processes. 4.) Works directly with members with rising risk or ... proactively on member's behalf with routine benefits, gaps in care and prior authorization processes. + Works directly with members with rising risk or… more
- Healthfirst (NY)
- …quality customer service to our members and//or providers relating to authorization updates, questions//issues such as coordinating care, DME outreach, scheduling ... call centers and care management teams regarding initial authorizations, authorization updates and//or corrections + Complete member and provider notification… more
- BrightSpring Health Services (Gainesville, FL)
- …to customer requests and concerns, and coordinating the insurance verification and authorization processes + May be called upon to resolve complex customer service ... smooth transition to hospice by coordinating services and equipment needs for clients prior to their admission + Uses clinical knowledge and knowledge of hospice… more
- Argonne National Laboratory (Lemont, IL)
- …can include: + One on one work planning reviews with scientific staff prior to experiments + Liaison between disparate facility groups, such as maintenance staff, ... the future) for the individual be to obtain a government access authorization that involves additional background check requirements. Failure to obtain or maintain… more
- Uniti (Gainesville, FL)
- …+ Manage existing agreements, including renewals, term enforcement, and payment authorization + Establish relationships with government entities to secure permits ... required to notify and to obtain approval from federal regulatory agencies prior to granting certain system/network access to any non-U.S. citizen personnel. Offers… more
- Cardinal Health (Juneau, AK)
- …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... population . + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product… more