- UnityPoint Health (Fort Dodge, IA)
- …Responsibilities include, but are not limited to, obtaining pre-certification or prior -authorizations, scheduling the visit with specialist or outpatient ... of Patient Appointments & Authorizations + Coordinates appointments and relays authorization information to scheduling staff of specialist or outpatient… more
- AssistRx (Orlando, FL)
- …our proprietary systems to build, test, and maintain our library of electronic prior authorization (ePA) forms and workflows. The position also performs various ... sources, such as databases or repositories, for formulary status and prior authorization requirements for all drugs. + Test system modifications to prepare… more
- UPMC (Tobyhanna, PA)
- …on-site presence in the office as needed. The ideal candidate will have prior experience working with children, adolescents and IBHS. A Care Manager is responsible ... and all required pre-certification, continued stay and/or discharge reviews; service authorization , and care coordination as needed. The Care Manages executes these… more
- Actalent (Tempe, AZ)
- …+ Conduct clinical reviews, analyses, recommendations, decisions, and documentation of prior authorization requests, medical exception requests, and appeal ... drug information support and research clinical literature documentation to support prior authorization decisions. + Prepare Pharmacy and Therapeutics meeting… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …procedures to accomplish assigned tasks. **Job Summary:** Responsibility for assisting with the prior authorization process and with tasks to meet the clinical ... **Job Duties:** + Assist in preparation, organization, and communication regarding prior authorization requests. + Provide Help Desk support, where… more
- MyFlorida (Miami, FL)
- …THIS IS AN OPS POSITION TITLE: OPS MEDICAL DISABILITY CASE RECORD SPECIALIST POSITION LOCATION: MIAMI/DADE COUNTY POSITION #: 64858448 SALARY: $18.40/Per hour Your ... case type and paper folder indicators in the Legacy system when necessary, prior to receipting. Inputs appropriate system flags for "special" claim type in Legacy… more
- AECOM (Douglas, AZ)
- …better world. Join us. **Job Description** **AECOM** is seeking a **Quality Control Specialist IV** (Inspector / Quality Assurance Manager) to be based in the ... AZ.** AECOM is seeking a highly qualified resilient qualified Quality Control Specialist to provide embedded leadership of the QA/QC and On-Site Inspection support… more
- Commonwealth of Pennsylvania (PA)
- …illness, or developmental disability. Special Requirements: + All positions require active authorization to practice as a Registered Nurse in Pennsylvania. + All ... Unofficial transcripts are acceptable. You must attach your transcript(s) prior to the submission of your application by using...15 credits + None 08 Do you possess active authorization to practice as a Registered Nurse in Pennsylvania;… more
- UnityPoint Health (Cedar Rapids, IA)
- …services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits. + Coordinates Price-line ... therapy office areas in addition to the assigned scheduling and financial specialist duties: reception, billing, scheduling, charge and data entry, insurance pre-… more
- Veterans Affairs, Veterans Health Administration (Dallas, TX)
- …or redesign efforts. Provides timely and complete evaluation of non-formulary and prior authorization drug requests for appropriateness and compliance. Serves as ... applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months… more