- AdventHealth (Bolingbrook, IL)
- …made available + Delivers excellent customer service by contacting patients to inform them of authorization delays 48 + hours prior to their date of service and ... meetings and promotes positive dialogue within the team + Insurance Verification/ Authorization : + Contacts insurance companies by phone, fax, online portal, and… 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
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- Cambridge International Systems Inc (Charleston, SC)
- …Control Assessor (SCA) under a Certification & Accreditation (C&A) and/or Assessment & Authorization (A&A) process. + The specialist should demonstrate a working ... Cambridge International Systems, Inc. has a full-time Information Systems Security Specialist III opportunity available based in Charleston, SC. Qualified candidates… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more
- St. Luke's Health System (Boise, ID)
- …navigating complex pharmacy benefits management (PBM) and third-party issues such as prior authorization , step therapy, reviewing denied claims, and processing ... of pocket, co-insurance, etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy benefits. +… more
- Prime Therapeutics (Salem, OR)
- …Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- Air National Guard Units (Cheyenne, WY)
- …SERVICE POSITION. This National Guard position is for an AIR TRAFFIC CONTROL SPECIALIST (TERMINAL), Position Description Number D1799000 and is part of the WY 243d ... made from Area 6 (if eligible). Preference will be given to applicants with prior Air Force Air Traffic Control experience. Area 1: Permanent and indefinite Wyoming… more
- Logan Health (Bigfork, MT)
- …about helping people navigate the world of healthcare insurance? As a Financial Clearance Specialist at Logan Health, you'll play a key role in ensuring our patients ... barriers and document accordingly. + Estimate and collect patient liability prior to service, following cash management policies. + Maximize collection of… more
- Henry Ford Health System (Rochester Hills, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
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