- University of Utah Health (Salt Lake City, UT)
- …clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process . This position is not responsible for providing ... verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position works with… more
- US Tech Solutions (May, OK)
- …approval & denial management processes. + Collaborate with the technicians and prior authorization team members to process referrals, including answering ... role that conducts clinical reviews of medical data collected to perform prior authorization for commercial and specialty medications. + The clinical pharmacist will… more
- AscellaHealth (Berwyn, PA)
- …people get the specialized therapies they need. This critical role manages the process of receiving, researching, and resolving prior authorizations and appeals ... communicating directly with providers and insurance companies. + Document all activities of the Prior Authorizations and Appeals process . + Respond to Prior … more
- US Tech Solutions (RI)
- …duties as assigned by the leadership team. + Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple ... and courteous phone assistance to all callers through the criteria based prior authorization process . + Maintains complete, timely and accurate documentation… more
- US Tech Solutions (May, OK)
- …other duties as assigned by the leadership team. Work closely with providers to process prior authorization (PA) and drug benefit exception requests for multiple ... and courteous phone assistance to all callers through the criteria based prior authorization process . Maintains complete, timely and accurate documentation of… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... provided. Plans, executes, appeals and follows through on all aspects of the process which has direct, multifaceted impact on patient scheduling, treatment, care and… more
- SSM Health (St. Louis, MO)
- …**Job Highlights:** Elevate your career by leading the transformation of infusion prior authorizations at the system level! As a people-focused pharmacy leader, ... our healthcare system." **Job Summary:** Responsible for managing the pharmacy infusion prior authorization department to ensure the timely submission of infusion … more
- US Tech Solutions (May, OK)
- …role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical ... from physicians or members regarding their pending, approved, or denied prior authorizations. **Responsibilities:** + Ensure accuracy of case setup and clinical… more
- CareOregon (Portland, OR)
- …Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization) - Contingent Exemption Status Exempt Department Pharmacy Manager Title ... medication authorization requests and providing oversight to the medication PA process ; and other pharmacy program activities as assigned. Essential Responsibilities… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... data entry, data management, and reporting. **Experience:** + * Review criteria-based prior authorizations following policy and procedure. + * Provide on-call after… more