- CVS Health (Santa Fe, NM)
- …day. **Position Summary** As a Clinical Pharmacist, you will review Prior Authorizations, verify proven and/or medically necessary indications and review clinical ... documentation in support of prior authorization reviews. The primary function of the clinical...necessary indications and review clinical documentation in support of prior authorization reviews. You will also provide internal pharmacist… more
- Walden Security (Pikeville, KY)
- …Court attendance: Responsible for securing unattended courtrooms, an inspection of courtrooms prior to a proceeding, testing of security devices, and other duties ... concerning security of the court area. Preserve order: Responsible for providing security presence in the courtroom, enforcing federal law and judicial orders within the courtroom, enforcing local court rules regarding prohibited items, and providing… more
- Molina Healthcare (Buffalo, NY)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- St. Luke's University Health Network (Allentown, PA)
- …health care. Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of ... medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services. + Monitors...ial cl ea rance is obtain ed + Submit prior authorizations for all STAT imaging orders for PCP… more
- Trinity Health (Grand Rapids, MI)
- …to obtain a successful authorization. Determines out of pockets costs for patients prior to treatment start and meet with patients to discuss and share findings, ... **Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle.… more
- St. Peters Health (Helena, MT)
- The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and office staff by obtaining ... departments within the hospital to complete an accurate patient record. The Prior Authorization Specialist responsibilities may include, but are not limited to: +… more
- Centene Corporation (New York, NY)
- …**8:30am-5pm, Monday-Friday Eastern Standard hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- TEKsystems (Hartford, CT)
- MUST HAVES: PRIOR AUTHORIZATIONS EPIC Medical Scheduling for a fast pace / high volume medical practice or hospital SHIFT: This is an on site position. M- F in ... Hartford, CT POSITION OVERVIEW: IDEAL Candidate has experience running prior auths for MRI's TEKsystems is hiring for a top orthopedic doctor group. Trusted experts… more
- Stanford Health Care (Palo Alto, CA)
- …- Manage patient scheduling for post-discharge TOC clinic -Support Medication Prior Authorization Consult Service -Projects and assignments as assigned **This is ... a Stanford Health Care job.** **A Brief Overview** This position assists the pharmacist in providing pharmaceutical services (eg processing prescriptions) in compliance with applicable State Board of Pharmacy regulations. Functions include those allowed by the… more
- TEKsystems (Hartford, CT)
- …administration, and secretarial functions. A key responsibility includes managing prior authorizations, particularly for MRI procedures. KEY ACCOUNTABILITIES: + ... fashion. + Responsible for contacting insurance carriers for pre-certification and managing prior authorizations, with a focus on MRI procedures. + Prepares charge… more
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