- GRAIL (Durham, NC)
- …please visit grail.com . The Associate Director will proficiently lead the Prior Authorization , Billing Data Entry, and Billing Operations teams, ensuring ... oversee daily activities of the billing staff, managing all aspects of prior authorization billing, pre-certification, and eligibility functions. The Associate… more
- Centene Corporation (Tallahassee, FL)
- …REMOTE/WORK FROM HOME SUPPORTING MEDICARE UTILIZATION FOR OUTPATIENT, DME, HOME HEALTH AND MEDICAL PRIOR AUTHORIZATION APPROVALS.** **THE WORK SCHEDULE WILL ... OR SUNDAY WITH A WEEK DAY OFF.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- Actalent (Ridgeland, MS)
- …the quality and cost-effectiveness of medical care. Responsibilities + Analyze prior authorization requests to determine medical necessity and ... Coordinate with healthcare providers and interdepartmental teams to assess medical necessity. + Escalate prior authorization...teams to assess medical necessity. + Escalate prior authorization requests to Medical … more
- Intermountain Health (Murray, UT)
- …discretion after training and proficiency demonstrated. This is for an MA prior authorization specialist for the Neurosciences Institute. The caregiver will ... helping people live the healthiest lives possible?** As a Medical Assistant at Intermountain Health, you will play a...Support Certification (BLS) for healthcare providers. Must be obtained prior to start date + Demonstrated basic computer skills… more
- Aston Carter (Salem, OR)
- …additional pay! MUST HAVE + Skills as a patient coordinator. + Two years of prior authorization or medical billing experience preferred. + Experience in ... in Salem. The specialist will work alongside a team of other Prior Authorization Specialists. Benefits include medical , dental, vision insurance, paid time… more
- CVS Health (Indianapolis, IN)
- …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist/Clinician will apply ... therapy knowledge through self-education. Responsibilities: 1.) Evaluate and review all prior authorization requests and render coverage determinations based on… more
- Actalent (Franklin, IN)
- Hiring a Prior Authorization , Certified Medical Assistant! Job Description This position involves working within a podiatry outpatient clinic connected to ... blood pressure, documenting signs/symptoms, taking weight and temperature, and completing medical history documentation. + Set up for and assist providers with… more
- Methodist Health System (Dallas, TX)
- …responsible for verification of medical coverage, along with notification, prior authorization , and/or pre-determination of healthcare benefits for proposed ... initiate pre- authorization and resolve issues that arise during the prior authorizations process. Supports and promotes the vision, mission, and strategic plans… more
- DMC Primary Care (Windham, NH)
- …High school diploma/GED is required + A minimum of two years' experience performing Prior authorization for medical services is required Full Time Positions ... ordered + Contacting insurance companies and third-party administrators to determine prior authorization necessity and follows proper procedures to secure… more
- US Tech Solutions (GA)
- …medication prior authorization (PA) requests reviewed by the Specialty Medical Prior Authorization department. Reporting to the Pharmacy Operations ... staff and customer service, admissions and pharmacy operations departments to communicate prior authorization status. You will also oversee fax processing and… more
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