- Aston Carter (Stanford, CA)
- …policies. * Provides orientation and training to new staff as assigned. Skills Prior authorization , Medical , Retail pharmacy, Data entry, Health care, ... Medical terminology, Customer service, Administrative skills Top Skills Details Prior authorization , Medical ,Retail pharmacy,Data entry Additional Skills &… more
- US Tech Solutions (May, OK)
- …that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply ... Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization + Establishes and maintains communication among, health… more
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely with ... GENERAL PURPOSE Leads team, including supervisors, that reviews referrals for medical necessity and appropriateness of level of care. Assists patients with… more
- Methodist Health System (Richardson, 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
- Mille Lacs Health System (Onamia, MN)
- …companies within the electronic medical record. + Document all prior authorization information including approval dates, billing units, procedure codes, ... expired. + Work closely with HI Clerk who performs clerical prior authorization functions. + Secure patients' demographics and medical information by using… more
- Aston Carter (Newark, CA)
- …+ Provide orientation and training to new staff as assigned. Essential Skills + Prior authorization experience + Medical and retail pharmacy knowledge + ... The Authorization Coordinator is responsible for confidentially reviewing medical records to ensure proper documentation supports pharmacy prescriptions. This… 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
- Actalent (Eugene, OR)
- … Authorization Job Description This role involves analyzing all prior authorization requests to determine the medical necessity of services and the ... assess the medical necessity of care for members. + Escalate prior authorization requests to Medical Directors as necessary to determine the… more
- LifePoint Health (Wilson, NC)
- …in a clinic setting, Gastro experience preferred . Knowledge of insurance policies, prior authorization procedures, and medical terminology. . Knowledge of ... insurance policies, prior authorization procedures, and medical terminology. . Strong organizational skills with the ability to multitask and prioritize… more
- Actalent (Sunrise, FL)
- …staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, ... between the Medical Director, physicians, and office staff, resolving prior authorization issues. + Communicate denial determinations to providers when… more
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