- CVS Health (Phoenix, AZ)
- …do it all with heart, each and every day. **Position Summary** - Processes prior authorization requests received by phone, fax, or electronically and utilizes ... resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior … more
- Arnot Health (Elmira, NY)
- …hospital services. This position will require a degree of complexity and prior anatomy education. DUTIES AND RESPONSIBILITIES: COMMUNICATION: 1. Promptly answers the ... to conference with other departments to bring about conflict resolution to pre- authorization problems. 14. Demonstrates the ability to be cross-trained to other… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $68.00 - $70.00 Salary/year Description WHO WE ... invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing...lift and/or move up to 30 pounds + The work environment characteristics described here are representative … more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job...lift and/or move up to 50 pounds + The work environment characteristics described here are representative ... Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE...payer set up, billing, rebilling, and reversal processes + Work as a team to identify, document, communicate, and… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing...lift and/or move up to 30 pounds + The work environment characteristics described here are representative … more
- Children's Clinics (Tucson, AZ)
- …Speech Therapy and Audiology. ESSENTIAL FUNCTIONS + Appropriately prioritize all prior authorization request/ referrals. Submits for onsite and offsite ... private insurance guidelines + Knowledge of precertification, referrals, and prior authorization + Knowledge of medical terminology,...AND WORK ENVIRONMENT The physical demands and work environment described here are representative of… more
- Lake Region Healthcare (Fergus Falls, MN)
- …will facilitate the gathering of information to verify medical necessity to meet prior authorization and insurance referral requirements, as well as gather ... limited to: + Receive and review requests from provider and determine if a prior authorization is required according to the payer's criteria. + Gather, collect… more
- Henry Ford Health System (Troy, MI)
- …with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... with high risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... impacted staff on payor regulations/ requirements, + Coordinating staff work load to ensure referrals and authorizations are secured...denial or with high charges are verified for accuracy prior to claim submission + Managing authorization … more
- UNC Health Care (Goldsboro, NC)
- **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance ... payers prior to services being scheduled or rendered at UNC...the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves… more
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