- Elevance Health (San Antonio, TX)
- …the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** TX-SAN ANTONIO, 4751 HAMILTON WOLF RD, ... **Be Part of an Extraordinary Team ** BioPlus Specialty Pharmacy is now part of...an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is responsible for managing incoming… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is seeking a Pharmacy Prior Authorization Technician to work at a top insurance client in the vibrant Rochester, NY area. Let us help you grow at work ... 8:00 am to 5:00 pm** **Summary Description:** The Pharmacy Prior Authorization Technician provides essential functions that...clinical pharmacists, and internal staff. + Act as a lead troubleshooter for the pharmacy help desk and customer… more
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely ... individual, and internal equity considerations._ **Responsibilities:** GENERAL PURPOSE Leads team , including supervisors, that reviews referrals for medical necessity… more
- Truman Medical Centers (Kansas City, MO)
- …to search for positions and apply.** Oral and Maxillofacial Surgery Prior Authorization Representative 101 Truman Medical Center **Job Location** ... in a fast-paced environment, we want you on our team ! As our **Medical Billing & Insurance Specialist** ,...programs, and all the latest in payer regulations. + ** Lead by example** : Become the go-to expert and… more
- CVS Health (Lansing, MI)
- …monitoring of high performing teams. Works closely with functional area leadership team (department Associate Managers, Manager, and other key stakeholders such as ... as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution...ability to serve as a model change agent and lead change efforts + Create a positive work environment… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …standard operations of insurance companies; verification of benefits/coverage including prior authorization (PA), claims, approvals, denials, appeals, letters ... Ophthalmic Consultants if Boston is currently looking for Authorization Billing Specialists to join our team.... Communicate with patients to discuss procedures, insurance coverage, prior authorization and assisting patients with various… more
- Caris Life Sciences (Irving, TX)
- …are in place prior to services being rendered. + Responsible for prior authorization submissions and management. + Maintains compliance with HIPAA and other ... is where your impact begins.** **Position Summary** Our Verification/ Authorization Associates are responsible for verifying active insurance coverage, obtaining… more
- Humana (Madison, WI)
- …specifically Word, Excel, and Outlook. + At least 3-years experience with prior authorization / utilization management. **Preferred Qualifications** + Bachelor of ... role in overseeing the daily operations of the Utilization Management and Pre- Authorization nursing teams. This position ensures timely and accurate review of… more
- Trinity Health (Stafford Springs, CT)
- …troubleshooting accounts that are being held in A/R due to lack of prior authorization **Minimum Qualifications** + Education: High School Graduate, some college ... Prepares accurate reports and provides departmental summary information for Patient Access Team that ensures all infusions and testing performed in the department… more
- Northern Light Health (Brewer, ME)
- …to 4:30 PM Summary: This is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the Northern Light Health ... team . The Specialist position supports a centralized service which...assists with all aspects of the medication refill and prior authorization process including, utilizing the electronic… more
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