- Elevance Health (San Antonio, TX)
- …the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** Onsite at 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
- GRAIL (Durham, NC)
- …be onsite 2 days a week in Durham, NC. **Responsibilities** + Build an in-house prior authorization team and design processes to ensure maximized revenue ... please visit grail.com . The Associate Director will proficiently lead the Prior Authorization , Billing...Director will achieve strategic goals by leveraging their leadership team , guiding individuals who organize and plan daily workflow… 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
- Albany Medical Center (Albany, NY)
- …with solution to immediate patient complaints; focus of service recovery. + Ability to lead , motivate and inspire team to achieve excellence in best practice ... the Pre-Service functions of the Patient Engagement Center Insurance, Authorization and Scheduling complement- related to eligibility verification, pre-registration,… 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
- UNC Health Care (Goldsboro, NC)
- …authorizations. 6. Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead /Manager. 7. Notify Utilization Review & Case Management ... **Description** Summary: The Pre- Arrival Authorization Specialist I will serve patients/customers and physician...and physician offices by obtaining authorizations from insurance payers prior to services been scheduled or rendered at UNC… more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... responsible for coordinating the daily operations of the UM Pre- Authorization team in order to ensure requests are processed in a consistent and timely manner… more
- Mount Sinai Health System (New York, NY)
- …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... experience or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer… more
- Ardon (Portland, OR)
- …patient records Loading insurance information Performing prescription data entry Processing prior authorization notices Performing and reviewing claim submission ... of Referral & Billing Services to join our team of health care professionals. As a Lead...in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient financial assistance… more
- State of Colorado (Denver, CO)
- …with outside providers for the committed and detained youth. Point of contact for prior authorization for specialized medical care. Responsible to track all ... prior authorization requests to ensure accuracy and...requesting consultation and/or assistance with coverage. Serves as the lead medical liaison with the mental health team… more
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