- Highmark Health (Carson City, NV)
- …oral, injectable and infusion medication requests, and drug claim edits/prior authorizations . By reviewing member claims history, clearly defines the medical ... evaluate/direct daily workflow within the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug… more
- Prime Healthcare (Reno, NV)
- …EDUCATION, EXPERIENCE, TRAINING 1. Previous hospital experience as an admissions representative preferred. 2. Knowledge of medical terminology preferred. 3. ... by Fortune/Merative and America's Best 250 hospitals by Healthgrades, Saint Mary's Regional Medical Center is a 352-bed acute care hospital offering a robust line of… more