- CVS Health (Austin, TX)
- …day. **Position Summary** The Rep I is the initial point of contact for Prior Authorization requests from members, providers, and a diverse customer base. The ... Rep I will make the determination if a complex request should be transferred to a pharmacist for assistance. Additionally, the Rep I is responsible for maintaining complete, timely, and accurate documentation of all approvals and denials. In order to be… more
- Intermountain Health (Austin, TX)
- …to termination, at the hiring manager's discretion. **Preferred** + Prior Authorization processing preferred **Physical Requirements:** **Physical Requirements** ... each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience,… more
- BrightSpring Health Services (Arlington, TX)
- …with Pharmacists, Facilities, Physicians and PDP's regarding Therapeutic Interchanges and prior authorization requests. Responsible for investigating and calling ... provide high level of attention to detail while initiating and completing the Prior Authorization forms for our customers. Working with EMAR systems, as well as,… more
- Surgery Care Affiliates (Mansfield, TX)
- …individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information. + Enter the patient insurance information into patient ... center compliance with CMS Conditions for Coverage guidelines in contacting patient's prior to the date of service to review, Physician Ownership, Advance Directives… more
- Molina Healthcare (Fort Worth, TX)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point of Sale… more
- Medtronic (Fort Worth, TX)
- …on clerical and administrative assignments that may require application of prior experience. Works under moderate supervision, making minor adjustments to methods ... full job knowledge of systems and procedures obtained through prior work experience or education. **Physical Job Requirements** The...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Surgery Care Affiliates (Arlington, TX)
- …to other departments when necessary. + Does pre-registration and makes sure that authorization is obtained from the physician's office prior to surgery ... scheduled. Completes necessary paperwork for registration and uses computer system to generate information for surgical/special procedure. + Maintains log for cancelled appointments. + Performs various clerical duties such as photocopying forms, reports,… more
- Highmark Health (Austin, TX)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- RTX Corporation (Richardson, TX)
- …Requirements:** Active and transferable US government issued security clearance is required prior to start date. US citizenship is required, as only US citizens ... + Defense Counter-Intelligence Security Agency (DCSA) + Assessment and Authorization Process Manual (DAAPM). + Customer/contract specific Cybersecurity regulations.… more
- ASM Global (Houston, TX)
- …north dock at NRG Stadium and NRG Center. + Ensuring all shipments received have prior authorization and verifying with the tenant any shipmentswithout prior ... able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. + Prior … more
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