- Providence (Anaheim, CA)
- …schedules appointments as necessary. Responsible for processing and follow up of prior authorization requests for medical group providers. Provides excellent ... team in a multi-specialty ambulatory care medical group. Handles all incoming prescription refill requests for the medical group providers. Under the direct… more
- Providence (Santa Monica, CA)
- …schedules appointments as necessary. Responsible for processing and follow up of prior authorization requests for medical group providers. Provides excellent ... team in a multi-specialty ambulatory care medical group. Handles all incoming prescription refill requests for the medical group providers. Under the direct… more
- University of Miami (Miami, FL)
- …calls, responds to questions, directs calls, and documents messages in Epic + Manage Prior Authorization (PA) Requests, inbox, and tracking sheet; enter all PA ... an exciting opportunity for a full-time Clinical Business Operations Representative 2 to work onsite at the UHealth campus....+ Manage in basket patient calls from UHealth Pharmacy Prior Authorization + Confirm patient appointments ie… more
- Aveanna Healthcare (Chandler, AZ)
- …of the accounts includes, but is not limited to checking prescription validity, authorization validity, insurance requirements, demographics, patient needs, ... Change Order Representative (REMOTE) ApplyRefer a FriendBack Job Details Requisition...and notation prior to shipping orders of medical supplies. The starting… 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 ... To provide high level of attention to detail while initiating and completing the Prior Authorization forms for our customers. Working with EMAR systems, as well… more
- University of Miami (Miami, FL)
- …Pediatrics- has an exciting opportunity for a Full-Time Clinical Business Operations Representative 3 to work in Miami. The Clinical Business Operations ... Representative 3 facilitates the prompt resolution of problems related...referral numbers. + Reviews clinical records for completeness including authorization , signatures, missing data, and other patient information. +… more
- Humana (Miramar, FL)
- …Service Operations Representative is responsible for managing daily referral and prior authorization processes for managed care patients. This role includes ... processing and reviewing health and prescription claims, verifying eligibility, and ensuring compliance with payer requirements, including Medicare and Medicaid. The… more
- University of Miami (Miami, FL)
- …to providers + Schedule patient appointments accurately and efficiently + Initiate prescription prior authorizations + Ensure provider clinical letters are ... Psychiatry has an exciting opportunity for a full-time Clinical Business Operations Representative 2 to work on the UHealth campus. The Clinical Business Operations… more
- CVS Health (Mount Prospect, IL)
- …a successful and team-focused onboarding experience. As a Benefits Verification Representative , you are a critical liaison between our patients, healthcare ... healthcare industry expertise to efficiently solve insurance-related issues to process patient prescription orders for on-time delivery. In this role, you will work… 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 ... providers, and pharmacies have access to all medically necessary prescription drugs and those drugs are used in a...CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains… more
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