- University of Utah (Salt Lake City, UT)
- …University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator . This position works with a team of ... PRN42803B **Job Title** PS Coordinator , Scheduling **Working Title** Coordinator , Prior Authorization **Job Grade** C **FLSA Code** Nonexempt **Patient… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- US Tech Solutions (RI)
- **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Adecco US, Inc. (Cumberland, RI)
- ** Coordinator I - Prior Authorization & Appeals** Pay Rate: $15 - 15.13/hr Schedule: Assigned 8-hour shifts between 8:00 AM - 8:00 PM CT (Mon-Fri) Training: ... compliance with ERISA, CMS, Medicaid, and client policies + Perform non-clinical prior authorization and appeal activities accurately and efficiently + Support… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior - authorization non-clinical medical management coordinator and pre-certification ... insurance environment. + Minimum 2 years of experience with pre- authorization , utilization review/management, case management, care coordination, and/or discharge… more
- HonorHealth (AZ)
- …to become proficient. Essential Functions Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... Job Summary Under the direction of Leadership, performs Infusion/medication authorization functions for the hospital outpatient infusion departments (or other… more
- Sutter Health (San Francisco, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- Sutter Health (San Francisco, CA)
- …Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals ... accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans… more
- Tufts Medicine (Stoneham, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... entry level role that typically requires little to no prior knowledge or experience, work is routine or follows...regarding patients with identified financial risk concerns for resolution prior to services being rendered. 9. Obtains all applicable… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 08/06/2025 **Requisition Number** PRN42768B **Job Title** Prior Authorization Representative I **Working Title** Prior Authorization ... verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position… more
Recent Jobs
-
Instructor - Pediatric General Surgery Nurse Practitioner (NP) or Physician Assistant (PA)
- University of Colorado (Aurora, CO)
-
Cleaning Crew Supervisor
- Live Nation (Saratoga Springs, NY)
-
Cook
- Letcher Manor (Whitesburg, KY)
-
Executive Assistant Senior
- RWJBarnabas Health (Long Branch, NJ)