- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist ( Hybrid )!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit ... a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major...insurance. + HS Diploma or GED Work Environment: + Hybrid Schedule: Work 2 days on-site and 3 days… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity ... a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major...+ HS Diploma or GED Why Join Us? + Hybrid Schedule: Work 2 days on-site and 3 days… more
- UPMC (Wexford, PA)
- UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The ... all work is to conform. The expertise of the Authorization Specialist shall include working knowledge in...of UPMC in the performance of duties. Responsibilities: + Prior authorization responsibilities: + 1. Reviews and… more
- Mayo Clinic (Rochester, MN)
- …Competitive retirement package to secure your future. **Responsibilities** This is a Hybrid position. Must be within a reasonable driving distance of the Rochester, ... MN campus. The Executive Development & International Financial Specialist (EDIFS) acts as a liaison between Mayo Clinic and patients meeting criteria for EDI… more
- TEKsystems (Malvern, PA)
- …inbound call center, Patient Coordinator, insurance verification, medical scheduling, Prior Authorization , patient demographics Top Skills Details Patient ... center Patient Coordinator Additional Skills & Qualifications Must have prior call center, or high volume calls experience &...Vacation or Sick Leave) Workplace Type This is a hybrid position in Malvern,PA. Application Deadline This position is… more
- Sharecare (Newburyport, MA)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. This position requires some work remotely ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
- Entergy (Hammond, LA)
- **Job Title:** Procurement Specialist **Work Place Flexibility:** Hybrid **Legal Entity:** Entergy Services, LLC **Please note:** Authorization to work in ... for work visas for this position. **Note: This a hybrid position, working out of the office 3 days...available for this posting.** **Job Purpose** The Central Procurement Specialist is responsible for the procurement of materials and… more
- AssistRx (Overland Park, KS)
- …and details on how to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends ... Culture: Many associates earn the opportunity to work a hybrid schedule after 120 days after training. Enjoy a...Day in the Life as a Bilingual Patient Access Specialist : This role works directly with healthcare providers &… more
- AscellaHealth (Berwyn, PA)
- …fosters teamwork, cooperation, respect, and diversity. + Accurate and timely data entry of prior authorization requests within the prior authorization ... Fulfillment Specialist - Specialty Pharmacy What we are looking...to meet all client-specific and/or contract requirements. + Receive prior authorization requests telephonically while utilizing multiple… more
- Henry Ford Health System (Rochester Hills, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
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