- Adecco US, Inc. (San Diego, CA)
- Adecco Healthcare & Life Sciences is hiring Pharmacists in California! This role is work from home and all equipment is provided. Please note you must reside ... Friday, 8am to 8pm CST (Must be open to work these hours and be flexible) **Responsibilities of the...multiple databases/platforms, and applications. Competent use of computers/technology. **Why work for Adecco?** . Weekly Pay . 401(k) Plan… more
- St. Luke's University Health Network (Allentown, PA)
- …orders placed by PG PCP and Specialty service lines. + Utilizes specific Epic Work Queues designed for Prior Authorization and Insurance Referral workflows ... be considered as a detailed description of all the work requirements that may be inherent in the position....medical necessity of genetic testing/infusion services in addition to prior authorization to ensure revenue for services.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Prior Authorization Manager is responsible for the work of the Prior Authorization Coordinators and ensuring the quality of the ... prior authorization workflow. Acting as a working manager, responsibilities include,...authorization /coding and performing insurance carrier/managed care review preferred. Work Days: Days between 8am -6pm depending on pharmacy… more
- BrightSpring Health Services (Totowa, NJ)
- …Inc. is a leading provider in home Infusion therapy. We are looking for an Prior Authorization Specialist to join our team as we grow to be one of the ... top home infusion providers in the country. This role will...This role requires working knowledge of pharmacy benefits and prior authorization process. Amerita is an entrepreneurial-founded… 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
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910146 OBGYN Billing Work Shift: UR - Day (United States of America) Range: UR URC 205 H… more
- US Tech Solutions (May, OK)
- …pharmacists, other clinical colleagues, healthcare professionals and members. + Follow all prior authorization procedures to guarantee an accurate process on ... position and requires the ability to effectively support a work from home environment. Must have the...each prior authorization . + Train and mentor representatives… more
- US Tech Solutions (May, OK)
- …other clinical colleagues, healthcare professionals and members. + * Follow all prior authorization procedures to guarantee an accurate process on each ... position and requires the ability to effectively support a work from home environment. Must have the... prior authorization . + * Train and mentor... prior authorization . + * Train and mentor representatives on the… more
- Hartford HealthCare (Farmington, CT)
- …on billing and authorization processes.* * *Assists with training of new prior authorization staff and other duties as assigned.* *At Hartford HealthCare, we ... the Authorization Specialist performs all duties related to insurance verifications and prior authorizations for Home Health and Hospice services in a timely… more
- UPMC (Pittsburgh, PA)
- …expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior authorization responsibilities1. Reviews and interprets medical ... Monday through Friday 8am to 4:30pm (1 day work from home ). The primary responsibilities of...insurance payor or contracted provider web sites to perform prior authorization , edit, and denial services.4. Utilize… more