- 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
- CVS Health (HI)
- …This position provides processing and communication of Specialty and Non-Specialty medication prior authorization referrals reviewed by the Case Review Unit. ... in customer service or call center environment - Must be able to work from home , this is a 100% work from home position - Have wired high speed internet… more
- CVS Health (AZ)
- …do it all with heart, each and every day. Position Summary - Processes prior authorization requests received by phone, fax, or electronically and utilizes ... resources, existing criteria, and medication guidelines to perform clinical research to support prior authorization reviews. - Proactively completes prior … 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)
- …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
- Centene Corporation (Austin, TX)
- …Central with occasional weekends and holidays required. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service ... flexibility. Applicants for this position have the flexibility to work remotely from their home anywhere in...assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as… 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 ... Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910146 OBGYN Billing Work Shift: UR - Day (United States of America) Range: UR URCD 204 H… more
- Adecco US, Inc. (Cumberland, RI)
- Job Title: Pharmacy Technician I - Prior Authorization (Remote) Location: Fully Remote (US) Pay Rate: $19.99 - $ 21.13/hour Training: + 5 weeks, Monday-Friday, ... for PST time zone candidates Position Overview: The Pharmacy Technician I ( Prior Authorization ) handles inbound calls from providers, pharmacies, and members,… 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