- CVS Health (Salt Lake City, UT)
- …You will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination if ... do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc.… more
- Intermountain Health (Provo, UT)
- …orders are proposed, signed off and sent for hospital orders. + Obtains authorization for surgeries/hospital procedures by researching coverage and obtain prior ... go out of network. Point of contact for surgery authorization questions. Obtain proper CPT code from provider for...includes pre-op labs, tests, or any pre-requisite that needs prior attention. Coordinates with Providers and Medical Staff any… more
- Intermountain Health (Park City, UT)
- …appropriate accounts to determine insurance coordination of benefits, may include pre-certification/ prior authorization . + Assists patients in completing ... **Job Description:** The Patient Service Representative (PSR) serves as the first connection between...necessary forms to meet regulatory and billing needs prior to receiving clinical care. Scans necessary paperwork and… more
- Molina Healthcare (Provo, UT)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- Highmark Health (Salt Lake City, UT)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- General Motors (Salt Lake City, UT)
- …OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...employer of record on a government form, and any work authorization requiring a written submission or… more
- Medtronic (St. George, UT)
- …in the field 5 days/week. This position is an exciting opportunity to work with Medtronic's Diabetes business. Medtronic has announced its intention to separate the ... about intensive diabetes management and continuous glucose monitoring. + Work directly with patients, providing product and therapy technical...+ Bachelor's degree. + Minimum of three (3) years prior sales experience **Nice to Have** + Field sales… more
- Air National Guard Units (Salt Lake City, UT)
- …complies with legal and regulatory requirements and meets customer needs. Plans work to be accomplished by subordinates. Sets and adjusts short-term priorities, and ... prepares schedules. Assigns work to subordinate employees based on organization priorities and...Conditions of Employment Compatible military grade and assignment required prior to the effective date of placement. This is… more
- Air National Guard (Salt Lake City, UT)
- …coordinating, modifying, implementing, and troubleshooting in order to meet customer needs. Work pertains to the administration of all systems, including a myriad of ... Conditions of Employment Compatible military grade and assignment required prior to the effective date of placement. This is...accomplishment of the mission. May occasionally be required to work other than normal duty hours; overtime may be… more
- Owens & Minor (Midvale, UT)
- …Process new referrals completely and accurately. Must be organized and be able to work with pharmacist to create and assure and efficient workflow and orders are ... pharmacy insurance coverage, allergy and medical conditions as necessary. Contact patients prior to their next order due date and process all patients'… more