- Intermountain Health (Provo, UT)
- **Job Description:** A Prior Authorization Representative is a critical link in the healthcare chain that balances the needs of patients, healthcare ... authorization process. Coordinates first-level appeals and coordinates peer-to-peer reviews for prior authorization denials. **Schedule - Monday - Friday 7 am… more
- Intermountain Health (Salt Lake City, UT)
- …to termination, at the hiring manager's discretion. **Preferred** + Prior Authorization processing preferred **Physical Requirements:** **Physical Requirements** ... each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience,… more
- Medtronic (St. George, UT)
- …years of Medtronic Neuroscience (Pain, Brain or Spine) Clinical Specialist or Sales Representative experience plus 2 years of additional prior sales or clinical ... **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role...federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information… more
- Molina Healthcare (Provo, UT)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains Point of Sale… more
- Intermountain Health (Logan, 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 (Logan, 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
- Intermountain Health (South Jordan, UT)
- …insurance companies of patient arrival as needed. Ensures eligibility and authorization requirements are completed within the required timeframe. + Ensures ... from ordering physician is received, signed, and dated appropriately prior to allowing the account to move to billing...with third party payer to determine insurance benefits / authorization at time of intake. + Assists in the… more
- Medtronic (Salt Lake City, UT)
- …of medical sales experience **NICE TO HAVE - DESIRED/PREFERRED QUALIFICATIONS:** + Prior Medtronic CVG management experience preferred + Preference for sales in ... Master's Degree + Well-rounded business and financial acumen + Prior product launch experience + C-suite selling experience +...within the Responsibilities section of this job description are representative of those that must be met by an… more
- Owens & Minor (Salt Lake City, UT)
- …pharmacy insurance coverage, allergy and medical conditions as necessary. Contact patients prior to their next order due date and process all patients' ... every moth/ responsible for information patient of co-pay and attempt of collection prior to shipping order. Keep customer database current and accurate with order… more
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