The Prior Authorization Coordinator collaborates with the Care Transition Navigator within the physician clinics, as well as members of the multidisciplinary team to facilitate progression of care for the prescribed specialty medications or other home care needs that require prior authorization. ...
Key Responsibilities:Review medical documentation for prior authorization requestsAssess the medical necessity of planned services based on Medicare guidelinesProvide written explanations for non-affirming prior authorization requestsRequired Qualifications:Bachelor's Degree in related field or equi...
The Prior Authorization Coordinator collaborates with the Care Transition Navigator within the physician clinics, as well as members of the multidisciplinary team to facilitate progression of care for the prescribed specialty medications or other home care needs that require prior authorization. ...
A company is looking for a Prior Authorization Specialist. ...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
A company is looking for a Prior Authorization Pharmacy Technician. ...
Position Summary:The Prior Authorization Lead is the subject matter expert of the prior authorization process and is responsible for being the “first line” resource for prior authorization staff. The Prior Authorization Lead assists the Prior Authorization Supervisor with daily management of prior a...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
Acentra seeks a Prior Authorization Reviewer to join our growing team. Reviews verbal and electronic prior authorization requests based upon pre-established criteria and approves or denies authorization. Enters data project-specific information into the prior authorization processing system. May app...
The ideal candidate is one who can bring to the table the right mix of work ethic and integrity, and who enjoys the idea of a career that centers around helping people.Although experienced insurance agents are welcome to apply, .In fact, in many cases we prefer to work with people coming from other ...
Experience with pharmacy prior authorizations strongly preferred. ...
The ideal candidate is one who can bring to the table the right mix of work ethic and integrity, and who enjoys the idea of a career that centers around helping people.Although experienced insurance agents are welcome to apply, .In fact, in many cases we prefer to work with people coming from other ...
Qualifications: Education: High School Degree or equivalent Experience: 3 year prior Revenue Cycle Experience preferred, or meets position specific responsibility and duties. ...
Additional Information About the Role Schedule Full time Monday-Friday 8a-5p No weekends/holidays Location On site Qualifications Experience with pharmacy prior authorizations strongly preferred Licensed pharmacy technician Overview BJC Home Care offers patients and their families a complete range o...
The Prior authorization representatives are responsible for understanding insurance rules and requirements for tests and different categories of tests ordered to understand how to submit a prior authorization and clinical documentation required to receive an approval. This position requires a thorou...
Provides the highest level of customer service to internal staff Serves as a backup to the Contact Center Team to receive inbound calls for patient scheduling as needed during peak hours of high call volume Compensation Package Performance-based bonus incentives Ability to work from home (remotely) ...
Experience: 3 year prior Revenue Cycle Experience preferred, or meets position specific responsibility and duties. ...
The Prior Authorization Coordinator collaborates with the Care Transition Navigator within the physician clinics, as well as members of the multidisciplinary team to facilitate progression of care for the prescribed specialty medications or other home care needs that require prior authorization. ...
If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.Please log into myWORKDAY (http://www.Known as Kansas Citys Essential Hospital, UH is the safety net healthcare system for Jackson County/Kansas City...
Overview:The Prior authorization representatives are responsible for understanding insurance rules and requirements for tests and different categories of tests ordered to understand how to submit a prior authorization and clinical documentation required to receive an approval. This position requires...
Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN ). Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. ...
Manager Pharmacy Prior Authorizations. Pharmacy prior authorization experience strongly preferred. The health of our associates and communities is a top priority for Elevance Health. ...
What we are looking for Optime Care is looking for a Prior Authorization and Appeals Specialist. This critical role manages the process of receiving, researching, and resolving Prior Authorizations and Appeals issues with health insurance companies, including any escalated step of the appeals proces...