A company is looking for a Prior Authorization Nurse Analyst (RN) - REMOTE. ...
The purpose of the prior authorization nurse is to provide timely review of authorization requests and ensure the requests meet national standards and contractual requirements. The prior authorization nurse will also promote the quality and cost effectiveness of patient care using clinical acumen. A...
A company is looking for a Prior Authorization Specialist to manage authorization requests for outpatient diagnostic and surgical services. ...
Preferred Qualifications:** - PharmD degree from an accredited pharmacy program - Prior experience in Prior Authorization - State pharmacy license in good standing (remote work eligibility) - Clinical pharmacy experience with a focus on therapeutic knowledge - Strong analytical and decision-making s...
A company is looking for a Prior Authorization Coordinator to process prior authorization requests and ensure compliance with clinical protocols. ...
Follow all prior authorization procedures to guarantee an accurate process on each prior authorization. The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) reviewed by the Commercial PA team for Pharm...
Prioritize incoming authorization requests according to urgency. Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization. ...
The purpose of the prior authorization nurse is to provide timely review of authorization requests and ensure the requests meet national standards and contractual requirements. The prior authorization nurse will also promote the quality and cost effectiveness of patient care using clinical acumen. A...
At Cloud Rx, the Prior Authorization Specialist plays a vital role in the healthcare system by facilitating the prior authorization process for prescription medications. Additionally, the Prior Authorization Specialist is accountable for managing clinic chats to address any queries or concerns relat...
Looking for a stable 40 hours per week to WFH? Have Prior Authorization, adjudication, appeals, denials experience? Hold a Pharmacist Pharmacist, Authorization, Remote, Staffing, Technology, Clinical. ...
Medication Prior Authorization Coordinator. Develops and directs implementation of standards, processes and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities within the Centralized Medication Prior Authorization Department. At least 5 years Extensive Knowledge o...
Globe Life has been one of the largest benefits providers for unions, associations and veterans across the United States since 1924.After a record breaking year for our agency in 2021 with 20% growth ($63 million increased sales), we are seeking disciplined and driven candidates to fulfill sales and...
Prior Authorization Case Managers (PACMs) collaborate) to ensure that authorization needs are met within an acceptable timeframe. Reviews clinical documentation and determines completeness of clinical notes and prior workup documentation. Coordinates with territory case manager to fill gaps in clini...
Licensed Prior Authorization Therapist. BCforward is currently seeking a highly motivated Licensed Prior Authorization Therapist for an opportunity in Austin, TX (Remote). Licensed Prior Authorization Therapist. Customer Care and Satisfaction - Healthcare Utilization Management - The Prior Authoriza...
The Prior Authorization Claims Specialist reports to the Prior Authorization Claims Supervisor within the Revenue Cycle Operations department. We’re looking for a RCO-Prior Authorization Claims Specialist to join our PharmScript team within our Revenue Cycle Operations department. Responsible for th...
Responses without resume will be ignored.We are currently welcoming agents displaced from Assurance IQ.Security National Life (SNL) is a publicly traded company with roots in the funeral and life insurance business.Currently SNL has a stock valuation of $1.Billion (SNFCA on the Nasdaq)Our agency is ...
Prior Authorization Specialist - onsite only. 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. Will consider additional clinical license...
Prior Authorization Specialist - onsite only. 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. Will consider additional clinical license...
Prior Authorization Specialist - onsite only. 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. Will consider additional clinical license...
Prior experience with 3E and PeopleSoft system. ...
Prior maintenance experience preferred. ...
Prior Authorization Registered Nurse. ...
THIS POSITION REQUIRES THAT YOU HOLD A VALID INSURANCE PRODUCERS LICENSE** We are seeking experienced former Lincoln Heritage & Senior Life Insurance Co.Are you tired of spending thousands per month on Leads? Are you tired of being told that it is just part of the business? Are you tired of havi...
Prior Authorization Pharmacy Technician. Prior Authorization Pharmacy Technician. Daily Responsibilities for Prior Authorization Pharmacy Technician:. Will provide professional phone assistance to all callers through the criteria based prior authorization process. ...
Prioritize incoming authorization requests according to urgency. Knowledge with in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization. ...