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...clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care... ...Pharmacist. In this critical role, you will ensure clinical prior authorization and appeal determinations in accordance with covered plan...
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Responsibilities:
The Pharmacy Prior Authorization Lead expert will establish policy and procedures for centralized pharmacy prior
authorization... ...by the Washington State Pharmacy Department of Health as a pharmacist.
Preferred:
Three (3) years pediatric outpatient...
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Hourly pay
Full time
...with multiple systems such as GE, Cerner, Image Cast, Mosaiq, auth tool and payer websites. Call/navigate insurance websites for authorization requirements and obtain timely authorizations from various insurance companies. Communicate with insur Authorization, Specialist...
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...Description
Job Summary:
The Prior Authorization/Referral Coordinator works as a patient advocate and obtains prior authorizations... ...criteria.
# Provides information to patients, participants, pharmacists and doctors regarding participant's benefit coverage.
#...
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Work experience placement
...and Washington with this position located at our clinic in Salem, Oregon.
THE POSITION
Modern Nose Clinic is seeking a Prior Authorization Specialist to join our growing team. If you are looking to avoid burn-out , with no on-call or weekend shifts , then this...
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Holiday work
Full time
Local area
Shift work
Weekend work
Monday to Friday
...Workplaces in Ohio!!! Click on the link to our video below to learn more about us!
The Urology Group is searching for a Prior Authorization specialist. The position is full time, Monday-Friday, 8am-4:30pm in our Norwood billing office.
Duties:
Contact...
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Full time
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Work experience placement
Night shift
Weekend work
Monday to Friday
...home medications to assure the appropriateness and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance companies, and review organizations. Ensure completion...
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...Opportunity
Description
We're looking for a Pharmacy Prior Authorization Technician , working in Insurance industry in Syracuse... ...under the members benefit.
Routes cases directly to the pharmacist/medical director for final determination, as directed....
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Work from home
Home office
Overview:
Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Polk County.
What We Offer You::
~ A competitive benefits plan, including Medical, Dental and Vision
~ Company sponsored life insurance and short...
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Local area
Lexington Regional Health Center
Title: Prior Authorization Specialist
Effective Date: November 29, 2023
Supervisor: Informatics System Coordinator
Department: Nursing
FLSA Status: Non-Exempt
Principle duties and responsibilities
# Contacts insurance...
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Immediate start
Work from home
...network of branches and healthcare professionals.
ThePrior Authorization Specialist role will be responsible for activities relating to... ...proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of...
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Monday to Friday
...professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities:
A prior authorization specialist is an individual who is highly skilled in ensuring that patients receive the medication that requires pre-...
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...Job description
We are currently seeking a remote Prior Authorization Coordinator. This individual will be responsible for all aspects of the prior authorization process for interventional pain management procedures in an office or outpatient setting including advanced...
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Hourly pay
Full time
Immediate start
Remote job
Work from home
Monday to Friday
...individual needs and concerns. The duties required include pre-authorization of services performed within the hospital and clinics per... ...are accurate, determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization.
+ Ability to understand and communicate insurance...
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Outdoor
...We are seeking a highly organized and detail-oriented Medical Prior Authorization Specialist to join our outpatient clinic team. The ideal candidate will have a strong background in healthcare administration, particularly in handling prior authorizations for medical procedures...
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...Job Description Summary:
This position is responsible for obtaining prior authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol.
Qualifications:
+ Minimum of two (2) years' experience...
Shift work
...Summary
To obtain prior authorizations for diagnostic imaging, prescription medications, including IV therapy, medical appointment, Veterans Administration Authorizations, durable medical equipment, and specialist appointments, Position will secure authorization and...
Work experience placement
Private practice
Local area
...Oregon Urology Institute has a Full-time, Prior Authorization and Claims Specialist opportunity available.
Oregon Urology Institute is one of the largest, most advanced urological centers in the Northwest. Oregon Urology Institute provides patients with some of the...
Hourly pay
Holiday work
Full time
For contractors
Local area
...improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for applicable patient prescriptions. This...
...excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.
Position: Prior Authorization Specialist
Location: Norwood Office
Department : Billing
Schedule: Hybrid work-from-home option post-training...
Holiday work
Full time
Temporary work
Work from home
Flexible hours