Average salary: $73,171 /yearly
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$17 - $18.5 per hour
...the care they need. You'll verify insurance eligibility, secure authorizations, and communicate benefits clearly-all while supporting a... ...notes efficiently. *What We're Looking For* * *Skills:* * Prior authorization and insurance verification experience. * Strong...SuggestedContract workTemporary workFlexible hours2 days per week1 day per week- ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
- ...coordination of patient therapies Integrated specialty pharmacy support team managing biologics, medication alignments, and prior authorizations Collaborative, team-based model for comprehensive, personalized patient care Highly efficient EMR (EPIC, Gold Star...SuggestedFull timeLive inRelocation packageFlexible hours
- ...patients in all aspects of their care, rooming patients, answering patient phone calls concerning medication questions, medication prior authorization, performing certain nursing procedures, checking expiration dates on medications and patient supplies, stocking, cleaning and...SuggestedWork at office
- ...determine medical necessity of services, pre and post service as well as pre and post billing. Obtains pre-determinations, prior authorizations, and retro authorizations when required by payor. Responds to all account reviews with the best possible efforts to ensure reimbursement...SuggestedLocal areaRemote workShift workDay shift
- ...(EPIC), scheduling and following-up with appointments and assisting with medication fill and refill requests, checking for prior authorizations and scheduling tests, procedures, consultations, and other in basket types as assigned. The MA will communicate with pharmacies...SuggestedTemporary workRelocation package
- ...Overall performance rating of below indicated essential job duties: Confirms patient's insurance provider and either obtain prior authorization or communicates need for prior authorization to appropriate parties as needed. Reviews surgery schedule for following...SuggestedWork at office
- ...and concise communication. Keep the reception and patient areas clean, sanitized, and organized. Process Prior Authorizations as needed. Additional Responsibilities Ensure all patient information is accurate and up to date....SuggestedFull timeWork at office
$37.65k
...emergency room visits, or loss of independence in vocational, academic, and/or social functioning. Complete requests for prior authorizations as indicated to provide necessary services. Participate in the development of an individualized interdisciplinary plan of...SuggestedFull timeMonday to FridayFlexible hours$20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...SuggestedFor contractorsWork at officeLocal area- ...(EPIC), scheduling and following-up with appointments and assisting with medication fill and refill requests, checking for prior authorizations and scheduling tests, procedures, consultations, and other in basket types as assigned. The MA will communicate with pharmacies...SuggestedWork experience placementWork at office
- ...Records and communicates clinical information to physician, interdisciplinary treatment team as indicated Performs insurance prior authorizations for patients Presents detailed clinical information to medical providers, as well as collaborating with nursing staff to...SuggestedWork at officeLocal areaShift workDay shift
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...SuggestedTraineeshipWork at officeRelocation package
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...SuggestedTraineeshipWork at officeRelocation package
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...SuggestedTraineeshipWork at office
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at office
$19.01 per hour
...Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent...For contractorsWork at officeLocal areaRemote work- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at officeRelocation package
- ...supplies, navigating electronic health record system (EPIC), scheduling and following-up with appointments and checking for prior authorizations and scheduling tests, procedures and consultations. The PCT will communicate with pharmacies, insurance companies, patients...Full timeWork experience placementDay shift
$52.1k
...functioning. Provide education to clients to promote improved functioning skills and development. Complete requests for prior authorizations as indicated to provide necessary services. Participate in staff meetings and consultation with other clinicians to...Full timeMonday to FridayFlexible hoursWeekend workAfternoon shift$16.2 - $24.82 per hour
...navigate electronic health record system, schedule and follow-up with appointments and assist with medication fill requests, prior authorizations and schedule tests, procedures and consults. The MA will communicate with pharmacies, insurance companies, patients and...Hourly payShift work$18.5 per hour
...document. • Can be responsible for documenting, faxing, following up, and providing documentationrequired for all authorizations for each entity requiring prior authorization for any and all medical care. • Perform glucose testing by glucometer as directed. • Perform...Shift workNight shiftWeekend work- ...needed to meet the medical needs of patient. Assist with calling in medications for family practice patients. Maintains Prior Authorizations and Referrals for medical services when needed. Assists with EKG and PFT testing within the office. QUALIFICATIONS:...Full timeWork at officeLocal areaWeekend work
- ...patient medication as directed by Physician. Input accurate patient information into electronic health record. Sending prior-authorizations to insurance companies. Perform daily financial summary and balance of payments received. Responsible for cash...Full time
- Job Title The ideal candidate must have at least 5 years of experience in a similar role. This position is responsible for handling large volumes of files for National Commercial transactions. Attention to detail, great communication skills (verbal & written), great...Full timeWork at officeLocal area
- ...procedures as directed by the Provider. Prepare and reviews patient prior to patient's appointment. Reviews charts for completeness... ...patient demographics/insurance information. Obtain prior authorizations. Responsible for medication management. Provide clinical...Temporary workWork at officeFlexible hours
$18.5 - $19 per hour
...issues and resolutions. Resolve customer requests, inquiries, and concerns with professionalism. What We're Looking For: Prior authorization, insurance verification, claims processing, and AR/AP experience. High School Diploma required; Medical Billing/Coding...Contract workTemporary work- The Company Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspection and risk control services to support our clients' underwriting...For contractorsWork at officeLocal areaWork from home
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...Part timeTraineeshipWork experience placementWork at office
- ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at officeLocal area

