Average salary: $73,171 /yearly
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- ..., and benefits. Address any discrepancies in coverage and communicate with patients or facilities when needed. Request prior authorization on drugs that are denied for prior authorization. Notify facilities of changes and exceptions when appropriate. Other duties...SuggestedLocal areaHome officeAfternoon shift
Trilogy Healthcare Services
Louisville, KY16 hours ago - ...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
- ...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
Baptist Health Deaconess Madisonville
Powderly, KY16 hours ago - ...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...SuggestedPart timeLocal areaShift workNight shiftWeekend work
UofL Health
Louisville, KY2 days ago $19.01 - $24.19 per hour
...Job Summary We are seeking a dedicated Intake Coordinator Associate to join our team. This role is vital in managing Prior Authorization tasks, including outbound calls and inbound case creations in adherence to regulatory standards (e.g., NCQA, CMS). You will play...SuggestedWork at officeRemote workHighmark Health
Frankfort, KY3 days ago- ...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
- ...(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
Baptist Health
Brandenburg, KY4 days ago - ...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
RIVER REGION PSYCHIATRY ASSOCIATES
Bowling Green, KY1 day ago $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 areaHighmark Health
Frankfort, KY3 days ago- ...(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
- ...area. Our department provides mentoring from senior partners in a collegial environment. Full time practice manager and prior authorization specialist on site. There are opportunities for community outreach and to provide care to underserved populations....SuggestedFull timePrivate practiceWork at office
Britt Medical Search LLC Defunct
Bowling Green, KY2 days ago - ...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 experience placementWork at officeRelocation package
Baptist Health
Frankfort, KY4 days ago - ...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
Baptist Health
Paris, KY16 hours ago - ...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 experience placementWork at officeRelocation package
Baptist Health
Richmond, KY3 days ago - ...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 experience placementWork at officeRelocation package
Baptist Health
Paducah, KY16 hours ago - ...Works closely with Financial Advocates to facilitate financial support for all modalities of treatments. Works closely with Prior Authorization team to facilitate authorizations for all needed treatments. Provides psychosocial support to and facilitates...Full timeInterim roleWork at officeFlexible hours
The Christ Hospital Cardiovascular Associates
Fort Wright, KY3 days ago - 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
$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 workHighmark Health
Frankfort, KY4 days ago$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 workMadison Health and Rehabilitation
Richmond, KY16 hours ago$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 workUniversity of Kentucky
Lexington, KY3 days ago- ...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
Spero Health
Elizabethtown, KY2 days ago - A leading financial institution is seeking a Prefunding Quality Assurance Underwriter based in Kentucky. This role involves conducting thorough underwriting reviews to ensure loan quality and compliance with established guidelines. The ideal candidate will possess 5-7 ...
City National Bank
Frankfort, KY1 day ago $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- ...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 at officeRelocation package
- ...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
- ...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
- ...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...Full timeTraineeshipWork experience placementWork at officeRelocation package
Baptist Health
Louisville, KY2 days ago $17 - $20 per hour
...Specialist that will be responsible for performing duties related to Authorizations (Medicaid or other insurance), Claim Submission, Rejection... ...full breakdowns. Ability to complete and submit Prior Authorizations Understand the rules and regulations for Medicaid...Hourly payFull timeWork at office- 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 inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
EXL
Louisville, KY16 hours ago - ...years of experience in a medical office setting preferred ~ Prior experience in Allergy and/or Immunology strongly preferred ~... ...Handle patient phone calls, prescription refills, and prior authorizations for medications and biologics Provide patient education under...Full timeWork at office
ENT and Allergy Specialists
Crescent Springs, KY3 days ago
