...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...
Suggested
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...
Suggested
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...
Suggested
...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.
#...
Suggested
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...
Suggested
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...
Suggested
Holiday work
Full time
Temporary work
Work experience placement
Night shift
Weekend work
Monday to Friday
...Full-Time, 40 hours per week. The Prior-Authorization Coordinator is responsible for all aspects of the prior authorization process within assigned departments, including identification of appropriate procedure codes and receiving pre-authorization from insurance companies...
Suggested
Full time
...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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Holiday work
Weekend work
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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Holiday work
Temporary work
Local area
...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....
Suggested
Work from home
Home office
...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...
Remote job
Hourly pay
Full time
Immediate start
Work from home
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-...
Suggested
...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...
Suggested
Holiday work
Temporary work
Local area
Monday to Friday
...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...
Suggested
...that listed certification periods, billing addresses, policy numbers, authorization numbers, etc. are all entered correctly.
Prioritizes and processes incoming Insurance Verifications and Prior Authorization requests.
Verify the patient's Medicaid, private insurance...
Suggested
Flexible hours
Shift work
Night shift
Weekend work
Day shift
Weekday work
...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...
Outdoor
...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
...Join Our Team as a Prior Authorization Pharmacist!
Are you ready to embark on an exciting career journey where you'll be at the forefront of shaping... ...and assessments for True Rx clients.
100% work remote with expectations of in-office as needed for meetings and...
Remote job
Holiday work
Flexible hours
...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
...Job Summary:
Supports practice revenue goals by obtaining precertification/prior-authorization for all imaging for in-house and outside facilities. Also obtains prior-authorization for all surgery's performed by Penta physicians and all in-house procedures that require...
..., varies on experience.
Surgical Specialist - Redmond, Oregon
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Prior Authorizations and Referral Management Representative
REPORTS TO POSITION: Clinic Manager
DEPARTMENT: St Charles Medical Group
DATE...
Hourly pay
Relief
Shift work
Job Summary:
The Prior Authorization role is responsible for ensuring all scheduled examinations are authorized for the correct facility,... ...perform the functions of the job. You will work under immediate remote supervision.
Pay and Benefits:
New employees to this...
Remote job
Hourly pay
Holiday work
Work experience placement
Immediate start
Shift work
Monday to Friday
...Anticipated End Date:
2024-05-06
Position Title:
Pharmacy Prior Authorization Representative- BioPlus Specialty Pharmacy
Job Description:
Be Part of an Extraordinary Team
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a...
Remote job
Holiday work
Temporary work
Local area
Shift work
...and fosters diversity.
We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi... ...the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization Specialist I is primarily responsible for...
Remote job
Holiday work
Temporary work
Traineeship
Flexible hours
Shift work
Monday to Friday
...The Prior Authorization Pharmacist provides educational and consultant services in the field of pharmacology and drug therapy medical professionals. Reviews prescription prior authorizations and uses clinical knowledge to provide appropriate approvals or denials. Work...
Holiday work
Full time
Temporary work
Flexible hours
Shift work
Night shift
Rotating shift
Monday to Friday
...Remote Prior Authorization Pharmacist
**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role, you will play a crucial part in evaluating medication requests, ensuring adherence to...
Remote job
...Job Description
Job Description We are actively seeking multiple PharmD Pharmacists - Prior Authorizations to join our care team! This is 100% Remote!
If you’re interested in hearing more, please apply today!
Hours of operation 1000a-7pm CDT M-F.
Training...
Remote job
Internship
Immediate start