- Prestige Staffing (Atlanta, GA)
- Onsite Prior Authorization Specialist Job Overview Position requires utilization of clinical knowledge and excellent customer service skills to schedule appropriate ... and MRI/X rays/CT scans are forwarded to the facility prior to the surgery date Consult with patient to...op appointment, reminder of any balances to be collected prior to the surgery date, attach both the surgery… more
- US Tech Solutions, Inc. (Atlanta, GA)
- …as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth 's received via fax and ePA, monitoring and responding to inquiries ... courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of reviews.… more
- Northern Light Health (Brewer, ME)
- …and collaboration. Education + Required High School Diploma/General Educational Development (GED) Position Med Refill Prior Auth SpecLocation Req ID null ... Northern Light Pharmacy Department: Pharmacy - Refill- Auth Program Position is located: Cianchette Professional Blding...is an entry level position. The Medication Refill and Prior Authorization Specialist is an essential member of the… more
- US Tech Solutions (RI)
- **Job Summary:** + The Tech I Prior Auth . takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to ... needed to include but not limited to: outbound calls, reviewing and processing Prior Auth 's received via fax and ePA, monitoring and responding to inquiries via… more
- HonorHealth (Scottsdale, AZ)
- …regulatory alignment. Maintain a productivity PA case load of an average of 10 prior auth processing per day. Assist in tracking quality metrics and maintaining ... across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Prior Authorization (PA) Specialist is responsible for the review of requests… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and ... prior authorization guidelines. Communicates regularly with patients, families, clinical...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and ... prior authorization guidelines. Communicates regularly with patients, families, clinical...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral and ... prior authorization guidelines. Communicates regularly with patients, families, clinical...up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that are guided by protocols… more
- University of Rochester (Rochester, NY)
- …With minimum direction and considerable latitude for independent judgement, obtains prior authorizations for both standard and complex requests. Provides multiple ... details and facts to insurance carriers and Worker's Compensation to obtain prior authorizations for both standard and complex requests such as take-home medications… more
- US Tech Solutions (May, OK)
- …a best-in-class service experience. **Responsibilities:** + Evaluate and review all prior authorization requests and render coverage determinations based on clinical ... denial management processes. (60%) + Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical… more
