A company is looking for a Prior Authorization Pharmacist to join their Pharmacy team. ...
The Prior Authorization Specialist will handle all aspects of securing and managing prior authorizations. Prior Authorization Specialist. Submit and track prior authorization requests with insurance providers, utilizing payer websites and direct communication. Gather additional information from refe...
A company is looking for a Pre-Authorization Registered Nurse Intern to review prior authorization requests for appropriate care and setting. ...
Prior Authorization Specialist. An accredited cardiology center in North Houston is seeking a high-volume Prior Authorization Specialist to join their team. Prior Authorization Specialist’s Responsibilities. Perform regular follow-up calls with insurance companies to check the status of the pr...
A company is looking for a Remote Prior Authorization Coordinator with Radiology or Surgery experience. ...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
Preferred Qualifications:** - PharmD degree from an accredited pharmacy program - Prior experience in Prior Authorization - State pharmacy license in good standing (remote work eligibility) - Clinical pharmacy experience with a focus on therapeutic knowledge - Strong analytical and decision-making s...
Responsibilities include submitting prior authorizations to payers, reviewing medical records creating custom prior authorization submissions, and following up with payers regarding prior authorization submissions. This individual is responsible for all aspects of the prior authorization process, in...
At Cloud Rx, the Prior Authorization Specialist plays a vital role in the healthcare system by facilitating the prior authorization process for prescription medications. Additionally, the Prior Authorization Specialist is accountable for managing clinic chats to address any queries or concerns relat...
Prior experience in Prior Authorization. Remote Prior Authorization Pharmacist. 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 guidelines, ...
Prior Authorization Registered Nurse. ...
Prior Authorization Pharmacy Technician. Prior Authorization Pharmacy Technician. Daily Responsibilities for Prior Authorization Pharmacy Technician:. Will provide professional phone assistance to all callers through the criteria based prior authorization process. ...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
A Prior Authorization (PA) pharmacy technician is responsible for supporting the PA pharmacist team and. Determining eligibility and screening incoming pharmacy prior authorization requests for all required. Preparing, organizing, and distributing pharmacy prior authorization requests for review by....
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
As a Pharmacist Intern with OptumRx's Prior Authorization & Appeals team, you will get the opportunity to work with a team of clinical pharmacists to achieve overall performance objectives to the satisfaction of clients, regulatory bodies, and the organization standards. Provide input on decisioning...
WellMed, part of the Optum family of businesses, is seeking a Registered Nurse RN Supervisor Prior Authorization or UM Healthcare to join our team in Texas. The Supervisor of Prior Authorization/Utilization Management Services is responsible for the supervision, evaluation and direction of the Utili...
Medication Prior Authorization Coordinator. Develops and directs implementation of standards, processes and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities within the Centralized Medication Prior Authorization Department. At least 5 years Extensive Knowledge o...
Prior Authorization Specialist - onsite only. Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. Will consider additional clinical license...
Prior Authorization Case Managers (PACMs) collaborate) to ensure that authorization needs are met within an acceptable timeframe. Assists with payor appeals process to achieve approval or until appeal options are exhausted in the event of a prior authorization request denial. Collaborates with other...
Prior Authorization Specialist - onsite only. Using discretion and independent judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission to the Acute Inpatient Rehabilitation Hospital. Will consider additional clinical license...
This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. ...
Parkland Community Health Plan's (PCHP's) Prior Authorization Nurse is responsible for providing timely review of authorization requests and ensuring the request meet national standards and contractual requirements. Competent in prior authorization functions including application of criteria and tim...
Responsibilities include submitting prior authorizations to payers, reviewing medical records creating custom prior authorization submissions, and following up with payers regarding prior authorization submissions. This individual is responsible for all aspects of the prior authorization process, in...
While other companies are seeing a downturn, we are adding to our staff in strategic areas such as our Medicare Part A Medical Review team focusing on Prior Authorizations. What We Prefer You Have:Five years clinical experience as a Registered Nurse in the following specialty area(s): Outpatient Sur...