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The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question.
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Covenant Physician Partners is hiring for a Fulltime Prior Authorization Specialist to join our team at De La Pena Eye Group located in Commerce, California. The primary function of the Prior Authorization Specialist position is to provide premier customer service to the patient, physician and their office staff by obtaining facility authorizations for patient(s) scheduled.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities, including BWH OR procedures, BWFH OR procedures, FXB OR procedures and BWH/BWFH Endoscopy Suite procedures in accordance with standards established by the Department, Hospital, Medical Staff, and outside regulatory and accreditation agencies.
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Blue Ridge Health is currently seeking a Prior Authorization Specialist to be part of our Medical team in Polk County. The Prior Authorization Specialist collaborates with patients, internal staff, other medical center representatives, and third-party payers to facilitate the smooth exchange of information related to obtaining timely prior authorizations for pharmaceutical and imaging patient needs.
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The Prior Authorization Specialist (PAS) is an essential role responsible for facilitating exceptional patient experience, by securing authorizations for all scheduled services related to medical and surgical admissions across entities.
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Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on. Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts.
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The primary purpose of the Prior Authorization specialist is to communicate with the clinical staff, surgical schedulers, providers, and insurance companies to obtain authorizations and coordinate scheduling for upcoming procedures and/or surgeries for Firestone Ambulatory Surgery Center.
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What does a Prior Authorization Specialist do? Maintains a daily workflow of Ontrac work lists and keeps Epic auth/cert fields and notes updated prior to, throughout, and post service until case is in final secured status and authorization is complete for billing purposes.
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We are seeking a skilled and detail-oriented individual to fill the role of Primary Care Prior Authorization Specialist. Prior Authorization Specialist- Medical Assistant. The primary responsibility of this position is to work with primary care physicians to obtain prior authorization for medical procedures and treatments.
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The Prior Authorization Specialist is responsible for the timely submission of all documentation, forms, or electronic requests in a timely fashion to not impede our community's access to care.
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The incumbent monitor tasks related to CalOptima Health's prior authorization and referral process. The Medical Authorization Assistant (Prior Authorization) will provide office and referral management services and serve as a contact between members, physicians, providers and CalOptima Health staff.
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Is seeking a highly motivated Senior Prior Authorization Specialist to help bring a new therapy to stroke survivors – the Vivistim® Paired VNS™ Therapy. The Senior Prior Authorization Specialist plays a very important role at MicroTransponder; to ensure patient access to Vivistim® Paired VNS Therapy throughout a network of providers who are similarly committed to improving the lives of patients suffering from chronic stroke.
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Utilization review, prior authorization, Care management, Case management, interqual, ncqa, ncqa standards. Utilization review,prior authorization,Care management. One to three (1-3) years recent care management prior authorization experience.
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Cary Medical Center has an exciting opportunity for a Prior Authorization Specialist to join our team. Prior authorization or Pre-certification preferred. Request, follow up and secure pre-authorization prior to services being performed.
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The primary purpose of the Office Generalist/Prior Authorization Specialist is to communicate with administrative staff and insurance companies to obtain authorizations to coordinate upcoming visits for our Home Health division.
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Title: prior authorization
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