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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.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide.
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Support client providers and UM reviewers with prior authorization requests for post-acute care services. Two (2) years experience as medical assistant, care technician, post-acute care and home health care support staff or ancillary services in other health care related field preferred.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Required: Prior authorization process, CoverMyMeds experience, knowledge/understanding of pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
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The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
Full-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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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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The DME Prior Authorization Specialist is responsible for completing the pre-registration, registration, eligibility verification, verification of benefits and pre-certification/documentation processes which involves communicating with patients, and insurance companies to ensure that all appropriate demographic and reimbursement information is accurate to prior to the patient’s scheduled appointment.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Our Onco360 Pharmacy has an immediate need for Pharmacy Prior Authorization Specialists in Buffalo, NY ! Required: 1+ years pharmacy or prior authorization experience.
Full-timeExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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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.
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Previous experience as a pharmacy technician with maintenance of continuous registration as a pharmacy technician with the Minnesota Board of Pharmacy dating back prior to January 1st, 2013.
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An accredited cardio logy center in North Houston is seeking a high-volume Prior Authorization Specialist to join their team. Prior Authorization Specialist’s Responsibilities.
$23 an hourExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Responsibilities for this Prior Authorization Specialist will include insurance processing for healthcare, prior authorization and insurance investigation and appeals. Great Pay $17 / Hour Incredible Prior Authorization Specialist position available in growing organization.
$35,400ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Prior Authorization Specialist is responsible for completing the pre-registration, registration, eligibility verification, verification of benefits and pre-certification/documentation processes which involves communicating with patients, and insurance companies to ensure that all appropriate demographic and reimbursement information is accurate to prior to the patient’s scheduled appointment.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Reports to: Prior Authorization Manager. Familiarity with pre-authorization, pre-certification, and health insurance claims processing preferred. Job Overview: The Authorization Specialist is responsible for pre-authorizing services including MRI, therapy, surgery, and durable medical equipment (DME) for the practice.
$32 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Primary Responsibilities: Perform initial prior authorization review of post-acute care services applying guideline criteria for approval and sending to Medical Directors if review is necessary for determining an adverse determination.
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