- UpvoteDownvoteShare Job
- Suggest Revision
May provide back-up pre-certification/prior authorization resources for other departments as needed. Develops and maintains reference manuals that outline the individual payer requirements as it relates to pre-certification and pre-authorization needs.
$17.15 - $21.44Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
$15.25 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We are looking for candidates with prior experience in phase unbalanced power distribution systems and microgrid modeling, simulation, optimization, and/or analysis. Receipt of a Q clearance and additional access authorization ultimately is a decision of the Federal Government and not of Triad.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans.
InternExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
ExpandUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
In-depth knowledge of Prior Authorization or Referrals. Experience navigating commercial insurance portals such as United Healthcare, Availity, and Navinet in the submitting, review and management of prior authorizations and referrals.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Verifies pre-authorization requirements and follows up with both the referring physician and payer to ensure authorizations are on file for the scheduled procedure prior to date of service.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business related issues within the Dupixent Business Unit.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Support field in education of office personnel on prior authorization and appeals processes, reimbursement support through Dupixent MyWay, free drug programs and financial assistance programs.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Position Title: Field Reimbursement Manager (FRM), Dupixent. The FRM is a critical front-line member of the Sanofi Genzyme Patient Support Services organization and will work across multiple internal stakeholders, Sales Teams, Market Access, Account Directors, Trade, Dupixent MyWay (Patient Support Program) and program vendors to deliver an exceptional customer experience.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
As a FRM, your duties will include but are not limited to Prior Authorization assistance, Claims Assistance, and Appeals and educating the office on Payer landscape. Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams.
ExpandUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Minimum 7+ years' experience in the pharmaceutical/healthcare industry, Specialty Biologics and / or Market Access a plus. Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, billing and coding. The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting access, Reimbursement and Patient services by providing assistance with patient reimbursement processes for VYVGART and our future argenx portfolio.
ExpandUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Field Reimbursement Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met.
ExpandUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
FRM will collaborate regularly with case manager and case coordinator on average of 4 x month and ad hoc as needed for escalations, these interactions are tracked in FRM CRM and hub system. Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs.
ExpandUpdated 4 days ago
prior authorization jobs
FEATURED BLOG POSTS
How to Re-apply for Your Old Job Professionally
Have you recently started a new job only to find that you miss your old one? Maybe you didn’t realize how good you had it, and now you regret leaving. Don’t worry. You’re not the first person to feel this way, and you might even be able to return to your old job if you play your cards right.
Looking for New Candidates?
Before the turn of the century, recruiters could put their "help wanted" ads in the newspaper, and applications would pour in. Since then, recruiting has turned a new page. The use of the internet and other technologies allows recruiters to broaden their candidate pool for the simple reason being
Decline a Job Offer Professionally: When to Rescind
Your job search has finally paid off! After countless job applications, numerous emails, and several interviews, the hiring manager and other stakeholders have decided that you’re the right person for the job! All you have to do now is accept the offer and walk into the sunset, right?
Resume Job Description Samples - 8 Tips to Follow
When looking for a job, your resume becomes a crucial element. From making a great first impression to showcasing all your achievements and potential, your resume has to portray your professional story in minutes.
Internship Cover Letter Tips with Examples
Until now, college has been about learning, absorbing, and experiencing. It’s not until you become eligible for an internship that things start getting real—real-world experiences using real-life scenarios. Applying for internships takes time, and there’s no college course on “how to apply for jobs.” (We’d sign up immediately if there was, though!) But here's a spoiler alert: most internships require a cover letter. And while this may seem like a burden, it’s actually a blessing.
5 Practical Ways to Remove Bias from your Hiring Process
Many employers think their hiring process is perfect. However, research shows that the hiring processes are generally impartial and unfair, especially if you are part of certain demographics. Women, people of color, people with disabilities, or even people in lower socioeconomic status are more likely to be subject to implicit bias. As diversity and employer branding become major aspects of business, it is important that employers take the lead to identify and remove bias from the hiring process. So, here are 5 practical ways to get you started.
Tips to Get Your First Job Confidently
Whether you’re a recent graduate or you still have a few exams left, you may be itching to put your polished leather shoes on and join the workforce. After all, your first job is an entryway into the professional life you’d lead for the decades to come.