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Pharmacy Tech will work on-site for the first 8-10 weeks prior to transitioning to a fully remote role. - Fax all necessary information to insurance companies to obtain an authorization number for pre-certification, and communicate this number to discharge concierge program staff to allow for prescription processing and fulfillment.
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Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only.
$42.55 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This can vary based on the individual State Plan. JOB QUALIFICATIONSRequired EducationAny of the following:Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's degree in a healthcare field, such as social work or clinical counselor (for Behavioral Health Care Review Clinicians only.
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May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning. Support providers and reviewers with prior authorization requests for post-acute care services.
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As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment.
$50 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Pharmacy Prior Authorization Revenue Cycle Representative will work closely with other staff within the health system to assist patients in gaining timely access to medications. For additional questions, please contact Penni Berger at penelope-berger@uiowa.edu This position is eligible for a combination of remote work and in-person (hybrid) work within Iowa. To be eligible for the hybrid remote work option, staff must be working in the position for a minimum of 6 months, must have successfully completed all training requirements, and must be meeting or exceeding expectations as assessed in a formal performance review or by leadership.
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Utilizes Epic Referral Work Queues, Experian Real Time Authorization (RTA), phone, payer websites and fax to complete prior authorizations for imaging and specialty services. Thoroughly reviews patient charts in Epic, submits the appropriate clinicals for authorization to the correct payer/third party vendor, obtains final determination from payer and enters information into EPIC. Utilizes Experian RTA system to obtain authorization and verifies authorization completion within system.
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Collaborates with case management, social work, utilization management, and other cross-functional teams across the enterprise. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance.
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From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.
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Work Experience Bachelor’s Degree or 3 years of authorization experience required. Major Responsibilities Assess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans, IP/OP Surgeries, Molecular and Genetic Laboratory Testing, specialty related PT/OT and Speech Therapy, Psychiatry, Neuro/Psych Evaluations, and Rehab evaluations.
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After training, the schedule will bcome a hybrid where you work from the office and your home office. PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients.
$15.25 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Additional Qualifications: The Infusion Care Prior Authorization Specialist role requires critical thinking skills, effective communication, decisive judgement, and the ability to work with minimal supervision.
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Some highlights about this opportunity include: · Full time role during the daytime hours /only/ · On the job training available to ensure career growth and success · Great opportunity for advancement for those with a background in patient registration, customer service, and insurance processing · Your work will help to improve the health of our community by supporting vital administrative functions related to cancer and hematology care/treatment *The Glens Falls Hospital Impact.
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Prior work experience in a healthcare facility, preferably in a role involving medical billing, insurance verification and prior authorizations. We also focus on creating and sustaining a healthy mix of work, personal and academic pursuit – all in an effort to support your work-life effectiveness.
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Business Intelligence Developer 2 - WORK AUTHORIZATION REQUIRED. Individuals with temporary visas or who need sponsorship for work authorization now or in the future, are not eligible for hire.
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work job Title: authorization
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