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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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Contact physician to resolve issue regarding prior authorization or referral forms. Perform insurance verification and pre-certification follow up for prior day's walk in admissions/registrations and account status changes by assigned facility.
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This position is also responsible for verifying patient insurance, confirming benefits eligibility, performing pre-authorization, pre-certification, and/or notification as required by third party providers.
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Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to obtain insurance prior authorizations for all in office procedures, medications, and any surgical services in a timely manner.
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Minimum of 2 years of experience working as a Prior Authorization Specialist in a pharmacy or healthcare setting. The ideal candidate will have a strong background in pharmacy operations, prior authorization processes, and excellent communication skills.
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The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims.
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Coordinate the scheduling, referral management, registration, prior authorization and insurance verification processes for patients. Grandview Medical Center offers programs and services in all medical and surgical areas, including Cardiology, Oncology, Neurology, Women's Health, Mental Health, Digestive Diseases, Orthopedics, Physical Medicine and Rehab, Sports Medicine and Emergency Care. There are more than 600 physicians on the Grandview medical staff representing 30 specialties and subspecialties.
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MGH Gastroenterology has an opening for a Medication Prior Authorization Specialist. The Medication Prior Authorization Specialist is responsible for obtaining all medication prior authorizations.
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Providing support for the High-Value Assets (HVA) Program Manager, including tracking and forecasting Assessment and Authorization (A&A) schedules for all NOAA HVA teams. Conducting HVA penetration testing on NOAA non-tier 1 HVA systems and NOAA systems as required by the Cyber Security Division (CSD.
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Team RN care coordinator and scheduler, as well as robust financial authorization department. Successful completion of Residency/Fellowship at an accredited program or ability to obtain prior to employment.
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GDIT's Military Health Team is hiring Administrative Assistant, with current or prior Department of Defense (DoD) required, to support the Defense Health Agency (DHA) and the National Intrepid Center of Excellence (NICoE) in Bethesda, MD.
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Notifies physician in charge, funeral home and all other authorities prior to beginning the dissections, coordinates special requests for specimen sampling (e.g., organ transplantation team, research, etc.
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Maintains understanding of various payers and Medicare pre-authorization processes. · Serves as a liaison between hospital and payer to obtain pre-authorization confirmation and enters into medical record/billing system timely and accurately.
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The Pharmacy Prior Authorization Specialist is responsible for supporting the Scripps medication prior authorization (PA) program within the scope of pharmacy technician licensure.
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prior authorization jobs Title: pharmacy Company: Genoa Healthcare Company
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