- St. Luke's University Health Network (Allentown, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Medication Prior Authorization Specialist is responsible for the ... Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance. + Maintains working knowledge of… more
- AscellaHealth (Berwyn, PA)
- What we are looking for Optime Care seeks a Prior Authorization and Appeals Specialist for our Berwyn, PA location. We are looking for someone who is ... of the Prior Authorizations and Appeals process. + Respond to Prior Authorization denials and submit appeals, collecting appropriate clinical support to… more
- University of Michigan (Ann Arbor, MI)
- …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service. The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Job Summary**...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and reschedules due… more
- University of Washington (Seattle, WA)
- …MEDICAL CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST .** . **WORK SCHEDULE** * Full-Time / 40 hours ... provide funding or provision of infusion medications * Provide insurance authorization and patient assistance program information and education to providers,… more
- Ochsner Health (Jefferson, LA)
- …as a pharmacy technician. Preferred - Electronic prior authorization experience. Experience taking patient medication histories. **Certifications** Required ... providers with the refill process by ensuring patient's compliance with medication , lab monitoring, adherence to therapy by providing appropriate refill amounts… more
- UCHealth (Denver, CO)
- …providing access to medications for patients by completing Prior Authorization Requests (PAR), Co-pay Assistance Programs, Medication Assistance Programs, ... with third-party insurance, clinical staff, and patients to effectively process prior authorization requests for medications within the prescribed timelines.… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information ... orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care review… more
- Penn State Health (Hershey, PA)
- …family medical or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient ... a Specialty (high price, high risk and high touch) medication , so that the patient is able to initiate...or equivalent required. Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical… more
- Hartford HealthCare (Farmington, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... surgery and or medication . . Contacts insurance companies to obtain prior authorization via telephone and/or portals and provides necessary clinical… more
- Tufts Medicine (Boston, MA)
- …and responsibilities may be assigned. 1. Serves as a subject matter expert for medication prior authorizations. 2. Educates / in-services MDs, RNs and NPs on ... the delivery of support services or activities, typically under supervision. A specialist level role that requires very advanced knowledge of operational procedures… more