Prior Authorization Representative Jobs in USA

Position Summary:Responsibilities include completing proper forms paperwork and submitting back up documentation to obtain Pre authorizations and referrals. Employees will provide a variety of services to maintain the day-to-day operations of the department. RequirementsEducation:High School Diploma...

OverviewLPN or CMA - Medication Prior Authorization SpecialistFull-time postion with benefits (40 hours per week)Daytime hoursThe Medication Prior Authorization Specialist (Clinical) is responsible for obtaining timely prior authorizations for medications to ensure uninterrupted patient care. This r...

SummaryResponsible for setting up cases for pharmacy authorization requests and performing pharmacy reviews as per established criteria. Maintains the timely complete and accurate processing of authorization requests by interfacing with internal and external customers and the Pharmacy Benefit Manage...

Overview:Looking for a senior Epic analyst with strong experience in referrals and prior authorization workflows with supporting knowledge of Cadence scheduling and patient access operations.Key Requirements:5 years of Epic experience with referrals and prior authorization workflowsStrong understand...

We have a great opportunity for an on-site Pharmacy Prior Authorization Specialist in Pittsburgh PA Company Overview: We are the worlds first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications. Patients benefit from transparent low...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...

McKesson is an impact-driven Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights products and services that make quality care more accessible and affordable. Here we focus on the health happiness and well-being of you and those we serve we care...

Our team members are at the heart of everything we do. At Cencora we are united in our responsibility to create healthier futures and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health come join our innovative company...

Weve made a lot of progress since opening the doors in 1942 but one thing has never changed - our commitment to serve heal lead educate that every award earned every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner whether you work with...

JOB SUMMARY:At all levels Pharmacy Technicianswork collaboratively as an active team member of the interdisciplinary team to provide patient centered care across the this rolethe goals include providinganexcellentpatient experiencehigh qualityoutcomes and improved productivity for the team.This pos...

Position Highlights:Position: Prior AuthorizationLocation:Hospital AdmissionsResponsibilities:Gather Patient Information: Collect and review patient medical records diagnosis codes and procedure details to support the pre-authorization request.Verify Insurance Coverage: Confirm patient information a...

Position Highlights:Position: Prior AuthorizationLocation:Hospital AdmissionsResponsibilities:Gather Patient Information: Collect and review patient medical records diagnosis codes and procedure details to support the pre-authorization request.Verify Insurance Coverage: Confirm patient information a...

Lets do great things together!About ModaFounded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our commu...

City/StateVirginia Beach VAWork ShiftFirst (Days)Overview:Sentara Health Plans is looking to hire Pharmacy Prior Authorization Coordinator 1:This is a remote position: Remote opportunities available in the following states: Virginia North Carolina Alabama Delaware Florida Georgia Idaho Indiana Kansa...

Locations: Miramar FLSchedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from/to pharmacies...

Location: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from/...

Location: Onsite - Gainesville GA Schedule: Full-Time Monday FridayPay Rate: $19.00/HourESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:Manage incoming and outgoing calls documenting all calls in the dedicated application for calldocumentation.Handle letters from/...

Position Highlights:Position: Prior AuthorizationLocation:Hospital AdmissionsResponsibilities:Gather Patient Information: Collect and review patient medical records diagnosis codes and procedure details to support the pre-authorization request.Verify Insurance Coverage: Confirm patient information a...

As aPre-Auth Consultantyou will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards . Mandatory skills FACETS UM/Pre-Auth Configuration ITS/Authorization Routing Logic SQL & Rule Traceability Responsibil...

Are you a current UMass Memorial Health caregiver Apply now through Workday.Exemption Status:Non-ExemptHiring Range:$20.94 - $29.27Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Details:M...