US Tech Solutions Telecommute Duration: 06 Months Job Summary: Training and working virtually Utilizing multiple software systems to complete Medicare appeals case reviews Meeting or exceeding government mandated timelines Complying with turnaround time, productivity and quality standards Conveying resolution to beneficiary or provider via direct communication and professional correspondence Acquiring and maintaining basic kno |
University of Utah Salt Lake City, Utah, 84112 Prior Authorization Coordinator Job Summary Job Summary The Division of Pediatric Clinical Enterprise at the University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible for obtaining prior authorization before services are rendered for requested procedures, testing, and medications |
Genesis10 Minneapolis, Minnesota, 55440 Genesis10 is seeking a Prior Authorization & Appeals Quality Analyst for a contract with our client. 100% Remote. Job Description: Senior Analyst(s) will be responsible for end-to-end business process activities - creating, controlling and improving the performance guarantee processes related to Prior Authorization and Appeals. They will lead process design and project implementation teams to assu |
US Tech Solutions Telecommute Duration: 6+ months contract Job Description: Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria based on prior authorization as per policy and procedure. Experience: Prior authorization experience required. |
US Tech Solutions Telecommute Duration: 6 months contract Job Description: As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. Responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more information when needed, and ensuring accurate d |
US Tech Solutions Telecommute Duration: 06 Months Summary: · Tasks for Customer Service Rep can differ per location: Effective delivery of company products and services (40%) *Responds to telephone inquiries and orders from homecare patients and referral sources. · Provides information on equipment, supplies and services. · Determines the best method for providing services. * May assist walk-in patients with the selection of e |
US Tech Solutions Telecommute Duration: 06 Months Summary: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. The Pharmacy Technician certificatio |
US Tech Solutions Telecommute Duration: 06 Months Summary: This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of all approvals and denials, and transfers all clinical questions and judgment calls to the pharmacist. The Pharmacy Technician certificatio |
Jobot Sumterville, Florida, 33585 Authorization and Referrals Specialist $$$$ Flexible Schedule This Jobot Job is hosted by: Kaylee Pauley Are you a fit? Easy Apply now by clicking the "Quick Apply" button and sending us your resume. Salary: $25 - $28 per hour A bit about us: This role is ideal for those who thrive in a fast-paced environment, have excellent attention to detail, and possess a strong understanding of the medical in |