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Job Title: Prior Authorization Specialist
Location: Fully remote
Duration: 12 months contract
Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documenta...

GeneDx (Nasdaq: WGS) delivers personalized and actionable health insights to inform diagnosis, direct treatment, and improve drug discovery. The company is uniquely positioned to accelerate the use of genomic and large-scale clinical information to enable precision medicine as the standard of care. GeneDx is at the forefront of transforming healthcare through its industry-leading exome and geno...

About DrFirst
This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. We have proven products that address the leading causes of gaps in patient care, brand-name customers, significant growth opportunities and are backed by leading investors. Here you'll get to work with some of the smartest and most interesting people around; solving uniq...

Job Details
Job Location: C9990 - Sugar Land, TX Salary Range: Undisclosed
Description
Healix Infusion Therapy is seeking a full-time, remote Prior Authorization Specialist to join our Corporate Clinical Review Team.
As a Prior Authorization Specialist with Healix, you will have the opportunity to work as a key member of the Clinical Review Team to review referrals for payor criteri...

Job Type
Full-time
Description
Provides physician and member support for LucyRx while also processing prior authorization requests in a timely manner and according to high quality standards.
Role and Responsibilities
* Clinical Call center team member receives calls from Physician and member and provides the requested information or support while ensuring the privacy and security of PHI (P...

Company
Lumicera
About Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity....

Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tes...

Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant te...

Company
Lumicera
About Us
Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity....

Job Description:
* Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the criteria based prior authorization process.
* Maintains complete, timely and accurate documentation of reviews.
* Transfers all clinical questions, escalations and judgement calls to the phar...

POSITION SUMMARY :
Responsible for screening prior-authorization and coordination of specialized services requests in the medical care management program, including a broad range of requests for inpatient, outpatient and ancillary services. Adheres to policies and procedures in order to comply with performance and compliance standards and to ensure cost effective and appropriate healthcare del...

Job Details
Job Location: Amberwell Atchison - Atchison, KS Position Type: Full Time Education Level: High School Salary Range: Undisclosed Travel Percentage: Periodic - As Needed Job Shift: 8 Hour Day Job Category: Patient Finance
Description
The Scheduling Clerk will be the healthcare access representative to patients and/or providers utilizing positive public relati...

REMOTE POSITION
Essential Functions and Basic Duties
Position Specific Performance Expectations:
o Obtains prior authorizations/pre-certification per payer requirements for physician ordered procedures and
ensures authorization information is documented appropriately in the system.
o Verifies physician orders, authorization and demographic information are all complete prior to sending to
the ho...

Job Details
Job Location
Amberwell Atchison - Atchison, KS
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Travel Percentage
Periodic - As Needed
Job Shift
8 Hour Day
Job Category
Patient Finance
Description
The Scheduling Clerk will be the healthcare access representative to patients and/or providers utilizing positive public relations skills when scheduling patien...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
20
Salary Range: $27.5...

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Work Shift:
Day (United States of America)
Scheduled Weekly Hours:
20
Salary Rang...

Company Description
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. ...

Company Description
Guardant Health is a leading precision oncology company focused on helping conquer cancer globally through use of its proprietary tests, vast data sets and advanced analytics. The Guardant Health oncology platform leverages capabilities to drive commercial adoption, improve patient clinical outcomes and lower healthcare costs across all stages of the cancer care continuum. G...