Monster
Search results for

Author Jobs in the United States

Prior Authorization/Benefits Verification

A-Line Staffing Solutions

Pittsburgh, PA

This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practices. A-Line Staffing is actively searching for Multiple Pharmacy Billing Specialists for a major healthcare company located in Pittsburgh, PA surrounding area.

8 days ago
Authorization Specialist

A-Line Staffing Solutions

Morristown, NJ

Follow up with payer to receive a determination on authorization, escalating as necessary to ensure pre- service approval. Submit authorization request, including applicable clinicals, to payer authorizing services.

13 days ago
Authorization Specialist

A-Line Staffing Solutions

Phoenix, AZ

Proficiency in typing at 45 words per minute, with a minimum score of 6500 alphanumeric keystrokes per hour. Support concurrent review nurses, respond promptly to provider inquiries, and address member concerns with empathy.

6 days ago
Program Coordinator/Prior Authorization Rep.

A-Line Staffing Solutions

Pittsburgh, PA

This position requires work within several different operating systems and web based programs to retrieve document images, collect supporting or additional information on fills and work claims through to resolution to ensure compliant, timely and accurate billing practice. Individual must work with LTC facility staff, Omnicare pharmacy operations staff, prescriber offices, third party payers, patients and/or their responsible parties and claim processors.

8 days ago
Prior Authorization Specialist

TEKsystems

Jeffersonville, IN

Compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough efficient management of their records. Adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely.

4 days ago
Pharmacy Technician-Prior Authorizations

Mercy

Chesterfield, MO

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period! The Pharmacy Technician - Prior Authorization position plays a critical role ensuring patients have timely access to necessary medications by completing and submitting prior authorization for Mercy Primary Care clinics.

7 days ago
Medicaid Prior Authorization Specialist I

Yukon-Kuskokwim Health Corporation

Bethel, AK

Medicaid Prior Authorization Specialist I under normal supervision, assists in providing transportation/logistical assistance to Alaska Medicaid Recipients traveling to and from the Yukon Kuskokwim Health Corporation (YKHC) service area by determining if the burden of medical necessity has been met by documenting these findings in detail through the appropriate computer systems. Work closely with YKHC office assistants/ health aides and providers, ANTHC/YKHC Medicaid Travel Office’s and the State of Alaska to coordinate the customers lodging and travel needs.

7 days ago
Medicaid Prior Authorization Specialist I

Yukon-Kuskokwim Health Corporation

Bethel, AK

As the entry level Recovery Specialist, this individual will assist senior specialists with workload and work assigned tasks from Lead. Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems.

2 days ago
Medicaid Prior Authorization Lead Specialist

Yukon-Kuskokwim Health Corporation

Bethel, AK

As the entry level Recovery Specialist, this individual will assist senior specialists with workload and work assigned tasks from Lead. Experience using office machinery including printers, photocopiers, fax machines, and multi-line phone systems.

7 days ago