Contract Insurance Prior Authorization Jobs in California

Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of ... For those PACMs involved in DME, understand the contracts, and need toreview rental vs. purchase ...

Verify patient insurance eligibility and benefits prior to scheduled services * Communicate with ... Track and follow up on pending authorizations to ensure timely resolution * Review and interpret ...

Assists in obtaining prior authorizations from insurance plans and coordination with pharmacies. * Assists with data collection and entry when needed. * Facilitates communication with clinics ...

Answer prior authorization inquiry calls or/and faxes as well as research and resolve formulary and ... Knowledge in Insurance experience (Medicare, Medicaid, commercial) * Computer skills are a MUST (MS ...

Verify patient insurance eligibility and benefits prior to scheduled services * Communicate with ... Track and follow up on pending authorizations to ensure timely resolution * Review and interpret ...

Assists in obtaining prior authorizations from insurance plans and coordination with pharmacies. * Assists with data collection and entry when needed. * Facilitates communication with clinics ...

Initiate and manage prior authorization requests for medical procedures, treatments, and medications Verify patient insurance eligibility and benefits prior to scheduled services Communicate with ...

Verify patient insurance eligibility and benefits prior to scheduled services * Communicate with ... Document all authorization activities accurately in the electronic health record (EHR) system

Works with third-party insurance representatives and EMC clinical staff to process prior authorization requests for infusions and injections.4.Obtains required clinical documentation for prior ...

This role serves as a subject matter expert in payer requirements, prior authorization workflows ... WCC offers competitive salary and benefits including medical, dental and vision health insurance ...

Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans, Medicaid Managed Care plans, HMOs, PPOs, IPA groups, and other third-party payers. * Prepare and submit ...

This role serves as a subject matter expert in payer requirements, prior authorization workflows ... WCC offers competitive salary and benefits including medical, dental and vision health insurance ...

This role serves as a subject matter expert in payer requirements, prior authorization workflows ... insurance plans, 10 vacation days for first year employees, 12 paid holidays, sick leave, life ...

Submit prior authorization requests to commercial insurance carriers, Medicare Advantage plans, Medicaid Managed Care plans, HMOs, PPOs, IPA groups, and other third-party payers. * Prepare and submit ...

Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.) * Verify insurance eligibility; contact patients and departments with any ...

Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.) * Verify insurance eligibility; contact patients and departments with any ...

Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.) * Verify insurance eligibility; contact patients and departments with any ...

Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If ...

Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.) * Verify insurance eligibility; contact patients and departments with any ...

Responsible for performing the appropriate processes to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If ...