Manager Prior Authorization Jobs in Colorado (NOW HIRING)

Description Rehab Prior Authorization Specialist Are you detail-oriented, organized, and passionate ... Strong organizational skills with the ability to manage multiple priorities and deadlines.

Manage setup, contracting, and relationships with prior authorization external vendors * Works with Director, Utilization Management on other responsibilities, projects, and initiatives as needed

Judi Health , which offers full-service health benefit management solutions to employers, TPAs, and ... Maintain and configure prior authorization (PA) criteria, rules, and source documentation within ...

Coordinates scheduling with providers and manages pre- and post-op appointments and completion of ... Prior Authorization experience preferred. * Able to achieve minimum level of core competencies and ...

Coordinates scheduling with providers and manages pre- and post-op appointments and completion of ... Prior Authorization experience preferred. * Able to achieve minimum level of core competencies and ...

Coordinates scheduling with providers and manages pre- and post-op appointments and completion of ... Prior Authorization experience preferred. * Able to achieve minimum level of core competencies and ...

Obtain and manage prior authorizations for outpatient and inpatient services * Interpret insurance eligibility, benefits, and medical necessity requirements * Navigate payer portals and clinical ...

Obtain and manage prior authorizations for outpatient and inpatient services * Interpret insurance eligibility, benefits, and medical necessity requirements * Navigate payer portals and clinical ...

Obtain and manage prior authorizations for outpatient and inpatient services * Interpret insurance eligibility, benefits, and medical necessity requirements * Navigate payer portals and clinical ...

Obtain and manage prior authorizations for outpatient and inpatient services * Interpret insurance eligibility, benefits, and medical necessity requirements * Navigate payer portals and clinical ...

Manage insurance verification and prior authorizations end-to-end. * Submit accurate documentation and ensure medical necessity compliance. * Track, follow up, and resolve pending, denied, or ...

Manage insurance verification and prior authorizations end-to-end. * Submit accurate documentation and ensure medical necessity compliance. * Track, follow up, and resolve pending, denied, or ...

Manage the predetermination, authorization, and referral requirements of each health plan and meeting the requirements prior to the delivery of services. * Contacts patients and/or referring offices ...

... managers, clinicians, physicians, nurses, and others in our efforts to improve the health and ... Request prior authorization for services prior to visits if needed. * Assist clients with ...

Ability to travel 5-10% Preferred Qualifications: * 3+ years working with pharmacy benefit management prior authorization data * 2+ years working with JSON or other data-exchange format tools ...

Pay is dependent on applicant's relevant experience Job Summary The CAM MAS is responsible for managing prior authorizations for high-cost, infusion center and clinic-administered medications within ...

Pay is dependent on applicant's relevant experience Job Summary The CAM MAS is responsible for managing prior authorizations for high-cost, infusion center and clinic-administered medications within ...

Provides prompt feedback to physicians and management regarding pathway documentation issues, and ... prior to hire. This job posting will remain open until we have identified an adequate applicant ...

Provides prompt feedback to physicians and management regarding pathway documentation issues, and ... prior to hire. This job posting will remain open until we have identified an adequate applicant ...

... prior authorizations, appeals processes, and patient support financial assistance offerings. This ... Maintain current knowledge of managed care, reimbursement trends, and relevant healthcare policies ...