Manager Prior Authorization Jobs in Raleigh, NC (NOW HIRING)

At least a year of experience in a related role (utilization review, case management, care coordination, insurance authorization/prior authorization, clinical documentation review, hospital patient ...

The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...

The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain ...

... prior authorization submissions in a timely manner to check for approvals. * Learn and utilize the pharmacy management system to process patients' pharmacy claims. * Follow standard operating ...

... prior authorization submissions in a timely manner to check for approvals. * Learn and utilize the pharmacy management system to process patients' pharmacy claims. * Follow standard operating ...

... prior authorization submissions in a timely manner to check for approvals. * Learn and utilize the pharmacy management system to process patients' pharmacy claims. * Follow standard operating ...

Support prior authorization and appeals processes when needed. * Educate patients and caregivers on medication regimens and disease state management. * Document case activities and outcomes in ...

Build expertise in managed care, ambulatory care, and clinical pharmacy pathways. * Rewards: Competitive pay, benefits, and opportunities to expand into roles like prior authorization, clinical ...

Contacts government insurance agencies to obtain specific guidelines verify benefits and obtain prior authorization for the transplant admission. 3. Patient Counseling and Financial Management of Pre ...

Use the pharmacy management information system to provide accurate information about refill needs ... Support prior authorization processes and related communications as needed to help patients obtain ...

... prior authorization, patient assistance needed, etc.). Sells prescriptions to patients and processes payment. Accurately manages cash and other payments. 7. Responds to and triages requests from ...

... prior authorization, patient assistance needed, etc.). Sells prescriptions to patients and processes payment. Accurately manages cash and other payments. 7. Responds to and triages requests from ...

The Coordinator plays a critical role in triaging patient calls, reviewing pre-procedure education materials, coordinating scheduling across multiple clinic sites, and managing prior authorizations ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...

Obtain all Prior Authorization Certification and/or authorizations as appropriate. * Facilitate ... Complete the managed care waiver form for patients considered out of network and receiving services ...