Prior Authorization Jobs in Remote, OR (NOW HIRING)

The Prior Authorization Pharmacy Technician is responsible for supporting members, providers, and pharmacies by processing prior authorization requests for prescription medications while ensuring ...

Must Haves -Active National (PTCB) and/or State Board of Pharmacy Technician Licensure -6+ months of call center experience in healthcare environment, ideally with prior authorizations exposure ...

The Pharmacy Technician will answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to prior authorizations (PAs) with a high level of ...

Track prior authorization requests using established systems to ensure timely processing. * Support timely notification of prior authorization determinations. * Coordinate daily workflow and ...

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy ...

Determine prior authorization and pre-certification requirements. * Verify member eligibility, benefits, and provider information. * Document customer interactions and maintain accurate case records.

Responsible for answering phone, processing referrals, prior authorizations, prescription refills, ordering labs, x-rays and other ancillary tests, patient follow-up and processing of appropriate ...

Responsible for answering phone, processing referrals, prior authorizations, prescription refills, ordering labs, x-rays and other ancillary tests, patient follow-up and processing of appropriate ...

Surgical chart prep, billing, maintain task list and physician referrals, insurance referrals and prior authorizations, patient education, patient triage, processing of appointment recalls ...

Surgical chart prep, billing, maintain task list and physician referrals, insurance referrals and prior authorizations, patient education, patient triage, processing of appointment recalls ...

Surgical chart prep, billing, maintain task list and physician referrals, insurance referrals and prior authorizations, patient education, patient triage, processing of appointment recalls ...

This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable ...

This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable ...

Processes prior authorizations for medication and procedures in a timely manner * Must be flexible to work at any of our locations, including North Bend, Coos Bay, and North Bay clinics, as assigned ...

Processes prior authorizations for medication and procedures in a timely manner * Must be flexible to work at any of our locations, including North Bend, Coos Bay, and North Bay clinics, as assigned ...

... prior authorizations to support successful medication claim processing. · Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90, or 120+ days). · ...

... prior authorizations to support successful medication claim processing. • Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90, or 120+ days). • ...

Initiates and tracks prior authorizations to support successful medication claim processing. Contacts third-party payors via phone, email, or fax to follow up on outstanding accounts (30, 60, 90, or ...

Review and pend medication refills and provider orders; assist with prior authorizations and patient forms. * Provide patient education and instructions under provider or RN guidance. * Maintain exam ...

Dispatch or inform others as needed and authorized. * Report and appropriately address fire alarms ... Preferred Qualifications 1. First Aid/CPR certification preferred. 2. Prior experience with the ...