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Prior Authorization Specialist
Insight Global - Charlottesville, Virginia, United States 1 days ago
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ weekInsight Global is seeking a Prior Authorization Specialist for one of the Top ra...
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Prior Authorization Specialist
Insight Global - Charlottesville, Virginia, United States, 22904 1 days ago
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ weekInsight Global is seeking a Prior Authorization Specialist for one of the Top ra...
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Prior Authorization Representative
Quadax - Middleburg Heights, Ohio, United States 1 days ago
Key Responsibilities:
Review case and insurance coverage information to customize the content of the call to the insurance company or physician's offi...
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Prior Authorization Specialist
Medavie Health Services - New York, New York, us, 10261 5 hours ago
PURPOSE OF POSITION:The Prior Authorization Specialist ensures patients receive services and medications that requires pre-authorization fro...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Jersey City, New Jersey, United States, 07390 7 hours ago
Remote Prior Authorization Pharmacist**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focu...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Boston, Massachusetts, us, 02298 11 hours ago
Remote Prior Authorization Pharmacist**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focu...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Los Angeles, California, United States, 90079 7 hours ago
Remote Prior Authorization Pharmacist**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focu...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Irvine, California, United States, 92713 7 hours ago
Remote Prior Authorization Pharmacist**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focu...
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Prior Authorization Pharmacist (Remote)
Pharmacy Careers - Santa Ana, California, United States, 92725 7 hours ago
Remote Prior Authorization Pharmacist**Job Description:**
We are actively seeking a dedicated Pharmacist to join our remote team with a focu...
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Go to next pageInsight Global - Charlottesville, Virginia, United States
Pay Rate: 18hr-27hr
-Onsite Charlottesville, VA 5 days/ week
Insight Global is seeking a Prior Authorization Specialist for one of the Top ranked transplant programs in the state. This role is local to Charlottesville, Virginia. The Prior Authorization Specialist will be responsible for managing future and current transplant recipients financial journey. This includes initial screening of potential transplant patient, working with clinicals on the selection committee for transplants and reporting on potential patients financial standing. Once a patient is identified they will work with the patient and insurance companies on the financial clearance. The day to day responsibilities are:
Performs financial screening/interview of all patients presenting for transplantation.
Researches and verifies insurance for hospital professional and pharmacy coverage
Acts as a contact for insurance case managers primarily including but limited to obtaining pre-certification. Collects and submits necessary documentation and correspondence. Performs and communicates related follow-up.
Assists finance department by providing data about transplant program and financial activities to support insurance contacts.
Implements and coordinates the reimbursement of approved contracts with Director of Patient Accounts
Sit in on selection committee meetings and present the transplant candidates financial background
Meet with patients in clinic and clear them for the transplant and explain the additional costs associated with receiving a transplant.
Must Haves:
-High School Diploma
-Insurance Verification/ prior authorization experience in transplant, surgery, or cardiology departments
-Epic experience
-presentation experience
Nice to have:
-Experience with verifying immunosuppressant medication
See details and apply
Prior Authorization Specialist