Sentences with phrase «authorization requests»

Completed prior authorization requests from physicians for surgical and non surgical procedures as well as out of network authorization physician requests.

I would like to continue my career working on prior authorization requests based on clinical pharmacist review.

Initiate processing of authorization requests for outpatient and inpatient services, and routing to the appropriate staff

Works with the member management team to effectively initiate authorization requests for outpatient and inpatient services

Students planning to attend a private or out - of - state institution must complete a Transfer Authorization request before plan benefits will be paid.

Students planning to attend an eligible private or out - of - state institution must complete a Transfer Authorization request before benefits will be paid.

Initiating and receiving authorization requests under the direction and supervision of a pharmacist

Utilize the nursing process and McKesson software to approve authorization requests for members with Medicaid insurance coverage.

Promoted to assume responsibility for review of service authorization requests and establishment of guidelines by which Office of CMO and Department of Medical Management handle such requests according to national guidelines, community medical standards, governmental regulations, and medical acumen

Processed incoming and outgoing Visit Authorization Requests (VAR) and Visit Authorization Letters (VAL)

Proof of Residency (Utility Bill, Mortgage Statement or Rental Agreement with name and current address Cable and Phone Bills are not accepted *) Multi-Purpose Release and Medical Authorization Request for Student Records Immunization Record Birth Certificate (Only needed if entering California public school for the first time)

Knowledge of pharmacy workflow from prescription to claims submission and authorization request processing

Return Authorization requests must be made within 14 days of shipment and the item must be returned within 21 days of original shipment.

Receive, triage referrals and prior authorization requests from Military Treatment Facilities (MTF's) and civilian providers in a database.

Verifies patient identity and confirms valid authorization request to ensure the requesting party has a legal right to the patient's medical record

Take calls from providers to submit and check the status of prior authorization requests while following HIPAA guidelines

These individuals receive prescriptions, address and rectify rejected claims and conduct necessary third party authorization requests.

Initiate communication with a prescribing practitioner or their medical staff (or agent) regarding prescription refill authorization requests.

Initiate authorization requests for outpatient and inpatient services in accordance with the department guidelines.

Along with developing the templates for Visit Authorizations Requests and for onboarding new employees.

Receive and enter prior authorization requests for medical services or prescription drugs not the health plan drug formulary as well as retroactive authorization, inpatient hospitalization, and appeal requests.

Provide thorough analysis and investigation of authorization request for specialized medical / surgical / outpatient procedures in an expeditious and accurate manner

Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list.

The insurer or the TPA has to approve an authorization request supporting cashless benefit.

Facebook hasn't disclosed the number of followers a page would have in order to trigger an authorization request.

* Submission of all prior authorization requests for...