Sentences with phrase «with prior authorizations»

Apex Systems is currently hiring candidates possessing experience with prior authorizations in the Richardson,...
Your responsibilities include, but are not limited to, accurately entering prescription information, contacting patients to arrange delivery or set a pickup date, corresponding with prescribers to clarify prescription information, filling prescriptions, preparing orders for delivery, maintaining adequate inventory, resolving insurance issues, assisting with prior authorizations, helping walk - in customers, performing cash register transactions.
Working experience with prior authorizations / approvals from various insurance companies for surgeries and office visits / procedures.
Enrollees may be limited to buying generic drugs, may have to deal with prior authorizations, or be sure that specific drugs are covered under the policy they want to purchase.
Ads for other online dating services are only allowed with prior authorization from Facebook.
Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list.
PA Reps for staff development and growth opportunities * Plan, assign, and direct work, appraise performance, reward and discipline employees, address complaints and resolve problems within the team * Assist in the hiring process * Assist in the preparation of performance reviews * Deliver performance reviews in conjunction with the Prior Auth Manager * Meet monthly with each staff member to go over performance status * Assist with training as needed * Lead weekly Team meetings with staff to keep them informed of changes to policy and procedures and corporate communications * Meet with the Prior Authorization Management team weekly to report on clinical call center performance and personnel issues Required Qualifications: * High School Diploma or equivalent * Current and unrestricted Pharmacy Technician license * 2 years» experience supervising Pharmacy Technicians in a Call Center environment * Prior Authorization experience * Knowledge of the Pharmacy Benefit Management and / or Health Insurance * Knowledge of Call Center industry through work experience and as obtained through related courses * Proficient in Microsoft Word and Excel Preferred Qualifications: * Bachelors» Degree * PBM experience * National Pharmacy Technician Certification Required Competencies: * Must have strong leadership and problem solving skills * Strong written and verbal communication skills * Strong interpersonal skills * Ability to effectively present information and respond to questions from groups of associates, managers and clients * Ability to comprehend ACD statistical reporting and apply it to the operation of the department * Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form * Ability to maintain a high level of consistency while working with team members * Ability to recognize the needs of the staff, heighten morale, and decrease stress and burnout * Ability to understand what style of conflict resolution is best suited for a particular situation * Ability to determine the needs of each individual team member and assist them in achieving set goals * Demonstrate a clear understanding of company and client confidentiality * Excellent organizational skills * Exemplary coaching / motivational skills at both an individual and team level * Adaptable and able to move with change while maintaining a positive attitude and strong role model for the Team.

Not exact matches

The California Medical Association, which represents doctors in California, opposes the measure because of that claim, and also because the group said the cancellation of drug purchasing contracts the state already has with pharma companies «would remove many drugs from the Medi - Cal list of pre-approved medicines — creating a new prior authorization hurdle for patients and their physicians.»
Why don't the employers who do not wish to fund this just work with the insurance companies to make this a «Prior Authorization» prescription?
Take notice that any party contracting with Debie Rise as a recording or performing artist and / or in respect of sales of any of her songs or anything to do with entertainment, without our prior consent / authorization would be doing so at its / his / her peril and we shall not hesitate to bring the full wrath of the law to bear on such individual and / or organization; including suing them for aiding and inducing breach of contract and account for profit.»
WHEREAS, Orange County Local Law No. 11 of 1999, entitled «A Local Law Regulating the Use of the Official Name, Seal and Authority of the County of Orange,» prohibits the use of any official county position, or title or the use of name, seal, flag, title, letterhead, symbols, property, facilities or resources of the government of the County of Orange for any private or «non-county purpose» or in connection with any private or non-county function,...,» without prior authorization.
We urge that identifiable medical information, which may in some instances include more than a person's name, not be disclosed without a person's prior authorization except in accordance with applicable law.
We may not use your health information or share it with others outside of True Health for marketing purposes without your prior authorization.
Once True Health receives the patient's specimen and all required documentation with signatures, we will guide both patient and clinician through the appropriate prior authorization process.
Buy products such as OxGord 24 Heavy Duty Foldable Double Door Dog Crate with Divider and Removable ABS Plastic Tray, 24 x 17 x 19 at The Sims 3 Pets Game Guide It is illegal to duplicate or copy this guide to other sites without prior authorization.
You agree that prior to placing a purchase order for securities, you will provide a valid and sufficient authorization to us for electronic funds transfers from an account at another financial institution (s) over which you have valid signatory authority and / or you will otherwise deposit sufficient funds with us on or before trade date.
The BLM will complete a site - specific environmental review of all solar energy applications in accordance with NEPA prior to issuing an authorization.
By way of representative engagements, we have advised clients with respect to state efforts to restrict Medicaid formularies, broaden prior authorization requirements for specialty drugs, and establish insurance exchanges.
Before officially refusing to issue an authorization, however, the AMF will communicate with the enterprise and indicate the reasons for the refusal in a prior notice.
They then obtained from the Internet Service Provider (ISP), without prior judicial authorization, the subscriber information associated with that IP address.
Here the police obtained ISP subscriber information associated with an IP address without prior judicial authorization.
For example, a covered health care provider that had a treatment relationship with an individual prior to the individual's enrollment in a clinical trial, but that is now providing research - related treatment to the individual, may elect to request a compound authorization from the individual: an authorization under § 164.508 (d) for the provider to use the protected health information it created prior to the initiation of the research that involves treatment, combined with an authorization under § 164.508 (f) regarding use and disclosure of protected health information the covered provider will create for the purpose of the clinical trial.
Covered entities may rely upon the consents, authorizations, or permissions they obtained from individuals prior to the applicable compliance date of this regulation consistent with the constraints of those documents and the requirements discussed above.
â $ cents Minimum 5 years of Litigation experience â $ cents Confident and dependable, with strong initiative and ability to work both independently and in a team oriented atmosphere â $ cents Organize and maintain client files â $ cents Experience liasing with clients, insurance adjusters and defence counsel â $ cents Prepare and edit correspondence and legal documents â $ cents Assist with authorizations, undertakings, discoveries and productions â $ cents Drafting pleadings, routine motions, affidavits of documents, pre - trial / mediation memos, etc. â $ cents Reviewing and summarizing medical documentation â $ cents Trial preparation â $ cents Responsible for tracking limitation periods â $ cents Prior experience working with Ontario & Superior Court of Justice â $ cents Draft and respond to correspondence â $ cents Initiate follow - up as required and communicate with clients â $ cents Calendar management, scheduling meetings and arrange examinations for discovery and mediations â $ cents Coordinate and monitor administrative functions to ensure completion of work accurately and in a timely manner â $ cents Act as liaison between clients and lawyers â $ cents Other duties as required
A few commenters suggested that a covered entity should be required to obtain an individual's authorization prior to communicating with the individual at the individual's home with respect to health care relating to sensitive subjects such as reproductive health, sexually transmissible diseases, substance abuse or mental health.
If a covered entity obtained a consent, authorization, or other express legal permission from the individual who is the subject of the research, it would be able to rely upon that consent, authorization, or permission, consistent with any limitations it expressed, to use or disclose the protected health information it created or received prior to or after the compliance date of this regulation.
The burden associated with these requirements is the time and effort necessary for a covered entity to obtain written authorization prior to the disclosure of individually identifiable health information.
In addition to uses and disclosures of protected health information for treatment, payment, and health care operations with or without consent, the rule also permits certain uses of protected health information, such as fund - raising for the covered entity and certain types of marketing activity, without prior consent or authorization.
The accused, Santiago Wong, was charged with maintaining an illegal gambling operation, based on surveillance footage from a camera placed in his hotel room by police without prior judicial authorization.
Complete and review preliminary estimate with customer Repair Orders: open with BAR (CA) and DRP compliance, including obtaining proper authorizations and update customers throughout repair process Prepare and complete paperwork for final bill prior to vehicle delivery Provide post repair plan communication including all vehicle status updates Total loss administration Performs other related duties as assigned.
assists with entering prior authorizations when required; provides follow up assistance for prior authorization requests, follows up with requests from physicians for denial letters, provides assistance in gathering historical claim information as required.
This would be with a large Pharmacy Benefit Management company working in their Prior Authorizations department.
• Ensure prior authorizations have been obtained for special dental procedures and strong knowledge and experience with developing «letters of appeal» for denied claims.
Efficiently carried out the duties of patient care in a Medical Assistant role including patient triage, vitals, prior authorizations, venipuncture, medication administration (injections, nebulizer treatments, oral medications), lab order entry and preparation, patient follow up calls, medical records, assisting provider with procedures and assessments.
Job Description As a Clinical Support Pharmacy Technician you will be assisting the pharmacist and communicating directly with patients over the telephone, scheduling medication deliveries, tracking lab data, billing, and prior authorization, among other duties... The CSS Tech is essential to ensuring all patients receive their medication in a friendly.
From assisting the pharmacist and communicating directly with patients over the telephone, scheduling medication deliveries, tracking lab data, billing, and prior authorization, among other duties.
Job Description As a Pharmacy Technician - Clinical Support Services youwill be assisting the pharmacist and communicating directly with patients overthe telephone, scheduling medication deliveries, tracking lab data, billing, and prior authorization, among other duties... The Pharmacy Technician isessential to ensuring all patients receive their medication in a friendly andtimely manner...
Strong communication skills with patients, office staff and physicians * Processing insurance verifications and prior authorizations Paging doctors for hospital consults, as needed * HIPAA compliant...
I have extensive knowledge with dental insurance, including prior authorizations, medical pre - certs for OR cases.
• Collaborate with referring departments for patients receiving treatments on the Infusion unit, and ensure that all necessary authorizations are performed prior to patients receiving treatments.
Are you an experienced Prior Authorization RN (office - based) looking for a new opportunity with a prestigious healthcare company?
Must be familiar with medical terminology, billing, prior authorizations and medical records.
Facilitate completion of prior authorizations and / or referrals to coordinate care with outside consultants for additional patient care or pharmacy request.
Responsible for assisting the CSC Pharmacist with the day - to - day operational needs, including adjudication of clinical claims, processing prior authorization forms and meeting the requirements of the Clinical Service Center.
* Analyze, evaluate and work to resolve customer inquiries and issues * Interact with customers in a courteous and professional manner * Effectively communicate issues and resolutions to customers and appropriate internal staff * Use judgment and problem - solving skills to solve customer problems * Use multiple screens of information simultaneously to address customer needs * Follow processes according to contact center standards to ensure contact handling accuracy and operational effectiveness * Use technology tools as directed and within established guidelines * Adhere to precise work schedules, taking continuous phone calls for extended periods of time * Answer prior authorization inquiries calls as well as research and resolve formulary and benefit issues * Consistently meet established productivity, schedule adherence, and quality standards * Performs other duties as assigned by management Education / Experience: * High School Diploma or equivalent * Minimum one (1) year current / recent Pharmacy Technician experience in healthcare setting * PTCB Pharmacy Certification required or ability to obtain within six - months of employment
Calculate cost estimates for treatment Explore patient assistance programs, copay cards, and financials to get patient qualified for assistance Create treatment plans for Chemotherapy, Radiation, and Scans Meet with patients to review financial responsibilities prior to treatment and collect payments for treatment Assist patients with inquiries regarding charges, payments, balances, and credits for services rendered Make sure all treatments have authorization and claims are processing correctly Audit logs to make sure payments are accurate Assist the patient with all billing inquires Correct billing and insurance errors Create weekly and monthly financial reports for office.
Proficient in Medicare policies and procedures with a focus on Prior Authorization and Formulary analysis
Offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations.
Are you an individual who has experience in Insurance Verification or Medical Billing dealing with payors and Prior Authorization?
Our Order Entry Technician (preferred CPhT) will be licensed by the State Board of Pharmacy, have at least two years of consistent pharmacy skill and ideally brings concentrated experience handling prior authorizations and interfacing with insurance providers.
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