- Analyze prior authorization requests to determine medical necessity.
- Conduct clinical reviews to ensure timely and appropriate service delivery.
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About Judi Health · Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: · Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to sel ...
Chicago4 days ago
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Join a mission-driven team making a difference in the lives of cancer patients. · Ensure patients receive medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party ...
Woodridge1 month ago
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This position will work closely with the Benefits Verification Team to validate patient's insurance plans, · prescriptions and eligibility.Prior Authorization Representatives are responsible for contacting physician's offices to validate prescriptions, · obtain clinical documenta ...
Elk Grove Village $19 - $23 (USD)1 month ago
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· Keystone Advisors is looking for a Prior Authorization Specialist to join our team in Matteson, IL supporting one of our healthcare clients. · Job Summary · The Prior Authorization Specialist is responsible for obtaining and processing all prior authorization requests, coordi ...
Matteson, IL $55,000 - $95,000 (USD) per year5 days ago
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· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...
Lisle, IL $32,000 - $52,000 (USD) per year5 days ago
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Job DetailsJob Location: Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL 60018Salary Range: $ $23.00 HourlyJob Category: PharmaceuticalWHO WE ARE · At Polaris Pharmacy Services, we're more than a pharmacy — we're a dedicated partner in care, transforming how patients ...
Des Plaines $20 - $23 (USD) OTHER6 days ago
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· Company Description · Why You Should Work For Us: · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positi ...
Lisle, IL $32,000 - $52,000 (USD) per year5 days ago
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Description · WHO WE ARE · At Polaris Pharmacy Services, we're more than a pharmacy — we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we're raising the bar for ...
E Howard Ave Des Plaines, Illinois, United States $55,000 - $95,000 (USD) per year3 days ago
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· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...
Lisle, IL $88,000 - $128,000 (USD) per year5 days ago
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Addison Group is hiring a Complex Prior Authorizations Representative to support a year-end project for our client. · ...
Elk Grove Village1 month ago
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Modern Pain Consultants is seeking a seasoned full-time Prior Authorization Specialist. · ...
Hinsdale1 month ago
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+Job summary · Join a mission-driven team making a difference in the lives of cancer patients. · +ResponsibilitiesThe Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescrip ...
Woodridge3 weeks ago
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· Pharmacy Prior Authorization Specialist – Onco360 Pharmacy · Woodridge, IL | Full-Time | Starting at $23.00/hr and up · Join a mission-driven team making a difference in the lives of cancer patients. · Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to ...
Woodridge, IL $52,000 - $82,000 (USD) per year5 days ago
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Join a mission-driven team making a difference in the lives of cancer patients. · ...
Woodridge, IL2 weeks ago
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Join a mission-driven team making a difference in the lives of cancer patients. · Manage prior authorization requests and appeals with insurance carriers. · ...
Woodridge, IL2 weeks ago
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The Prior Authorization Specialist is responsible for obtaining and resolving referral, precertification, and/or prior authorization to support insurance specific plan requirements for all payers. In addition, the Prior Authorization Specialist may be responsible for pre-appointm ...
Hinsdale, IL1 month ago
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We are Family Eye Physicians and we're looking for an Authorization and Referral Specialist to join our Billing Team. · ...
Oak Brook, IL1 month ago
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· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...
Lisle, IL $32,000 - $52,000 (USD) per year5 days ago
-
· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...
Lisle, IL $32,000 - $52,000 (USD) per year5 days ago
-
· Company Description · HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest a ...
Lisle, IL $32,000 - $52,000 (USD) per year5 days ago
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· Company Overview: · Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented ...
Hinsdale, IL $40,000 - $60,000 (USD) per year5 days ago
Remote Clinical Review Nurse Prior Authorization - Chicago - AltaStaff
Description
Job Title:
Clinical Review Nurse Prior Authorization
Responsibilities:
The ideal candidate will have a nursing degree, RN license, and 2 years of clinical experience. Knowledge of Medicare and Medicaid regulations is preferred.
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Clinical Care Prior Authorization Pharmacist
Only for registered members Chicago
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Prior Authorization Specialist
Only for registered members Woodridge
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Prior Authorization Specialist
Only for registered members Elk Grove Village
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Prior Authorization Specialist
Only for registered members Matteson, IL
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Prior Authorization Clerk
Only for registered members Lisle, IL
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Prior Authorization Specialist
OTHER Only for registered members Des Plaines
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Prior Authorization Clerk
Only for registered members Lisle, IL
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Prior Authorization Specialist
Only for registered members E Howard Ave Des Plaines, Illinois, United States
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Prior Authorization Pharmacist
Only for registered members Lisle, IL
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Hybrid Prior Authorization Specialist
Only for registered members Elk Grove Village
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Medical Prior Authorization Specialist
Only for registered members Hinsdale
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Pharmacy Prior Authorization Specialist
Only for registered members Woodridge
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Pharmacy Prior Authorization Specialist
Only for registered members Woodridge, IL
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Pharmacy Prior Authorization Specialist
Only for registered members Woodridge, IL
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Pharmacy Prior Authorization Specialist
Only for registered members Woodridge, IL
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Medical Prior Authorization Specialist
Only for registered members Hinsdale, IL
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Prior Authorization and Referral Specialist
Only for registered members Oak Brook, IL
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Prior Authorization Pharmacy Technician
Only for registered members Lisle, IL
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Prior Authorization Pharmacy Technician
Only for registered members Lisle, IL
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Prior Authorization Pharmacy Technician
Only for registered members Lisle, IL
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Medical Prior Authorization Specialist
Only for registered members Hinsdale, IL