Medical Authorization Specialist

Prior Authorization Specialist Job DescriptionPremier Medical Resources is a healthcare management company that aims to leverage the expertise of its employees to drive quality in all aspects of its operations. We strive to create career pathways for our employees, from those just starting their professional journey to those seeking to bring their expertise...

Job Title: Pharmacy Prior Authorization SpecialistJob Summary:Onco360 Pharmacy is seeking a highly skilled Pharmacy Prior Authorization Specialist to join our team. As a Pharmacy Prior Authorization Specialist, you will play a critical role in ensuring patients receive the medication they need by obtaining prior authorizations from insurance carriers.Key...

Job SummaryWe are seeking a skilled Insurance Authorization Verification Specialist to join our team at UTHealth Houston. This role is responsible for verifying insurance policy benefits and obtaining authorization/pre-certification for patients prior to their visit or scheduled admission.Key ResponsibilitiesVerify insurance policy benefits for new and...

Job SummaryWe are seeking a highly skilled and detail-oriented Insurance Authorization Specialist to join our team at Houston Methodist. The successful candidate will be responsible for obtaining and managing insurance authorizations for medical services, complex procedures, and treatments.Key ResponsibilitiesInitiate and manage the authorization process for...

Job DescriptionTeam1Medical is seeking a skilled Prior Authorization Specialist to join their team at an accredited cardiology center in North Houston. The ideal candidate will have experience working with insurance verification in a specialty clinic and thrive in a fast-paced environment.Responsibilities:Comply with pre-certification information and forward...

Job Summary:We are seeking a skilled Pharmacist to join our team as a Prior Authorization Specialist. This is a remote opportunity that requires strong clinical knowledge and independent problem-solving skills.Key Responsibilities: Perform clinical review of prior authorization requests Coordinate the distribution of clinical drug information Educate...

Job Summary:The Clinical Pharmacist will be responsible for conducting clinical reviews of medical data to perform prior authorization for specialty medications. This role will work from Client Caremark supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations.Key...

Job Summary: We are seeking a skilled Medical Billing Specialist to join our team at Premier Medical Resources. As a Medical Billing Specialist, you will be responsible for analyzing patient records and coding patient information based on ICD-10 and CPT codes.Key Responsibilities:Review medical record documentation to ensure pertinent diagnoses are...

Credentialing Specialist Role OverviewWe are seeking a skilled Credentialing Specialist to join our team at Texas Health Resources. As a Credentialing Specialist, you will play a critical role in ensuring the accuracy and completeness of medical staff applications, privileges, and authorizations.Key Responsibilities:Review and verify information on...

Medical Billing SpecialistWe are seeking a highly skilled Medical Billing Specialist to join our team at Maeville Pediatrics in Houston, TX, US.Key Responsibilities:Process claims and verify accuracy of billing informationInvestigate and resolve discrepancies and payment denialsMonitor and collect payments from patients and insurance companiesPrepare and...

Job Title: Clinical Pharmacist Advisor - Specialty Medical Prior AuthorizationLocation: RemoteDuration: 6+ months contractJob Description:The clinical pharmacist is an operation-based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications.The clinical pharmacist will apply clinical knowledge to...

Premier Medical Resources is a healthcare management company that seeks to leverage the expertise of its employees to drive quality in all aspects of its operations.The company is currently hiring a Medical Billing Specialist to join its team.The ideal candidate will have a strong understanding of medical coding guidelines and regulations, as well as...

Job SummaryPremier Medical Resources is a healthcare management company seeking a skilled Insurance Verification Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for verifying patient insurance coverage, ensuring accurate financial clearance, and communicating with patients and healthcare providers.Key...

Unlock Your Potential as a Pharmacist InternAt Optum, we're committed to helping people live healthier lives and making the health system work better for everyone. As a Pharmacist Intern on our Prior Authorization & Appeals team, you'll have the opportunity to work with a talented group of clinical pharmacists to achieve overall performance objectives and...

Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Maeville Pediatrics in Houston, TX. As a key member of our revenue cycle management team, you will be responsible for processing claims, verifying billing information, and resolving discrepancies. Your expertise in medical billing and customer service will enable you to...

We are seeking a skilled Pediatric Medical Billing Expert to join our team at Maeville Pediatrics in Houston, TX, US. As a Medical Billing Specialist, you will be responsible for handling the revenue cycle management process from start to finish for our pediatric patients. You will process claims, verify accuracy of billing information, investigate and...

Job Summary:We are seeking a skilled Medical Laboratory Specialist to join our team at St. Joseph's Medical Center. As a Medical Laboratory Specialist, you will be responsible for performing various clinical laboratory tests, analyzing and interpreting test results, and ensuring the accuracy of the results.Key Responsibilities:Perform clinical laboratory...

Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. Our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do.We are seeking a Medical Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for managing,...

Job SummarySt. Joseph Medical Center is seeking a skilled Medical Laboratory Specialist to join our team. As a Medical Laboratory Specialist, you will be responsible for performing various clinical laboratory tests, analyzing and interpreting test results, and ensuring the accuracy of the data.Key Responsibilities:Perform clinical laboratory tests in one or...

Job SummaryTeam1Medical is seeking a highly skilled Medical Accounts Receivable Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for reviewing payment denials, underpayments, and payment takebacks to ensure accurate and timely reimbursement.Key ResponsibilitiesReview and analyze payment denials, underpayments,...