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Kaiser Permanente - Washington Permanente Medical Group Logo
Kaiser Permanente - Washington Permanente Medical Group

Bellevue, Washington

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Optum

Worcester, Massachusetts

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University of Minnesota Physicians

St. John's Hospital, Minnesota

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Cardinal Health

United States - Nationwide

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University of California Davis Health System

Sacramento, California

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Veterans Affairs, Veterans Health Administration

Iron Mountain, Michigan, Michigan

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University of Michigan - Ann Arbor

Ann Arbor, Michigan

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Duke University Health System

Durham, North Carolina

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Nicklaus Children’s Health System

Miami, Florida

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University of Maryland, Baltimore

Baltimore, Maryland

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Veterans Affairs, Veterans Health Administration

New Orleans, Louisiana, Louisiana

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Veterans Affairs, Veterans Health Administration

Kapolei, Hawaii, Hawaii

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Veterans Affairs, Veterans Health Administration

Portland, Oregon, Oregon

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Veterans Affairs, Veterans Health Administration

Chesapeake County, Virginia, Virginia

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Veterans Affairs, Veterans Health Administration

Crown Point, Indiana, Indiana

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Veterans Affairs, Veterans Health Administration

Hinesville, Georgia, Georgia

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Veterans Affairs, Veterans Health Administration

Omaha, Nebraska, Nebraska

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University of Minnesota Physicians

St. John's Hospital, Minnesota

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Prior Authorization Specialist
Processes referrals and prior authorizations using established insurance company guidelines. Obtains referrals, authorizations, pre-certifications, prescriptions for therapies, and benefit verification as required. Efficiently manages referral work queues. Responds to patient inquires and manages referral and/or prior authorization related issues in a timely manner. Assists with patient education as it relates to specific requirements of insurance plans. Facilitates scheduling of specialty services and schedules appointments, as necessary. Verifies insurance coverage, collecting, and documenting insurance benefits and authorization requirements and procuring necessary authorizations for medications, medical devices, outpatient services and referrals according to patient insurance protoc


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