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MultiCare Health System

Puyallup, Washington

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Memorial Sloan-Kettering Cancer Center

New York, New York

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Vanderbilt Health

Nashville, Tennessee

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Optum

Chatsworth, California

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University of Michigan - Ann Arbor

Ann Arbor, Michigan

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University of California San Diego

La Jolla, California

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Memorial Sloan Kettering Cancer Center

Basking Ridge, New Jersey

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University of California, Berkeley

Berkeley, California

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Kaiser Permanente - Washington Permanente Medical Group

Silverdale, Washington

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Fairleigh Dickinson University

Teaneck, New Jersey

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University of California Davis

Davis, California

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Michigan Road Animal Hospital at 96th Street

Indianapolis, Indiana

Cardinal Health

United States - Nationwide

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SSM Health

Saint Louis, Missouri

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Olympia, Washington

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Denver Health

Denver, Colorado

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Atlanta, Georgia, Georgia

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Veterans Affairs, Veterans Health Administration

North Chicago, Illinois, Illinois

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Kaiser Permanente - Washington Permanente Medical Group

Tacoma, Washington

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Columbia University

New York, New York

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University of Southern California (USC)

Los Angeles, California

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Friendswood Animal Clinic

Friendswood, Texas

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MUSC Health

Camden, South Carolina

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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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