- Children's Hospital Boston (Boston, MA)
- …insurance companies to obtain medication and equipment prior authorizations, and assists with denials and appeals when needed. + Coordinates and tracks prior ... 82462BRJob Posting Title:Prior Authorization Coordinator -Pharm TechnicianDepartment:NeurologyAutoReqId:82462BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:ClinicalJob… more
- Highmark Health (Boston, MA)
- …workflow within the department. + Prioritize requests for drug authorizations or denials . + Review of prior authorization criteria for drug products. + Recommend ... for guidance and assistance as necessary. + Document all authorizations and denials completely, accurately, and in accordance with timelines as defined by state… more
- Cardinal Health (Boston, MA)
- …identifies trend that inhibit timely payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with ... recognizing their importance and relationship to patient care + Consults with appeals department for disputed / denied claims. + Works / Understands electronic… more
- Brockton Hospital (Brockton, MA)
- …external review agencies, to coordinate activities involved in medical record review, denials , appeals and reconsideration hearings. Works closely with the ... rounds. Proactively builds post hospital referrals and sends to the Transition Care Coordinator when indicated to facilitate timely discharge. Acts as a change agent… more
- Intermountain Health (Boston, MA)
- …levels, providers, clinical staff, compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades and provides ... **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff,...coding staff, compliance, CDI, physicians, and clinical staff. This Coordinator serves as a subject matter expert for all… more