- Beth Israel Lahey Health (Boston, MA)
- …to be necessary. Performs special projects as determined by the Manager . Advancement occurs through demonstration of technical/clinical expertise and a consistent ... would enhance the productivity, efficiency, quality, academic standing and recognition of the services of the department. May be scheduled as acting QC tech and… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …We conduct groundbreaking research that advances treatment, we educate tomorrow's physician /researchers, and we work with amazing partners, including other Harvard ... overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + Monitors email communication to the Drug… more
- Beth Israel Lahey Health (Plymouth, MA)
- …improve the denial management, documentation, and appeals process. + Collaborates with UR Manager and/or physician advisor regarding cases that do not meet ... care using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials...of the severity of an array illnesses, intensity of service , and care coordination needs + Ability to identify… more
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