- Cardinal Health (Raleigh, NC)
- …in problem-solving, research and problem/dispute resolution. **_Job Summary_** The Senior Coordinator , Prior Authorization is responsible for obtaining, ... prescribed supply categories (eg, ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …communication to clarify determinations, obtain additional information, or resolve discrepancies prior to letter release. The UM Denials Coordinator reports ... BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the Utilization Management function by reviewing denied and partially… more
- TEKsystems (Raleigh, NC)
- …health care, insurance, patient access, medical terminology, patient registration, prior authorization , inbound call, administrative support, customer service, ... Details insurance claim,call center,insurance verification,health care,insurance,patient access,medical terminology,patient registration, prior authorization ,inbound call,administrative support,customer service,medicare,medicaid Additional… more
- UNC Health Care (Chapel Hill, NC)
- …Contacts commercial insurance company to verify benefits and obtains prior authorization /pre-certification for the transplant admission. Contacts government ... insurance agencies to obtain specific guidelines verify benefits and obtain prior authorization for the transplant admission. 3. Patient Counseling and Financial… more
- Akumin (Charlotte, NC)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... The **Patient Coordinator ** is responsible for performing a variety of customer...patients prior to procedures, which may include medical history. + May… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … Coordinator is responsible for coordinating all aspects of the prior authorization process, including member eligibility and benefit verification, gathering ... members of the organization. Primary Responsibilities + Research and confirm authorization requirements and communicate to member, providers, and facility staff. +… more
- Highmark Health (Raleigh, NC)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments necessary to… more
- TEKsystems (Raleigh, NC)
- …and patient access. + Knowledge of medical terminology, patient registration, and prior authorization . + Strong empathy and soft skills. + Adherence ... Patient Care CoordinatorJob Description Join our team as a Pharmacy Patient Care Coordinator , where you will play a pivotal role in enhancing patient experiences… more
- Lamar Advertising Company (Raleigh, NC)
- …NC and the surrounding areas. The purpose of the Sales & Campaign Coordinator is to perform all sales administrative functions occurring both before and after ... our application requirements should email_** **_###@lamar.com._** **A day in the life:** Prior to Contract Phase: + Prospecting new customers leads for the sales… more
- Kellanova (Cary, NC)
- Join our Maintenance Department as an Inventory Coordinator and play a vital role in supporting our plant's operations. This position is essential to ensuring that ... Proficiency in SAP and Microsoft Office, especially Excel. + Prior experience in a manufacturing or industrial environment. +...what we offer. All applicants must have permanent legal authorization to work in the United States. Kellanova does… more