- Dana-Farber Cancer Institute (Brookline, MA)
- …Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana ... Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all… more
- Draper (Cambridge, MA)
- …to enable progression into higher skilled positions at the discretion of the supervisor . * Other temporary assignments at the discretion of the supervisor . ... and the chance to work at a nationally renowned R&D innovation company appeals to you, apply now www.draper.com/careers. Draper is committed to creating an inclusive… more
- Fallon Health (Worcester, MA)
- …as they related to Prior Authorization UM. + Oversees all activities of the Supervisor , PA RN and their direct and indirect reports + Functions independently and ... but not limited to Sales, Claims, Provider Relations, Communications, Appeals and Case Management. + Strictly observes the HIPPA...doing the same. + Oversee all functions of the Supervisor , PA RN related to: + HR issues with… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Drug Authorization Specialist, with direct supervision of the Prior Authorization Supervisor , is responsible for managing all work related to drug authorizations ... interventions (eg, peer-to-peer discussions, letters of medical necessity, provider-initiated appeals , etc.). + Manages prior authorization reports to ensure… more
- Beth Israel Lahey Health (Burlington, MA)
- …billing review. 2. Under the guidance of the Department Manager and Supervisor and in accordance with departmental policies and standards, each Billing Specialist ... 20. Independently works on the resolution of complex claims issues, denials, and appeals . 21. Completes projects and research as assigned. 22. Responsible for the… more
- Beth Israel Lahey Health (Westwood, MA)
- …Escalates calls to pharmacists for clinical inquiries and escalates grievances to supervisor . 7. Maintains new and existing patient profiles and enters new ... Support health care providers with required prior authorization and required appeals . Manage all mail/delivery of Rx orders including addressing problems/issues with… more
- Boston University (Boston, MA)
- …matters, handle all incoming program deposits and review requests for deposit waivers and appeals to determine if they should be granted. + Review and complete all ... staff with basic administrative tasks and support as assigned by supervisor and/or Enrollment Services staff. **Required Skills** Required Qualifications, Skills,… more