- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: This position reports to the Manager, Central Authorization Center and works directly with FCC, ASC scheduling and physician's offices to ensure ... care authorizations; follows up to obtain missing patient and/or insurance pre- authorization data as required. Researches and resolves reasons for insurance and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance ... that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient care by… more
- US Tech Solutions (RI)
- …Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc ... courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation of reviews.… more
- Sutter Health (Goleta, CA)
- …eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains authorization ... and documents in the patient electronic medical record. Facilitates responses to patient inquiries regarding authorizations within turnaround standards. **Job Description** : **EDUCATION:** + HS Diploma or GED **TYPICAL EXPERIENCE:** + 1 year recent relevant… more
- Sutter Health (Brookings, OR)
- …accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans ... Case Management staff. Serves as a resource to providers regarding the authorization process. **Job Description** : **EDUCATION:** HS Diploma or GED **DEPARTMENT… more
- University of Connecticut (UConn) (Storrs, CT)
- …Health and Wellness on the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance ... in carrying out the accurate and timely pre- authorization / authorization of insurance coverage and benefits for students requiring diagnostic imaging, such as… more
- US Tech Solutions (Boston, MA)
- Respond to provider queries, enter administrative authorization data into the computer system, and maintain proper documentation and files to support care of ... **Key Responsibilities/Duties - what you will be doing:** + Receives incoming authorization requests from providers, via fax, portal & telephone to create an… more
- WellSpan Health (Lewisburg, PA)
- …requirements and restrictions. **Duties and Responsibilities** **Essential Functions:** + AUTHORIZATION DUTIES: - Performs online and telephone authorization ... as needed. - Maintains appropriate documentation in Eclipsys and on the authorization spreadsheets. - Notifies imaging sites of financial waivers or ABN's that… more
- SSM Health (St. Louis, MO)
- …Type:** Regular **Job Highlights:** Join SSM Health as a Pharmacy Technician Coordinator . Make a meaningful impact by ensuring patients receive timely access to ... experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and… more
- Cardinal Health (Sacramento, CA)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations ... for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be asked to perform other duties if necessary… more