- Elderwood (Buffalo, NY)
- …obtain approvals in a timely manner. + Collect documents to support the prior authorization request, for example, evaluations, progress notes, daily notes, ... care. Responsibilities Therapy Managed Care Coordinator: + Coordinate and process prior authorizations and re- authorization requests for therapy services,… more
- Air National Guard Units (Eielson AFB, AK)
- …Air National Guard. PDCN: D2180P01 / D2181P01 MPCN: 889707 Selecting Supervisor : James G. Meyer Responsibilities GS-09 - Administers classified and unclassified ... and software and develops base wide network operating procedures. Analyzes LAN utilization statistics through data collection and performance measures to ensure the… more
- Beth Israel Lahey Health (Peabody, MA)
- …difference in people's lives.** Under the general supervision of the designated supervisor (depending on the location) and in collaboration with a clinical overseer, ... registry health data for identified patient populations Monitors patient progress by utilization of disease specific registries to proactively reach out to patients… more
- US Tech Solutions (May, OK)
- …(healthcare or call center preferred). + Prior experience with utilization management or prior authorization processes preferred. **Licensure** ... policies and procedures. This role provides after-hours nurse availability for urgent prior authorization requests, supports the PA team and member services,… more
- Beth Israel Lahey Health (Westwood, MA)
- …and master an understanding of product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and communicate all data ... needed to facilitate prior authorization approvals. Convey status updates as...not limited to), delivery, vaccination, synchronization and mobile app utilization . + Handle returns of merchandise and immediately notify… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- …medical Referral Documents (REFDOC) as required for scheduling care. Enters CC authorization into Health Share Referral Manager (HSRM) database as per FGB and ... local guidelines; provides written authorization to community provider and patient. Obtains medical records to assist with scheduling or coordination of clinical… more
- Cardinal Health (Trenton, NJ)
- …is to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to ... to representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling… more
- Northern Light Health (Bangor, ME)
- …to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/ prior authorization and document this per protocol + ... Care Organizations to gain full understanding of benefit coverage and precertification/ authorization , if appropriate + Quality review procedures are followed to… more
- Northern Light Health (Hampden, ME)
- …to appropriate depart/office. Documenting information in patient's chart. Processing insurance referral/ prior authorization and document this per protocol. + ... Care Organizations to gain full understanding of benefit coverage and precertification/ authorization , if appropriate + Quality review procedures are followed to… more
- Catholic Health Services (Rockville Centre, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required + Assists ... to cover various locations within our system, as directed by your supervisor . Knowledge, skills and competencies: + Typing skills required to operate computer.… more