- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization ... of Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members… more
- US Tech Solutions (RI)
- **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization ... Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between...a primary trainer for all UM Nurses on the prior authorization assignment, for new hires and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior - authorization non-clinical medical management coordinator and pre-certification ... insurance environment. + Minimum 2 years of experience with pre- authorization , utilization review/management, case management, care coordination, and/or discharge… more
- Cardinal Health (Nashville, TN)
- …management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. **Job Description** The ... **_What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health_** Practice Operations...such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Verify if any … more
- Cardinal Health (Richmond, VA)
- … authorization for all requested procedures, tests, drugs, etc. The Senior Coordinator , Benefits Eligibility and Authorization may be asked to perform other ... **_What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health_** Practice Operations...Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule… more
- Sutter Health (Modesto, CA)
- …to verify patient 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.… more
- Sutter Health (San Francisco, CA)
- …Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals ... accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans… more
- Sutter Health (San Francisco, CA)
- …to verify patient 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.… more
- Tufts Medicine (Stoneham, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... entry level role that typically requires little to no prior knowledge or experience, work is routine or follows...regarding patients with identified financial risk concerns for resolution prior to services being rendered. 9. Obtains all applicable… more
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