- LifePoint Health (Wilson, NC)
- …and growth opportunities * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient ... in employment. **Job:** **Nursing* **Organization:** **Wilson Physician Services* **Title:** *Clinic Prior Authorization Coordinator - LPN * **Location:**… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- Cleveland Clinic (Cleveland, OH)
- …providing the exceptional care our patients and communities have come to expect. As Coordinator III, your efforts help propel this mission. In this role, you will ... oversee all activities within your department, ensuring organization and flow. Your work is critical to the team, as you help facilitate the environment fellow caregivers need to work efficiently and cohesively. **A caregiver in this position works a hybrid… more
- Cedars-Sinai (Beverly Hills, CA)
- …Pharmacy Officer or designee. **Req ID** : 10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Remote **Department** : ... Nevada, Oregon, Colorado, Texas, Minnesota, Georgia and Florida. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will… more
- BrightSpring Health Services (Louisville, KY)
- …and top-quality care come join our team and apply today! Responsibilities + The Prior Authorization Coordinator is responsible for striving to complete ... either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a… more
- UC Health (Cincinnati, OH)
- A Patient Access Prior Authorization Coordinator is responsible for independently managing all work related to medical necessity-based authorizations for all ... policies, applying appropriate payer guidelines to all aspects of radiology prior authorization work. The coordinator will leverage their strong… 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
- Baptist Memorial (Memphis, TN)
- …and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services ... 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator - Authorization Job Summary The Authorization Coordinator is responsible for… more
- Cardinal Health (Nashville, TN)
- …scheduling and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's ... for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform...such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Utilize online insurance portals,… 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....eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization… more
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