- 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
- US Tech Solutions (RI)
- …Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, pharmacies, ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- OhioHealth (Columbus, OH)
- …providers practicing within the clinic module and ensuring that when needed, referral/ authorization numbers are obtained for these services. Access to specialty and ... medical records to obtain the required clinical information needed for medical authorization . Provides all necessary information medical records, scripts, et c to… 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....standards. *This is a hybrid position (most days working remote and occasionally onsite). **Job Description** : **EDUCATION:** +… 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...valid driver's license is required for local travel to remote hospital sites, and the like. 3.Mental requirements will… more
- BrightSpring Health Services (Scottsdale, AZ)
- …This role serves as the key point of contact for benefit investigation, prior authorization , coordination with internal stakeholders (pharmacy and nursing staff) ... and pharmacy benefits + Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements + Prepares and submits prior … more
- Enterprise Mobility (Springfield, MO)
- …of Enterprise Mobility is excited to announce the opening of a Maintenance Coordinator ! The Maintenance Coordinator will primarily be responsible for providing ... and negotiates for proper service intervals, fluids, and pricing, prior to providing approval. This is a full-time work...work in the United States and not require work authorization sponsorship by our company for this position now… more
- Select Medical (Knoxville, TN)
- …**Select Specialty Hospital - North Knoxville** Critical Illness Recovery Hospitals ** Prior Authorization Specialist/ Payor Relations Specialist** **(RN or LPN ... required)** ** REMOTE POSITION** At Select Specialty/Regency Hospitals, a division of...Payor Relations Specialist, you will manage the pre-certification and prior authorization of referrals scheduled for admission… more
- Providence (OR)
- …of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization , Medical Audits, Appeals or Delegation) + Experience ... them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide...care to our members **Providence Health Plan welcomes 100% remote work to residents who reside in the following… more
- Penn Medicine (Philadelphia, PA)
- …Spruce Street Philadelphia, PA Summary: + Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... patients accessing the University of Pennsylvania Health System/Penn Medicine remote and in person services that are supported by...Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and… more
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