- The Cigna Group (Bloomfield, CT)
- The primary purpose of the Care Coordinator for the Behavioral Authorization Team (BAT) is to coordinate Fast Cert authorizations for a variety of behavioral ... clients. BAT Coordinators communicate with Individual and Facility Providers regarding authorization requests for higher levels of care (Inpatient, Residential, 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
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates and obtaining prior authorization before services are rendered. This position ... individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- Marshfield Clinic (Minocqua, WI)
- …records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested ... knowledge: Familiarity with different insurance plans, benefit structures, and prior authorization guidelines. + Excellent communication skills: Ability… more
- PeaceHealth (Bellingham, WA)
- …departments, modalities and facilities. Facilitates equipment, third party schedules, prior authorization , physicians' schedules and staffing assignments. ... **Description** **PeaceHealth is seeking a Centralized Scheduling Coordinator for a Full Time, 1.00 FTE, Day...leadership to resolve. + Ensures cases and appointments have prior authorization ; may coordinate with PFS to… more
- Providence (Beaverton, 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
- Humana (Concord, NH)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- CenterWell (Austin, TX)
- …requests for services, gathering necessary information, and communicating with relevant parties. + ** Prior Authorization Support:** Assisting with the prior ... service telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Additional… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Genetic Specialist Coordinator will report to the department clinical manager and will work with all department staff. Under the supervision ... of the genetic counselor and geneticist, the Genetic Specialist Coordinator will provide support to facilitate patient visits and genetic testing. This includes… more
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