- 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
- 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)
- …experience that includes problem resolution, business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and ... **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers,… 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...order to not delay patient care. + Complete any pre- service appeals to obtain paying approval based on medical… more
- Tufts Medicine (Stoneham, MA)
- …are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on ... 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… more
- PeaceHealth (Vancouver, WA)
- …prior authorization information and correction of existing prior authorization documentation to the referral coordinator team. + Follows a defined ... **Description** PeaceHealth is seeking a **Pharmacy Technician Prior Authorization Specialist for a Full...+ Searches for irregularities in chemotherapy and other infusion service referral and authorization records and assists… more
- Select Medical (West Orange, NJ)
- …for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN )** ... judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission...include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Elderwood (Buffalo, NY)
- …Therapy Managed Care Coordinator : + Coordinate and process prior authorizations and re- authorization requests for therapy services, including ... a timely manner. + Collect documents to support the prior authorization request, for example, evaluations, progress...daily notes, recertification. + Assist the DOR in tracking authorization renewals to prevent service interruptions +… more
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