- Dana-Farber Cancer Institute (Brookline, MA)
- …advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization ... denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + Monitors email… more
- Surgery Care Affiliates (Belleair Beach, FL)
- …should inspire change. If you join our team, they will. Responsibilities The Authorization Supervisor will provide direct support for the team that verifies ... referrals for office visits, procedures, and elective surgeries. Responsibilities for Authorization Supervisor + Coordinates, supervises and is accountable for… more
- Texas A&M University System (College Station, TX)
- Job Title Registered Nurse II - Prior Authorization & Referral Agency Texas A&M University Health Science Center Department University Health Services Proposed ... and team-based health care delivery. What we want The Registered Nurse II- Prior Authorization and Referral, under general supervision, manages administrative… more
- Cardinal Health (Fresno, CA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This position is ... must be knowledgeable of a variety of Insurance Plans and Policies. Prior Authorization Coordinator **Responsibilities** + Receives chemotherapy orders and… more
- Humana (Madison, WI)
- …specifically Word, Excel, and Outlook. + At least 3-years experience with prior authorization / utilization management. **Preferred Qualifications** + Bachelor of ... and help us put health first** The UM/PA Nurse Supervisor plays a key leadership role in overseeing the...overseeing the daily operations of the Utilization Management and Pre- Authorization nursing teams. This position ensures timely and accurate… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving ... referral, precertification, and/or prior authorization to support insurance specific plan...and/or having the knowledge when to escalate to their supervisor . 8. Interacts and collaborates with numerous departments to… more
- Trinity Health (Syracuse, NY)
- …for hours Suite 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior ... knowledge of the patient population and types of services patients receiving. Prior authorization experience involving service line drugs and ancillary testing… more
- Cardinal Health (Nashville, TN)
- …and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's daily schedule ... patients' insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Authorization … more
- Dignity Health (Rancho Cordova, CA)
- …and the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is ... Under the guidance and supervision of the department Manager/Director the Supervisor of Utilization Management is responsible and accountable for coordination of… more
- Staffing Solutions Organization (Augusta, ME)
- …PA reviews/dispositions based on business rules and workflow policies; + Work with the Prior Authorization unit staff members to monitor work queues and complete ... clients and the people they serve. **Registered Nurse - Authorization Review Unit - MaineCare in Augusta, ME** **Position...Prior Authorizations (PA) as assigned by the PA supervisor , utilizing PA software tools; + Review and authorize… more
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