- Fallon Health (Worcester, MA)
- …of purpose** : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted facilities/agencies/providers to ... collect pertinent prior authorization request data and disseminates information...handle calls appropriately with a focus toward excellent customer service . In addition, the Service Coordinator… more
- Vitra Health (Braintree, MA)
- …key to our success. That is why we are looking for a Care Access Authorization Coordinator to join our Team! If you're a passionate, caring, motivated ... and caring teams of nurses and case managers. Job Overview: The Care Access Authorization Coordinator is responsible for processes within all Care Access' pre-… more
- Cardinal Health (Boston, MA)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations ... for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be...happen to not delay patient care. + Complete any pre- service appeals to obtain paying approval based on medical… more
- Humana (Boston, MA)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM...and/or experience with medical terminology and/or ICD-10 codes + Prior member service or customer service… more
- Tufts Medicine (Boston, MA)
- …and reimbursement for each case. 13. Responsible for surgical referral and authorization verification prior to/and following appointments and surgeries for. 14. ... **Surgical Services Coordinator II - Ophthalmology - Boston** **Job Profile**...and operates office equipment. An organizational related support or service (administrative or clerical) role or a role that… more
- Atrius Health (Norwood, MA)
- …Manager of the department, research patients' individual medical benefits to ensure prior authorization is obtained before patients' medical services are ... the payers' authorization systems to ensure that prior authorization rules by the payor are...support staff and site representatives to provide excellent customer service in the creation of prior authorizations.… more
- Humana (Boston, MA)
- …medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... Medical Terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization +… more
- Cardinal Health (Boston, MA)
- Coordinator , Revenue Cycle Management **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business ... processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and… more
- Akumin (Plymouth, MA)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... The **Patient Coordinator ** is responsible for performing a variety of customer service and patient care tasks to ensure a positive patient experience. Ensures… more
- Tufts Medicine (Boston, MA)
- …compliance/payroll, staffing, scheduling/core delivery, front desk operations, revenue capture, and prior authorization for patients as needed based on insurance ... **Administrative Coordinator II - GI Clinic - Boston** **Job...accomplish the practice's vision. An organizational related support or service (administrative or clerical) role or a role that… more