- Fallon Health (Worcester, MA)
- …the ACD hunt line and handle calls appropriately with a focus toward excellent customer service . In addition, the Service Coordinator will attain the targets ... continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life experiences,… more
- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… 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 and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- University of Rochester (Rochester, NY)
- …patients through their course of treatment to ensure payment for the service , as well as coverage for the necessary medications and/or post-operative equipment. ... and notifies appropriate URMC parties. Reviews, analyzes and acts upon discrepancies prior to billing. Refers cases to leadership when additional coverage is… more
- Cardinal Health (Dover, DE)
- …authorization requirements by payer and product category. + Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax ... decisions by addressing missing documentation or criteria. + Monitor upcoming prior auth expirations and initiate re-authorization early to prevent… more
- US Tech Solutions (RI)
- …as needed to include but not limited to: outbound calls, reviewing and processing Prior Auth 's received via fax and ePA, monitoring and responding to inquiries ... experience that includes problem resolution, business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and Medicaid… more
- US Physical Therapy (Palmer, AK)
- **Company Description** We are looking for a full-time New Patient Coordinator to join our team! Consider joining our team of highly skilled, passionate, and ... and the Lead NPC to ensure all benefits and pre- auth needs are obtained, documented within the patient's referral,...oriented, organized, and has a high level of customer service skills. It is their primary goal to ensure… more
- Hartford HealthCare (Manchester, CT)
- …this position 1. Obtains Insurance eligibility and benefits and documenting in ADT system. ( prior to date of service and or upon admission). 2. Notification of ... any denials and nonpayment of services. 3. Obtains authorizations prior to date of service . Working closely...accounts without authorizations and possible cancelations due to no auth obtained. 4. Documents clearly in ADT system authorizations,… more
- Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
- The Surgical Scheduler/ Prior Auth Specialist will support the Providers while monitoring patient flow, scheduling patient appointments, attaining prior ... authorizations and processing necessary insurance information. The Patient Service Coordinator uses his/her working knowledge of urology and the health care… more
- University of Utah (Salt Lake City, UT)
- …support for physicians, and coordinates patient needs, communicating with clinical staff, the prior - auth group, and other teams as needed. 2. Create and maintain ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… more
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