- 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
- 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 Time, 1.00 FTE, Day position.** The salary range for… more
- Sutter Health (Modesto, CA)
- …to verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtains ... authorization and documents in the patient electronic medical record....inquiries regarding authorizations within turnaround standards. *This is a hybrid position (most days working remote and occasionally onsite).… more
- Truman Medical Centers (Kansas City, MO)
- …optimization** . You'll advocate for patients through complex benefit investigations, prior authorization support, and financial assistance programs-making a ... reimbursement and billing processes** + Familiarity with **pharmacy benefit management (PBM), prior authorization platforms** , or EHR systems + Understanding of… more
- Fallon Health (Worcester, MA)
- …Summary 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...focus toward excellent customer service. In addition, the Service Coordinator will attain the targets for a customer service… more
- Mount Sinai Health System (New York, NY)
- …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... experience or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer… more
- Walgreens (Frisco, TX)
- …may performs benefit investigation for triaged referrals, including adding/updating prior authorization information, processing major medical insurance claims ... members and communities. \#LI-RD1 **Job ID:** 1679430BR **Title:** Specialty Coordinator Enterprise Triage ( Hybrid ) **Company Indicator:** Walgreens **Employment… more
- UPMC (Pittsburgh, PA)
- …orientation. **Position Specifics:** Employee with be assisting providers with obtaining prior authorization for treatment and completing required documentation ... **UPMC is hiring a full-time OP Nurse Coordinator I to join their Pediatric Primary Care...identified in the workplace. Assists the departmental manager (Practice Coordinator or Practice Manager) in patient care planning, operations… more
- Elderwood (Buffalo, NY)
- …Therapy Managed Care Coordinator : + Coordinate and process prior authorizations and re- authorization requests for therapy services, including ... $20 - $22 / Hour Overview Therapy Managed Care Coordinator Be the vital connection between quality care and...a timely manner. + Collect documents to support the prior authorization request, for example, evaluations, progress… more
- Humana (Schaumburg, IL)
- …terminology and/or ICD-10 codes. + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Additional ... Outlook **Preferred Qualifications** + A minimum of an Associate's degree. + Prior billing/claims or authorization experience + Proficient utilizing electronic… more