- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... career advancement to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- 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
- Henry Ford Health System (MI)
- Central Authorization : Supervisor is responsible for functions related to timely procurement of referrals and authorizations and denial management related to ... of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate of… more
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work… more
- Fallon Health (Worcester, MA)
- …expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of ... when the authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol parameters are prepared… more
- Bon Secours Mercy Health (Greenville, SC)
- …resolve problems promptly + Ensures patient flow is maintained and informs Supervisor of any department and patient issues immediately + Coordinates and prioritizes ... Other duties as assigned **Education:** + High School Degree or GED **Experience:** + Prior experience in the healthcare field or a related area is preferred but not… more
- University of Connecticut (UConn) (Storrs, CT)
- …the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the accurate ... and timely pre- authorization / authorization of insurance coverage and benefits for...problems, referring most new, unusual or difficult problems to supervisor . + Obtains insurance information from students and determines… 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 - Maine DHHS in Augusta, ME**...Prior Authorizations (PA) as assigned by the PA supervisor , utilizing PA software tools. + Review and authorize… more
- State of Massachusetts (Brockton, MA)
- …from Service Authorization to providers and case managers. The CYF Supervisor position is a community-facing position that serves to liaison to community ... systems, provide education to CSA staff about DMH service authorization and services, facilitate access to DMH community resources...in child/adolescent behavioral health services. . Experience as a supervisor . . Prior experience as a case… more
- The Cigna Group (Bloomfield, CT)
- …primarily through leading a team of Account Managers, Claims Billing and Prior Authorization specialists by guiding daily duties and responsibilities. Serve ... **Fusebox Operations Senior Supervisor ** Responsible for owning the ongoing relationship and...as a subject matter expert for Prior Authorization services, Fusebox fully managed services… more
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