- Humana (Madison, WI)
- …caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...Managing Humana Medical Directors' calendars + Monitoring and decisioning authorizations + Responding to provider inquiries regarding existing … more
- Highmark Health (Madison, WI)
- …oral, injectable and infusion medication requests, and drug claim edits/prior authorizations . By reviewing member claims history, clearly defines the medical ... evaluate/direct daily workflow within the department. + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug… more
- Meriter-UnityPoint Health (Deforest, WI)
- …(Middleton, Monona, West, Central and McKee). We are seeking a dynamic Rehab Service Coordinator to join our Outpatient T herapy Team. At UnityPoint Health - Meriter ... written and verbal + Knowledge of insurance - obtaining benefits, submitting authorizations , etc. + Knowledge of registration process + Knowledge of medical… more
- Meriter-UnityPoint Health (Monona, WI)
- …Shift: As needed, weekdays between 7a-5:30p. We are seeking a dynamic Rehab Service Coordinator to join our Outpatient T herapy Team. At UnityPoint Health - Meriter ... written and verbal + Knowledge of insurance - obtaining benefits, submitting authorizations , etc. + Knowledge of registration process + Knowledge of medical… more
- Fresenius Medical Center (Madison, WI)
- **PURPOSE AND SCOPE:** As the Patient Services Coordinator this position coordinates scheduling pre-procedure communication medical record documents EMR demographic ... Verification process and completes all required processes for prior authorizations or other actions required by payor. + Assistwithpatienttransportationifthepatientqualifiesperthe… more
- Cardinal Health (Madison, WI)
- …. + Follow through on all benefit investigation rejections, including Prior Authorizations , Appeals, etc. All avenues to obtain coverage for the product must ... be fully exhausted. + Track any payer/plan issues and report any changes, updates, or trends to management + Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation + Handle… more
- Elevance Health (Darlington, WI)
- **LTSS Service Coordinator - RN Clinician (RN Case Manager)** **$5,000 Sign-on Bonus** **Hiring near Southwestern Wisconsin in counties:** Pepin, Buffalo, ... living, employment, and contributing to their communities. The **LTSS Service Coordinator -RN Clinician** is responsible for overall management of member's case… more
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