- Atrius Health (Quincy, MA)
- …**Job:** **Practice Support Staff* **Organization:** **ENT* **Title:** *Hospital Admissions Coordinator / Prior Authorization , ENT, HYBRID (MA Residents ... have been completed and that pertinent information is sent to the hospital prior to patients' admissions. Keeps current on the policies and procedures of a… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- UCLA Health (Los Angeles, CA)
- …routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will involve the ... use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use… more
- 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 ... **Overview** **The Service Coordinator works M - F 8 am to...collect pertinent prior authorization request data and disseminates information...collect pertinent prior authorization request data and disseminates information to the … more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... Assists in problem identification, quantification and resolution. - Provides training to Prior Authorization and Referral Coordinator Associates and… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... case management when medical assessment is needed. - Manage and oversee the prior authorization process for procedures, specialty office visits, VA (Veterans… more
- Sanford Health (SD)
- …Collection of clinical information necessary to initiate commercial payor authorization . Obtain and maintain appropriate documentation concerning services in ... technology applications to insurance companies and contracted vendors to assure authorization for patients. May participate in providing assistance in financial aid… more
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization ... **Overview** **The Authorization Coordinator works M - F...authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol… more
- Crouse Hospital (Syracuse, NY)
- …various points of service throughout Crouse Hospita.lThe Patient Access team is hiring a Authorization and Verification Coordinator to work 7:30 am - 4:00 pm or ... shifts assigned Pay Range: $16.90-32.19/hour based on verified experience Authorization and Verification Coordinator Position Responsibilities: + Proficiently… more
- Baptist Memorial (Memphis, TN)
- …and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services ... Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review… more
- HonorHealth (Scottsdale, AZ)
- …Learn more at HonorHealth.com. Responsibilities Job Summary The Research Infusion Authorization Coordinator I position within the HonorHealth Research Institute ... the HonorHealth Network. Preforms tasks related to the management of prior authorization for patients served by HonorHealth Research Institute. Reviews medical… more
- Sutter Health (San Francisco, 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. Facilitates responses to patient inquiries regarding authorizations within turnaround standards.… more
- University of Utah Health (Salt Lake City, UT)
- …verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. This position ... May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities**...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- CVS Health (Austin, TX)
- …personal, convenient and affordable. Candidates **MUST HAVE AT LEAST TWO YEARS OF** prior authorization experience. Schedule: For training there is a set ... the health plan/employer agreed criteria, including inbound from the coordinator as needed as well as outreach calls to...in accordance with CVS/Caremark policies and procedures. * Refer prior authorization cases not meeting clinical criteria… more
- Select Medical (Columbus, OH)
- …Specialty Hospitals - Columbus** **Critical Illness Recovery Hospital** **Columbus, OH** ** Prior Authorization Specialist / Payor Relations Specialist (Precert ... right. As the Payor Relations Specialist, you will manage the pre-certification and prior authorization of referrals scheduled for admission to our hospital.… more
- Marshfield Clinic (Marshfield, WI)
- …records to determine if a prescribed treatment, procedure, or medication requires prior authorization from the insurance company, ensuring that the requested ... examine medical records to assess if a proposed treatment or medication needs prior authorization based on insurance guidelines and medical necessity criteria. +… more
- Surgery Care Affiliates (Rockville, MD)
- …registration information on a daily basis. In addition, the Patient Services Coordinator will enter the demographic and insurance information into the billing system ... and verify that a pre- authorization number is obtained from the insurance company when...required. The duties and responsibilities of the Patient Service Coordinator include, but are not limited to: + Schedules… more
- University of Utah (Salt Lake City, UT)
- …about this process. o If the family chooses to donate, the Donor Coordinator obtains recorded authorization and completes a medical/social history questionnaire ... Demonstrated human relations and effective communication skills. * Each Eye Bank Donor Coordinator completes a formal training period prior to assuming these… more
- State of Massachusetts (Taunton, MA)
- …dynamic candidate to be the Southeast CYF Case Management Supervisor, Human Services Coordinator II (HSC II), assigned to the Taunton Site office. Primary duties ... supervision to assigned CYF Case Manager(s); Coordinating referrals from Service Authorization to providers and case managers, liaison to community providers… more
- University of Utah (Salt Lake City, UT)
- …Date** 05/17/2024 **Requisition Number** PRN38580B **Job Title** PS Clinical Nurse Coordinator **Working Title** PS Clinical Nurse Coordinator **Job Grade** ... Medicine has an immediate opening for a Clinical Nurse Coordinator . The Nurse Coordinator works with other...other adolescent specific conditions. + Work closely with the pre- authorization team and follow up with them regarding medications… more
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