• Service Coordinator - Prior

    Fallon Health (Worcester, MA)
    **Overview** **The Service Coordinator works M - F 8 am to 5 pm and will require at least 6 months of training 5 days/week in the office and then will require 2 ... purpose** : Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted...handle calls appropriately with a focus toward excellent customer service . In addition, the Service Coordinator more
    Fallon Health (12/05/24)
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  • Prior Authorization

    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
    SUNY Upstate Medical University (11/09/24)
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  • Prior Authorization

    UCLA Health (Los Angeles, CA)
    …at UCLA Health. You will receive urgent, routine, pre- service , and retro authorization requests, as well as process prior authorization requests with ... use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use… more
    UCLA Health (01/13/25)
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  • Hospital Admissions Coordinator

    Atrius Health (Quincy, MA)
    …**Job:** **Practice Support Staff* **Organization:** **ENT* **Title:** *Hospital Admissions Coordinator / Prior Authorization , ENT, HYBRID (MA Residents ... and that pertinent information is sent to the hospital prior to patients' admissions. Keeps current on the policies...of current insurance payors and hospitals. Delivers excellent customer service to patients. Serves as an internal resource as… more
    Atrius Health (01/22/25)
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  • Authorization Coordinator

    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
    Fallon Health (01/01/25)
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  • Authorization & Verification…

    Crouse Hospital (Syracuse, NY)
    …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 8 ... shifts assigned Pay Range: $16.90-32.19/hour based on verified experience Authorization and Verification Coordinator Position Responsibilities: + Proficiently… more
    Crouse Hospital (11/22/24)
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  • Coordinator - Authorization -…

    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...insurance, including dental and vision + Sick leave + Service awards + Free parking + Short-term disability +… more
    Baptist Memorial (01/06/25)
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  • Authorization Coordinator Specialty…

    University of Michigan (Ann Arbor, MI)
    Authorization Coordinator Specialty Pharmacy Liaison Apply Now **What You'll Do** This 1.0 FTE Specialty Pharmacy Liaison will collaborate with clinic staff and ... their pharmacy of choice. This naturally occurs at time of prescription renewal, prior authorization renewal, insurance change or clinic visit. + Communicate… more
    University of Michigan (01/23/25)
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  • Authorization Specialist (Remote…

    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 ... & Physiology. Graduate of a Medical Assistant, Health Unit Coordinator , or Health Care Business Service program....to assess if a proposed treatment or medication needs prior authorization based on insurance guidelines and… more
    Marshfield Clinic (01/24/25)
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  • UM Inpatient Service Coordinator

    Fallon Health (Worcester, MA)
    **Overview** **The UM Inpatient Service Coordinator is a telphonic role working with hospital offices regarding inpatient or hospital stays prior ... continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life experiences,… more
    Fallon Health (01/11/25)
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  • Eye Bank Donor Coordinator

    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 ... and effective communication skills. * Each Eye Bank Donor Coordinator completes a formal training period prior ...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… more
    University of Utah (01/15/25)
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  • Child, Youth and Family Services Case Management…

    State of Massachusetts (Taunton, MA)
    …and administrative supervision to assigned CYF Case Manager(s); Coordinating referrals from Service Authorization to providers and case managers, liaison to ... be the Southeast CYF Case Management Supervisor, Human Services Coordinator II (HSC II), assigned to the Taunton Site... systems, provide education to CSA staff about DMH service authorization and services, facilitate access to… more
    State of Massachusetts (01/14/25)
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  • Associate Patient Care Coordinator

    Surgery Care Affiliates (Rockville, MD)
    …from the insurance company when required. The duties and responsibilities of the Patient Service Coordinator include, but are not limited to: + Schedules the ... help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines. The new SCA Health represents who we are today and… more
    Surgery Care Affiliates (01/15/25)
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  • Special Education Building Coordinator

    State of Colorado (Lakewood, CO)
    Special Education Building Coordinator - Mount View YSC in Lakewood, CO Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4771211) Apply  Special ... Education Building Coordinator - Mount View YSC in Lakewood, CO Salary...Division also contracts with numerous private residential and non-residential service providers throughout the State. For pre-adjudicated youth, the… more
    State of Colorado (12/24/24)
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  • Outpatient Authorization Specialist

    University of Michigan (Ann Arbor, MI)
    …ensure payor requirements are met and authorizations are obtained timely and appropriately prior to service . The Authorization Specialist will provide ... Outpatient Authorization Specialist Apply Now **Job Summary** The ...communication protocols. + Prioritize and procure all required authorizations prior to service reducing appointment cancelations and… more
    University of Michigan (01/16/25)
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  • PS Clinical Nurse Coordinator

    University of Utah (Salt Lake City, UT)
    …University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll in URS if they make ... Date** 05/17/2024 **Requisition Number** PRN38580B **Job Title** PS Clinical Nurse Coordinator **Working Title** PS Clinical Nurse Coordinator **Job Grade**… more
    University of Utah (11/15/24)
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  • 4-H/FCH Program Coordinator

    Oregon State University (Gold Beach, OR)
    …Position Information Department Ext 4-H Yth Dev OffCmpus (TEX) Position Title Coordinator -Outreach Program Job Title 4-H/FCH Program Coordinator Appointment Type ... of Extension and Engagement is seeking an Outreach Program Coordinator . This is a full-time (1.00 FTE ), 12-month,...Due to funding, OSU will not sponsor immigration work authorization for this position (eg H-1B, etc.). This Outreach… more
    Oregon State University (01/08/25)
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  • Specialty Pharmacy Financial Access…

    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
    Mount Sinai Health System (12/18/24)
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  • Emergency Management Operations Coordinator

    Spokane County (Spokane, WA)
    Emergency Management Operations Coordinator (Civil Service ) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4791901) Apply  ... Emergency Management Operations Coordinator (Civil Service ) Salary $73,655.60 - $103,108.40 Annually Location WA 99260,...AKA "Green Card" (if applicable) + Copy of Employment Authorization Document (EAD) card / Form I-797 (Notice of… more
    Spokane County (01/17/25)
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  • Pre- Service Coordinator

    Humana (Miramar, FL)
    …a part of our caring community and help us put health first** The Pre- Service Coordinator is responsible for all aspects of referral management and accurately ... timeline expectations as outlined in the Health Plan contractual agreements. The Pre- Service Coordinator will review inbound referrals and correspondence for… more
    Humana (01/18/25)
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