- 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
- 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 (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
- 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 (Greenfield, MA)
- …(These duties and responsibilities are not all inclusive):* * Supervises Human Service Coordinator I staff. Provides regular case supervision and case ... staff and oversees corrections, arranges for program billing numbers as required, authorizes service provision and completes service authorization for DMH… more
- State of Massachusetts (MA)
- … Coordinator . The selected candidate is responsible for needs assessment, service plan development, service authorization activities, and implementation ... statewide, as well as for MFP Demonstration participants. Waiver Program Coordinator engage in outreach as assigned to ensure that potential applicants… more
- Tufts Medicine (Boston, MA)
- …and reimbursement for each case. 13. Responsible for surgical referral and authorization verification prior to/and following appointments and surgeries for. 14. ... invasive procedures or surgery. An organizational related support or service (administrative or clerical) role or a role that...entry level role that typically requires little to no prior knowledge or experience, work is routine or follows… more
- Children's Hospital Boston (Boston, MA)
- …surgeries and scheduling, insurance coordination, referral authorizations, and/or billing issues. Prior Authorization , Billing & Finance: + Manages and ... positions (prorated for part-time positions) * The Patient Experience Coordinator will be responsible for: Customer Service :...in all of the above areas of scheduling, insurance, authorization , and billing. + Ensure staff is informed regarding… more
- Lawrence General Hospital (Lawrence, MA)
- …the clinic informed of changes. * Contacts insurance companies to obtain referrals and prior authorizations. * Assist Front Desk Coordinator I and II with ... As the Office Coordinator , you will be responsible to coordinate the...conflict independently, serves as a point of contact for service recovery * Serves as the primary contact for… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …8:30 AM- 5:00 PM Union: Yes Union Name: SEIU Patient Facing: Yes The Care Coordinator will be an integral part of a multidisciplinary team within our RISE (Reentry ... fatal overdose and other morbidities upon release. The Care Coordinator will join an interdisciplinary team of doctors, nurses,...disorders, and those at high risk of fatal overdose prior to release, on the day of release, and… more
- Akumin (Plymouth, MA)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... The **Patient Coordinator ** is responsible for performing a variety of customer service and patient care tasks to ensure a positive patient experience. Ensures… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …experiencing homelessness? Apply to become the Woods Mullen Patient Benefits Coordinator and join a high-functioning, interdisciplinary team with unique and ... In this role as the Woods Mullen Patient Benefits Coordinator , you will support the enrollment of BHCHP patients...+ Assist patients in navigating healthcare, recovery, and social service systems; serve as a liaison between the SUD… more
- Humana (Boston, MA)
- …+ Member service + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization. **Additional Information** ... and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and...experience + 1 or more years of telephonic Customer Service experience + Working knowledge of Microsoft Word, Excel,… more
- Beth Israel Lahey Health (Boston, MA)
- …include Outlook, Word, Excel, PowerPoint or Access. **Preferred Qualifications:** 1. Prior experience in specialty service preferred. **Competencies:** 1. ... a job, you're making a difference in people's lives.** The ECMO Program Nurse Coordinator works closely with the ECMO Program Clinical Manager to provide the highest… more
- Commonwealth Care Alliance (Boston, MA)
- …on the Tomorrow Health system to CCA Primary Care staff as needed. + Address prior authorization needs in a timely manner, working with others as needed to ... physicians, behavioral health clinicians, nurses, MAs, and administrative staff. The DME Coordinator serves as the trusted local expert on durable medical equipment,… more
- Evolent (Boston, MA)
- …systems and processes most specifically related to drug utilization management, drug prior authorization and pharmacy claim adjudication + Support and process ... is looking for a highly motivated and energetic **Pharmacy** ** Coordinator ** to join the Pharmacy Services team. We are...and triage all pharmacy inquiries received into our provider service and member service units (phone, fax,… more
- Tufts Medicine (Boston, MA)
- …be assigned. 1. Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service including: collects demographic, ... are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on… more
- Cardinal Health (Boston, MA)
- …and pharmacy insurance benefit practices, preferred + 1-2 years' experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... **_What Individualized Care contributes to Cardinal Health_** Customer Service is responsible for establishing, maintaining and enhancing customer business through… more
- Tufts Medicine (Boston, MA)
- …compliance/payroll, staffing, scheduling/core delivery, front desk operations, revenue capture, and prior authorization for patients as needed based on insurance ... develops need to accomplish the practice's vision. An organizational related support or service (administrative or clerical) role or a role that focuses on support… more
- Tufts Medicine (Boston, MA)
- …compliance/payroll, staffing, scheduling/core delivery, front desk operations, revenue capture, and prior authorization for patients as needed based on insurance ... data entry, and operates office equipment. An organizational related support or service (administrative or clerical) role or a role that focuses on support… more