- 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 (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
- Humana (Providence, RI)
- … telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Additional ... and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The...degree in Business, Finance or a related field + Prior member service or customer service… more
- Humana (Providence, RI)
- …terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Work-At-Home ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … more
- Evolent (Providence, RI)
- …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