- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Pharmacy Prior Authorization Coordinator will facilitate the logging in ... and out of all prior authorization requests, follow-up on said requests...to ensure that a decision can be rendered. The Coordinator will also make outbound notification calls to members… more
- 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
- 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
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior - authorization non-clinical medical management coordinator and pre-certification ... insurance environment. + Minimum 2 years of experience with pre- authorization , utilization review/management, case management, care coordination, and/or discharge… 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
- TEKsystems (Stockton, CA)
- …+ Modesto + Sacramento + East Bay + San Francisco Description The authorization coordinator position is responsible for performing the appropriate processes to ... verify patient eligibility, coordinate benefits, ensure insurance coverage, and determine if prior authorization is needed for said order. If needed, obtain … 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
- Crouse Hospital (Syracuse, NY)
- …shifts assigned Pay Range: $16.90-32.19/hour based on verified experience Authorization and Verification Coordinator Position Responsibilities: + Proficiently ... Routinely reviews bill hold to assure that billing remains timely and accurate. Authorization and Verification Coordinator Requirements: + High school diploma or… more
- 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
- HonorHealth (Phoenix, AZ)
- …as necessary to become proficient. Perform tasks related to the management of prior authorization for patients served by infusion clinics. Reviews medical ... Job Summary Under the direction of Leadership, performs Infusion/medication authorization functions for the hospital outpatient infusion departments (or other… more
- TEKsystems (Fresno, CA)
- …on how to expedite patient access. * Could include documenting and initiating prior authorization process, claims appeals, etc. * Completes quality review of ... Description - this role supports the Chemo team specifically - any medication authorization verification experience is a plus The Authorization Specialist will… more
- Sutter Health (Berkeley, 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 ... individual payer requires to authorize the visit. + Secures prior authorization for high dollar services such...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… 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 ... * Experience with medical terminology also preferred. * Each Eye Bank Donor Coordinator completes a formal training period prior to assuming these… 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
- 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
- Boston Public Schools (Boston, MA)
- Job Details Job ID: 4987678 Job Description ESY - Site Coordinator (Specialized Day School & Specialized Programs) (Summer 2025) **THIS IS A SUMMER POSITION. ... from July 7 to August 8, 2024. The SITE COORDINATOR (Specialized Day School) is expected to: + Ensure...student etc). + Complete all hiring and set-up activities prior to the start of the program and closing… more