- Fallon Health (Worcester, MA)
- …the ACD hunt line and handle calls appropriately with a focus toward excellent customer service . In addition, the Service Coordinator will attain the targets ... continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life experiences,… more
- Cardinal Health (Providence, RI)
- …authorization requirements by payer and product category. + Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax ... decisions by addressing missing documentation or criteria. + Monitor upcoming prior auth expirations and initiate re-authorization early to prevent… more
- Hartford HealthCare (Manchester, CT)
- …this position 1. Obtains Insurance eligibility and benefits and documenting in ADT system. ( prior to date of service and or upon admission). 2. Notification of ... any denials and nonpayment of services. 3. Obtains authorizations prior to date of service . Working closely...accounts without authorizations and possible cancelations due to no auth obtained. 4. Documents clearly in ADT system authorizations,… more