- Frontdoor (Boise, ID)
- …Summary: As an Authorizer, you will review contracts and determines coverage. You will negotiate pricing with contractors when applicable, inform members of ... non-covered claims when applicable and provides any necessary follow-up. Responsibilities: + Responsible for authorizing repair/replacement of covered systems or appliances. + Negotiates pricing with contractors. Informs customers of non-covered claims when… more
- Humana (Boise, ID)
- …and PBM systems.Ensure timely adjudication of prescription claims through PBM systems. Contact hospices for authorizations /approvals for submitted claims where ... all necessary information for facilities and their related pharmacies* Assist the Call Center management team with projects to enhance the workflow and success of… more