- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization ... of Coverage, departmental policies and procedures, and regulatory standards. The Authorization Coordinator serves as a liaison between FH members… more
- Fallon Health (Worcester, MA)
- …Summary of Purpose:** Under the direction of the Manager of Prior Authorization , communicates with contracted and non-contracted facilities/agencies/providers to ... collect pertinent prior authorization request data and disseminates information...focus toward excellent customer service. In addition, the Service Coordinator will attain the targets for a customer service… more
- Children's Hospital Boston (Boston, MA)
- 82359BRJob Posting Title: Prior Authorization Coord-Pharm TechDepartment:AnesthesiaAutoReqId:82359BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... and assists with denials and appeals when needed. + Coordinates and tracks prior authorization renewals, ensuring timely follow-up and completion. + Manages… more
- Humana (Boston, MA)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Lawrence General Hospital (Lawrence, MA)
- …utilizing Meditech assessment templates. + Provide clinical information needed for prior authorization to inpatient Behavioral Health facilities as needed. ... shifts available, on-site is preferred, with consideration to work remotely or a hybrid . DUTIES AND RESPONSIBILITIES: + Has an understanding of all levels of… more