- Cardinal Health (Fresno, CA)
- …& must be knowledgeable of a variety of Insurance Plans and Policies. Prior Authorization Coordinator **Responsibilities** + Receives chemotherapy orders and ... specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ This... for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform… more
- LifePoint Health (Wilson, NC)
- …and growth opportunities * * *Department/Unit Summary The LPN Testing, Scheduler, and Prior Authorization Coordinator is responsible for coordinating patient ... in employment. **Job:** **Nursing* **Organization:** **Wilson Physician Services* **Title:** *Clinic Prior Authorization Coordinator - LPN * **Location:**… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Clinical Coordinator - ( Prior Authorization ) - Contingent Exemption Status ... Develop and conduct retrospective drug use reviews. + Review medication prior authorization requests and appeals. + Develop and implement clinical educational… 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
- US Tech Solutions (RI)
- **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Cedars-Sinai (Beverly Hills, CA)
- …Pharmacy Officer or designee. **Req ID** : 10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Hybrid **Department** : ... nine years in a row on the "Best Hospitals" Honor Roll. The Clinical Prior Authorization Pharmacist Specialist at Cedars-Sinai Medical Center will work in… more
- Humana (Little Rock, AR)
- …**Required Qualifications** + 1 or more years of experience with Utilization Review and/or Prior Authorization + 1 or more years of Healthcare experience + ... and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and...appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the UM Nurses to process… 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 ... 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator - Authorization Job Summary The Authorization Coordinator is responsible for… more
- Cardinal Health (Nashville, TN)
- …scheduling and ends when the patient's account balance is zero. Benefits and Authorization Coordinator This position is responsible for reviewing the physician's ... for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform...such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Utilize online insurance portals,… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Authorization Coordinator will be responsible for tracking and keeping up to ... Management, Director of Operations and Associate Director of Medical Billing. The authorization coordinator is also responsible for auditing client charts to… more
- Sutter Health (San Francisco, 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....eligibility, facility approval, follows up as necessary to obtain authorization in a timely fashion and enters authorization… more
- Aston Carter (Stanford, CA)
- …policies. * Provides orientation and training to new staff as assigned. Skills Prior authorization , Medical, Retail pharmacy, Data entry, Health care, Medical ... terminology, Customer service, Administrative skills Top Skills Details Prior authorization ,Medical,Retail pharmacy,Data entry Additional Skills & Qualifications… more
- Sutter Health (San Francisco, CA)
- …Provides medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers. Completes referrals ... accurately and consistently with minimal supervision. In Managed Care, processes authorization and referral requests for members in coordination with health plans… more
- Sutter Health (San Francisco, 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
- 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
- Bassett Healthcare (Cooperstown, NY)
- …manner as observed by direct supervisory observation and chart documentation Obtains prior authorization for treatment/ therapy plans, and medications to ensure ... Under the supervision of the Oncology Nurse Supervisor, the Patient Care Coordinator LPN coordinates the referral process for medical and radiation oncology… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- … + Authorization Management: + Submit and follow up on prior authorization requests for medications, procedures, or treatments. + Communicate with ... + 1-3 years of experience in a healthcare setting, insurance verification, or prior authorization . + Knowledge of medical terminology, ICD-10, and CPT… more
- Entergy (Willis, TX)
- **Job Title:** Power Generation Maintenance Planning and Scheduling Coordinator **Work Place Flexibility:** Onsite **Legal Entity:** Entergy Texas, Inc.-GTX Please ... note: Authorization to work in the United States is a...this position. **JOB SUMMARY/PURPOSE:** The Maintenance Planning and Scheduling Coordinator manages the planning and scheduling of all maintenance… more
- Dartmouth Health (Lebanon, NH)
- …20 hours per week On Site - Lebanon, NH The Transplant Financial Coordinator reviews all new patient referrals for insurance suitability for transplantation; meets ... billable to the patients’ insurance company. The Transplant Financial coordinator discusses options for covering costs. This role also...to ensure DH is in-network with the patient’s plan prior to patient acceptance in the DH Kidney Transplant… more