- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... of insurance coverage including review of benefit verifications, research of prior authorizations and support through the appeals processEvaluate and refer patients… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... career advancement to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …advocate between Dana Farber Cancer Institute and various health plans. Reporting to the Prior Authorization Supervisor , the Clinical Authorization ... denials cannot be overturned. + Appropriately escalates complex cases to Drug Authorization Supervisor or Manager of Prior Authorizations. + Monitors email… more
- Henry Ford Health System (MI)
- Central Authorization : Supervisor is responsible for functions related to timely procurement of referrals and authorizations and denial management related to ... of denial or with high charges are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate of… more
- Carle Health (Urbana, IL)
- Overview Manages the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve ... policies consistently + Manages daily activities of the Medical Insurance and Prior Authorization departments + Ensure quality and quantity of work… more
- Fallon Health (Worcester, MA)
- …expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member Handbook/Evidence of ... when the authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol parameters are prepared… more
- Bon Secours Mercy Health (Greenville, SC)
- …resolve problems promptly + Ensures patient flow is maintained and informs Supervisor of any department and patient issues immediately + Coordinates and prioritizes ... Other duties as assigned **Education:** + High School Degree or GED **Experience:** + Prior experience in the healthcare field or a related area is preferred but not… more
- University of Connecticut (UConn) (Storrs, CT)
- …the Storrs campus, is seeking a Medical Referral Coordinator and Insurance Authorization Specialist to coordinate and provide assistance in carrying out the accurate ... and timely pre- authorization / authorization of insurance coverage and benefits for...problems, referring most new, unusual or difficult problems to supervisor . + Obtains insurance information from students and determines… more
- Staffing Solutions Organization (Augusta, ME)
- …PA reviews/dispositions based on business rules and workflow policies. + Work with the Prior Authorization unit staff members to monitor work queues and complete ... clients and the people they serve. **Registered Nurse - Authorization Review Unit - Maine DHHS in Augusta, ME**...Prior Authorizations (PA) as assigned by the PA supervisor , utilizing PA software tools. + Review and authorize… more
- State of Massachusetts (Brockton, MA)
- …from Service Authorization to providers and case managers. The CYF Supervisor position is a community-facing position that serves to liaison to community ... systems, provide education to CSA staff about DMH service authorization and services, facilitate access to DMH community resources...in child/adolescent behavioral health services. . Experience as a supervisor . . Prior experience as a case… more
- The Cigna Group (Bloomfield, CT)
- …primarily through leading a team of Account Managers, Claims Billing and Prior Authorization specialists by guiding daily duties and responsibilities. Serve ... **Fusebox Operations Senior Supervisor ** Responsible for owning the ongoing relationship and...as a subject matter expert for Prior Authorization services, Fusebox fully managed services… more
- AbbVie (North Chicago, IL)
- …groups to develop creative solutions to challenging patient access issues regarding prior authorization , and denied coverage requests to ensure patient care. ... of experience in the healthcare industry with knowledge in reimbursement, billing, prior authorization , appeals, and specialty pharmacy operations + 1-2 years… more
- Johns Hopkins University (Baltimore, MD)
- …and promote good employee morale. _Scope of Responsibility_ + The supervisor 's responsibilities include fostering a cooperative relationship between Facilities and ... and supervising the staff engaged in these activities. + The custodial supervisor is a frontline supervisor with bottom-line responsibility for achieving… more
- AECOM (Bradenton, FL)
- …tasks, Freeway Operator Shift Supervisors responsibilities include: + The Shift Supervisor is responsible for all Operations Floor activities during their shift. ... the District 1 TMC Operations SOP. + The Shift Supervisor will be the central contact for communications with...**MINIMUM REQUIREMENTS:** + HS + 2 or more years prior experience as a Traffic Monitoring Operator or in… more
- Johns Hopkins University (Baltimore, MD)
- …and promote good employee morale Scope of Responsibility: The supervisor 's responsibilities include fostering a cooperative relationship between Facilities and ... quality, and supervising the staff engaged in these activities. The custodial supervisor is a frontline supervisor with bottom-line responsibility for achieving… more
- ASM Global (Houston, TX)
- …north dock at NRG Stadium and NRG Center. + Ensuring all shipments received have prior authorization and verifying with the tenant any shipmentswithout prior ... has an excellent and immediate opening for a Dock Supervisor at NRG Park in Houston, Texas. NRG Park...representative of the knowledge, skill, and/or ability required. + Prior facility, operations, or administrative experience preferred but not… more
- WEC Energy Group (Chicago, IL)
- Operations Supervisor PGL, a subsidiary of WEC Energy Group, is seeking a Operations Supervisor in our Chicago, Illinois location. About Us WEC Energy Group is ... is the place for you. Job Summary The Operations Supervisor manages internal resources, external contracted resources and business...+ Work through various channels to keep customers informed prior to and during planned outages. + Resolve issues… more
- ICL (Gallipolis Ferry, WV)
- …in manufacturing as a Production Supervisor , Production Lead or a Process Operator. + Prior experience in a supervisory role. + Must be able to work under in an ... Production Supervisor Date: Oct 4, 2025 Custom Field 1:...Process Operators towards conducting root cause analysis on equipment prior to notifying maintenance of a problem. + Ensure… more
- Rush University Medical Center (Chicago, IL)
- …have been accurately collected along with the CPT and ICD * Monitors prior authorization work queues and partners with preadmission leadership team on ... clinic operations leaders to effectively manage scheduling requests and prior authorizations. Direct reports include procedure/surgery schedulers. **Other information:**… more
- State of Massachusetts (Northampton, MA)
- …is seeking qualified applicants for the position of Forensic Transition Team Supervisor . Under the supervision of an Area Forensic Director, the Forensic Transition ... Team (FTT) Supervisor is responsible for specific operations of the FTT...clients. * Works with members of the DMH service authorization team, conducting face-to-face interviews in places of incarceration,… more
