- Children's Hospital Boston (Boston, MA)
- 82462BRJob Posting Title: Prior Authorization Coordinator -Pharm TechnicianDepartment:NeurologyAutoReqId:82462BRStatus:Full-TimeStandard Hours per Week:40 Job ... and assists with denials and appeals when needed. + Coordinates and tracks prior authorization renewals, ensuring timely follow-up and completion. + Manages… more
- US Tech Solutions (RI)
- …Fully remote ** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, pharmacies, ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
- Tufts Medicine (Stoneham, MA)
- …under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is ... entry level role that typically requires little to no prior knowledge or experience, work is routine or follows...valid driver's license is required for local travel to remote hospital sites, and the like. 3.Mental requirements will… 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
- BrightSpring Health Services (Scottsdale, AZ)
- …This role serves as the key point of contact for benefit investigation, prior authorization , coordination with internal stakeholders (pharmacy and nursing staff) ... and pharmacy benefits + Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements + Prepares and submits prior … more
- PeaceHealth (Springfield, OR)
- …departments, modalities and facilities. Facilitates equipment, third party schedules, prior authorization , physicians' schedules and staffing assignments. ... **Description** **PeaceHealth is seeking a Centralized Scheduling Coordinator - Remote (OR) for a...leadership to resolve. + Ensures cases and appointments have prior authorization ; may coordinate with PFS to… more
- Providence (Beaverton, OR)
- …of Outpatient Care) + Utilization Management Experience (EX. Concurrent Review, Prior Authorization , Medical Audits, Appeals or Delegation) + Experience ... them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide...care to our members **Providence Health Plan welcomes 100% remote work to residents who reside in the following… more
- Humana (Indianapolis, IN)
- …service telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Additional ... caring community and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration … more
- Humana (Phoenix, AZ)
- …be an integral part of a fast-paced, metric-driven team responsible for managing prior authorization requests from providers and members. The role involves ... providers in determining whether a specific service for a member requires prior authorization or referral, ensuring compliance with established guidelines and… more
- Humana (Concord, NH)
- …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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Genetic Specialist Coordinator will report to the department clinical manager and will work with all department staff. Under the supervision ... of the genetic counselor and geneticist, the Genetic Specialist Coordinator will provide support to facilitate patient visits and genetic testing. This includes… more
- State of Massachusetts (Worcester, MA)
- …is seeking a dynamic individual to fill the role of Waiver Program Coordinator . The selected candidate is responsible for needs assessment, service plan development, ... service authorization activities, and implementation and monitoring of individualized service...as well as for MFP Demonstration participants. Waiver Program Coordinator engage in outreach as assigned to ensure that… more
- State of Massachusetts (Boston, MA)
- …is seeking a dynamic individual to fill the role of Waiver Program Coordinator . The selected candidate is responsible for needs assessment, service plan development, ... service authorization activities, and implementation and monitoring of individualized service...as well as for MFP Demonstration participants. Waiver Program Coordinator engage in outreach as assigned to ensure that… more
- Penn Medicine (Philadelphia, PA)
- …Blvd Hours: On-Site, M-F, 8:00AM- 5 PM Under minimal supervision, the Care Coordinator in Penn Signature Services (PSS) is responsible for providing the highest ... patients accessing the University of Pennsylvania Health System/Penn Medicine remote and in person services that are supported by...Global Medicine and The Pavilion at HUP). The Care Coordinator serves as the primary point of contact and… more
- University of Utah Health (South Jordan, UT)
- …material and coordinates training of staff. + May obtain insurance pre- authorization and other related appropriate documentation. + Compiles and maintains accurate ... its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS… more
- City of New York (New York, NY)
- …Division seeks a motivated administrative professional to serve as the Database Coordinator and Office Manager, to support the overall functioning of the Division. ... supervision and reporting to the Director and Deputy Director, the Database Coordinator and Office Manager will perform moderately complex administrative work and… more
- Tiffany & Co. (Fort Worth, TX)
- …and a dedicated commitment to corporate sustainability. **Responsibilities:** The Operations Coordinator takes the lead by performing all back of house operations ... in a Tiffany store. The Coordinator has a passion for providing excellent client service...all tasks. **Qualifications:** Required Qualifications: + 2-3 years of prior retail experience in retail operations with comprehensive knowledge… more
- CAI (Denver, CO)
- Contract Coordinator Intern **Req number:** R6166 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology ... trailblazers in bringing neurodiversity to the enterprise. **Job Summary** As Contract Coordinator Intern, you will work closely with our Contracts Department to… more
- Akumin (Lansing, MI)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... Local Hospitals, Healthcare Centers and/or Imaging Providers. The **Patient Coordinator ** is responsible for performing a variety of customer...patients prior to procedures, which may include medical history. +… more
- McKinstry (Spokane, WA)
- **Construction Project Coordinator ** Location **WA - Spokane** Job Family **Project Management** Apply Now ... **The Opportunity with McKinstry** We are currently seeking a **Project** ** Coordinator ** to join our high-performing Electrical Construction team on-site in… more
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