- Agendia, Inc (Irvine, CA)
- …authorization determination. When applicable, the PA Coordinator will also submit a Prior Authorization appeal if criteria is met but the PA was denied ... AIM OF THE POSITION The Patient Access Coordinator is responsible for requesting authorization ...and reviewing all the necessary documentation required to submit prior authorization , contacting the ordering physician or… more
- Universities of Wisconsin (Whitewater, WI)
- …through the internal application process. Position Title: Assignments and Billing Coordinator Job Category: Academic Staff Employment Type: Regular Job Profile: ... Housing Coordinator II Job Duties: The Assignments and Billing ...a student-centered approach and a strong commitment to customer service excellence. This position is responsible for assisting with… more
- PHOENIX PHYSICAL THERAPY (Natrona Heights, PA)
- …Time Job Category Admin - Clerical Description POSITION SUMMARY: The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by ... of the prescription Collect all monies that are due prior to each visit including, but not limited to...visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due… more
- Universities of Wisconsin (Menomonie, WI)
- …marital or parental status, genetic information, arrest record, conviction record, military service , veteran status, use or nonuse of lawful products off the ... Excellent verbal and written communication skills. Excellent interpersonal and customer service skills. Working knowledge of desktop systems and commonly used… more
- University of Wisconsin-Milwaukee (Milwaukee, WI)
- …listed above. Regular regional travel is required, to each Center once opened and prior to that potentially for periodic meetings. The Director may serve as the ... related to sponsored grants, contracts, or agreements Provides full service advising resources and services, provides information about educational options… more
- University of Wisconsin-Milwaukee (Milwaukee, WI)
- …Committee. 9-month appointments will come with one unit of summer program director service and potential for up to two additional summer units, dependent on course ... Social Work Education: Experience serving as a director or coordinator of an academic program, especially a graduate or...external reference checking tool. References will not be contacted prior to candidates being notified. In instances where the… more
- University of Utah (Salt Lake City, UT)
- …University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator . This position works with a team of ... **Job Title** PS Coordinator , Scheduling **Working Title** Coordinator , Prior Authorization **Career Progression...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… 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)
- …experience that includes problem resolution, business writing, quality improvement and customer service **Skills:** + Prior Authorization + Medicare and ... **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers,… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details The Financial Clearance Authorization Coordinator is responsible for ensuring a patient's visit is ... is required and utilize payer-specific requirements to secure authorization . + Submit prior authorization ...collect and document receipt of estimated patient responsibility amounts prior to service , and appropriately refer them… more
- Cardinal Health (Nashville, TN)
- …management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. **Job Description** The ... **_What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health_** Practice Operations...such as deductible, out of pocket, copay and coinsurance prior to services rendered. + Verify if any … more
- University of Connecticut (UConn) (Storrs, CT)
- …Health and Wellness on 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 students requiring diagnostic imaging, such as… more
- Tufts Medicine (Stoneham, MA)
- …are scheduled for recommended appointments/procedures, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on ... 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… 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...with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service , may elect to enroll… more
- Select Medical (West Orange, NJ)
- …for Rehabilitation - West Orange** A Select Medical Hospital West Orange, NJ ** Prior Authorization Specialist/ Payor Relations Specialist ( RN , LPN )** ... judgment, the Payor Relations Specialist manages the pre-certification and prior authorization of referrals scheduled for admission...include but not limited to CEO, DBD, CLs, Admissions Coordinator and Case Management team that may help grow… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… 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...handle calls appropriately with a focus toward excellent customer service . In addition, the Service Coordinator… more
- Humana (Indianapolis, IN)
- … telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Additional ... and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The...Degree in Business, Finance or a related field + Prior member service or customer service… more
- BJC HealthCare (St. Louis, MO)
- …pre-certification, and pre- authorization requirements and status to ensure appropriate insurance authorization is secured prior to service . + Answers ... other highly trained professionals. **Preferred Qualifications** **Role Purpose** The Insurance Authorization Coordinator is responsible for ensuring that the… more
- Humana (Phoenix, AZ)
- …in determining whether a specific service for a member requires prior authorization or referral, ensuring compliance with established guidelines and ... be an integral part of a fast-paced, metric-driven team responsible for managing prior authorization requests from providers and members. The role involves… more
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