- University of Colorado (Aurora, CO)
- Prior Authorization and Payer Reimbursement Coordinator - 33254 University Staff **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Pediatrics - Hemophilia & Thrombosis Center** **Job Title: Prior Authorization and Payer Reimbursement Coordinator ** **Position #: 00821459 -… 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
- UCLA Health (Los Angeles, CA)
- …routine, pre-service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness. This will involve the ... use of various business applications to perform analysis, obtain information, and enter prior authorization data necessary for claims adjudication. You will use… more
- Baystate Health (Springfield, MA)
- **Summary:** The Referral Authorization Coordinator is responsible for providing a variety of support services that are essential to the efficient operation of ... Meets expectations for less than one week turnaround for majority of prior authorization approvals. **Job Responsibilities:** **1)** Instructs and provides… 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 ... Summary The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review… more
- Catholic Health Services (Melville, NY)
- …discover why Catholic Health was named Long Island's Top Workplace! Job Details Authorization Coordinator duties: Working with the EMR, this position obtains ... maintains strict confidentiality. Responsibilities: Verifies insurance coverage and obtains prior authorization as needed. Demonstrates excellent customer… more
- Claxton-Hepburn Medical Center (Ogdensburg, NY)
- Pay Range: $18.51-$28.70* CHMC -General Surgery-Specialty Authorization Coordinator - Full Time-Day Shift -8a-4:30p - Requisition 7509 The Pain Specialty ... Authorization Coordinator performs all clerical duties regarding...insurance companies to ensure that procedures are properly scheduled, prior authorizations from insurance companies have been received and… more
- TEKsystems (Phoenix, AZ)
- …Triage, Insurance verification, Medical assisting, Medical terminology, Appointment scheduling, Prior authorization , Medical insurance, Health care, Outbound ... service,Patient Scheduling,Patient Referral,Explanation of Benefits,EOB,EMR,Patient care,Triage,Insurance verification,Medical assisting,Medical terminology,Appointment scheduling, Prior authorization ,Medical i Additional Skills & Qualifications:… more
- Beth Israel Lahey Health (Beverly, MA)
- …information. Notifying the proper individuals of patients that do not have a prior referral and/or authorization for the test, exam, procedure, or admission ... Services Call Center performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures and admissions into the… more
- ProMedica Health System (Toledo, OH)
- POSITION SUMMARY The Care Navigation Resource Coordinator - Prior Authorization Specialist performs insurance submissions for prior authorizations for ... skilled nursing facilities and follow-up of prior authorization within the patient's electronic health record. The position works directly with unit RN Acute… 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 ... May work to resolve claims denials related to the prior authorization . **Knowledge / Skills / Abilities**...its regulations may be referred to the Title IX Coordinator , to the Department of Education, Office for Civil… more
- University of Rochester (Rochester, NY)
- POSITION SUMMARY: Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to enterprise standards and referral ... and prior authorization guidelines. Communicates regularly with patients,...Responsible for managing department referrals. Serves as liaison, appointment coordinator , and patient advocate between the referring office, specialists… more
- LifePoint Health (Wilson, NC)
- …. Growing Tree On-Site Childcare Facility . And much more *_Position Summary_*: The Prior Authorization Coordinator is an essential part of a ... multi-disciplinary team that provides high-quality patient care. The Prior Authorization Coordinator processes all inbound prior authorizations for the… more
- BAE Systems (San Diego, CA)
- **Job Description** The Hot Work Coordinator (HWC) will be the single point of contact with the Safety Department for the process and management of all hot work ... the job: Receive, review, and coordinate each hot work authorization form submitted by each Repair Activity (RA), no...form revision submitted by the cognizant RA is processed prior to proceeding with the work necessitating the revision… more
- Weill Cornell Medical College (New York, NY)
- …is responsible for coordinating and verifying insurance eligibility, benefits, and prior authorization for Outpatient Radiology procedures. Responsible for ... Title: Insurance & Financial Clearance Coordinator Location: Upper East Side; Lower East Side...for scheduled services and utilize payer-specific portals to submit prior authorization requests before the service date.… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests ... UM Care Coordinator 75 Vanderbilt Ave, Staten Island, NY 10304,...plan of the member + Coordinates with providers regarding authorization activities + Coordinates communication between authorization … more
- University of Rochester (Rochester, NY)
- …, benefits, price estimation, and collection of patient liability. Works with prior authorization staff to identify lapses and changes in coverage. ... coverage and are considering receiving orthotics or prosthetics through URMC. Informs prior authorization staff of patient's status. + Identifies and confirms… more
- Insight Global (Everett, WA)
- …. Skills and Requirements -2+ years of experience as a referral care coordinator or an authorization specialist -Experience working with OneHealthPort, Carelon, ... Job Description The Referral Coordinator implements, maintains, and executes procedures and processes...processes by which the company performs its referral and authorization process. This individual will be responsible for obtaining… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …entered into Epic * Verifies accurate insurance information and partners with the prior - authorization team to determine if prior - authorization ... _*SUMMARY:*_ We are currently seeking a*Clinical Surgery Coordinator *to join our CSC GI and Liver Clinic...CPT Codes, Imaging, and supporting documents required for the prior - authorization process * Obtains and scans surgical… more
- TEKsystems (St. Louis, MO)
- … authorization requests for output or input services in keeping with the prior authorization list. + Research claims inquiry specific to the department and ... Hiring For Program Coordinator Role 100% Remote Role Note: Candidates from...for outpatient and inpatient services in accordance with the prior authorization list. + Verify eligibility and… more