- Independent Health (Buffalo, NY)
- …perks, benefits and commitment to diversity and inclusion. **Overview** The Pharmacy Prior Authorization Coordinator will facilitate the logging in ... and out of all prior authorization requests, follow-up on said requests...to ensure that a decision can be rendered. The Coordinator will also make outbound notification calls to members… more
- Atrius Health (Quincy, MA)
- …**Job:** **Practice Support Staff* **Organization:** **ENT* **Title:** *Hospital Admissions Coordinator / Prior Authorization , ENT, HYBRID (MA Residents ... have been completed and that pertinent information is sent to the hospital prior to patients' admissions. Keeps current on the policies and procedures of a… 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
- TEKsystems (Los Angeles, CA)
- Hiring 15 x Prior Authorization Coordinators in Northridge, CA: Location: Northridge, CA (100% Onsite) Pay: $25/hr Schedule: Monday - Friday / 8:30 am - 5:30 pm ... Auth Nurses to process emergency Authorizations. Skills + insurance verification + prior authorization + customer service call center + Utilization Management +… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... Assists in problem identification, quantification and resolution. - Provides training to Prior Authorization and Referral Coordinator Associates and… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... case management when medical assessment is needed. - Manage and oversee the prior authorization process for procedures, specialty office visits, VA (Veterans… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …and outpatient service requests. + Reviews cases referred by the prior - authorization non-clinical medical management coordinator and pre-certification ... insurance environment. + Minimum 2 years of experience with pre- authorization , utilization review/management, case management, care coordination, and/or discharge… more
- Fallon Health (Worcester, MA)
- …other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization ... **Overview** **The Authorization Coordinator works M - F...authorization meets the criteria listed in the appropriate Prior Authorization Protocol, authorizations not meeting protocol… 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