Prior Authorization Coordinator - Worcester

The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined ...

The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and customer expectations. · ...

+Job summary+ · About us: Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve.Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually r ...

The FH authorization process is an essential function to FH's compliance with CMS regulations... · ...

The FH authorization process is an essential function to FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements, and customer expectations. · Administers FH authorization processes as outlined in Member Handbook/Evidence of Coverage for all ...

The Prior Authorization Coordinator performs all functions necessary to process prior authorizations in an accurate and timely manner. · Process urgent and routine prior authorizations within expected timeframes. · Advise patients of prior authorization process and timeline · ...

The Prior Authorization Coordinator performs all functions necessary to process, obtain and close prior authorizations in an accurate and timely manner. · ...

Gastro Health seeking Authorization Benefits Coordinator for full-time position. · Tracks receipt delays completion of requests authorizations. · Works Eligibility reports for Diagnostic Center. · Makes recommendations regarding carrier trends. · ...

We are seeking a full-time Insurance Coordinator - Verification & Authorization to join our growing team in Waltham, MA. · We are committed to the professional growth and development of our employees. · We are looking for talented and compassionate individuals to join our growing ...

We are seeking a full-time Insurance Coordinator - Verification & Authorization to join our growing team in Waltham, MA. We are committed to the professional growth and development of our employees. · ...

The Service Coordinator will communicate with contracted and non-contracted facilities/agencies/providers to collect pertinent prior authorization request data. · This includes receiving incoming faxed/mailed/emailed requests and initiating entry of service request shells into co ...

The Service Coordinator will assist in processing authorization information to facilitate medical services for Fallon Health members. · Accepts authorization service requests and notifications for FCHP members. · ...

The Accountable Care Organization (ACO) Behavioral Health Case Manager (BHCM) is an integral part on an interdisciplinary team focused on transition of care assessment and support, care coordination, care management and improving access to and quality of care for Fallon Health AC ...

Fallon Health is seeking a Service Coordinator to communicate with contracted and non-contracted facilities/agencies/providers to collect pertinent prior authorization request data. · ...

Fallon Health is a company that cares. We prioritize our members—always—making sure they get the care they need and deserve. · Accepts authorization service requests · Initiates entry of request(s) into core system (QNXT/TruCare) · ...

The Surgical Scheduling Coordinator is responsible for the completion of efficient and accurate surgical scheduling for our Cardiology department. · ...

Apply engineering knowledge and perform technical support associated with Bulk Metering installations network projects reticulation diagnostics and data analysis in accordance with laid down standards policies legislation systems and controls within the distribution jurisdiction ...

We are looking for a reliable team member who is willing to uphold our community to the highest standards. · ...

The Community Health Worker/Patient Navigator will provide patient navigation and care coordination services including appointment scheduling follow-up and coordination with clinical support services. · Assist patients in engagement retention in care including treatment adherence ...

The Program Manager is responsible for overseeing the planning and execution of capital improvement projects. · Lead the end-to-end management of complex construction projects with unique delivery methods , including scope, schedule, budget, and quality control. · Collaborate wit ...