, as appropriate -Inform patient of authorization concerns prior to admission/procedure, coordinating with appropriate parties... to be part of Mass General Brigham. Job Summary Summary: Responsible for reviewing and processing requests for authorization...
to financial counseling, as appropriate br -Inform patient of authorization concerns prior to admission/procedure, coordinating... for authorization of medical services in accordance with company policies and procedures. Collects and accurately enters information...
Support prior authorization processes, denials, and copay assistance programs Supervise and provide direction to the pharmacy...POSITION SUMMARY: Under the direction of the Clinical Manager, the Ambulatory Clinical Pharmacy Specialist optimizes...
to or post-discharge. d. Performs administrative tasks to support the medication prior-authorization function, including... to be part of Mass General Brigham. shift: 40hr rotation Job Summary The Care Transition Specialist collaborates closely...
The Executive Office of Veterans Services (EOVS) is seeking a Paralegal Specialist to join their team! The Paralegal... Specialist will work with the legal department staff by assisting in case management, hearing preparation, providing legal advice...
department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written... responsibilities of the role Provide Scientific Knowledge, Business Acumen, and Customer Engagement expertise to specialist customers...
BOSTON SENIOR HOME CARE – ACCOUNTS RECEIVABLE/BILLING AND COLLECTIONS SPECIALIST - JOB DESCRIPTION JOB TITLE...: Accounts Receivable/Billing and Collections Specialist DIVISION: Administration DEPARTMENT: Fiscal REPORTS TO: Director...
. d. Performs administrative tasks to support the medication prior-authorization function, including completion of forms, securing... to be part of Mass General Brigham. Job Summary The Care Transition Specialist collaborates closely with Care Coordination...
. Reporting to the Director of Nursing Clinical and Professional Development, the Wound Care Specialist-RN works collaboratively.... Assists with pre-authorization process. Serves as contact and facilitator to receive consults and patient information...
. Reporting to the unit’s Nurse Manager, the Wound Care Specialist-RN works collaboratively with members of the Care Team... providers to coordinate the care for patients from referral/consultation to discharge /follow up. Assists with pre-authorization...
. Reporting to the Director of Nursing Clinical & Professional Development, the Wound Care Specialist-RN works collaboratively.... Assists with pre-authorization process. Serves as contact and facilitator to receive consults and patient information...
for the pharmacy liaison in completing prior authorization requests, responding to prior authorization denials, and obtaining... care to patients undergoing treatment at the medical center. Clinical pharmacy specialist will be working under the...
Care for the Homeless Program is seeking a Compliance Specialist to join our team! This position entails overseeing... management. Prior experience with federal HRSA grants and/or community health center experience. Experience with Massachusetts...
documentation. Reviews consolidated ARP submission packages for completeness prior to managerial review. Financial Management... and Authorization to Pay (ARP-5), are in place before contractor payments are processed. Monitors trends related to claim delays...
facilitation OR extensive prior authorization experience. Proficient in Microsoft Office as well as prior utilization of CRM.... Prior experience working a large geography, based on market. Ability to travel overnight as needed within territory...
performance and utilization of assigned Area-based CYF contracts and serving as a Service Integration Specialist and liaison... in the community. Facilitates transition of new cases from service authorization to DMH services by completing referrals...
requirements, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements... enrolled in GPS. Collaborates with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients...
, utilization management criteria, prior authorization processes and appeal requirements. Updates customers on policy changes... with Patient Support Specialist (PSS) to identify and eliminate barriers to access for patients enrolled in GPS. Responds to HCP...
, sponsors and others. Interpret and translate financial data so it is understandable for the non-specialist. Investigate... as requested. Request sponsor authorization as necessary on changes in principal investigator, scope of work, key personnel effort...
several Pulmonary and Sleep providers with scheduling and prior authorization of testing responsibilities. This is 40-hour position... and authority. Updates patient demographic and insurance information as necessary and obtains specialist referrals for all patient...