prior authorization coordinator

Amerita, Inc

<div>
 
 Our Company
 
 
 
 Amerita
 
 
 
 Overview
 
 
 
 This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process.
 
 
 Shift: Monday-Friday 8:30am-5:30pm (CST)
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines.
 </li>
 <li>
 Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions.
 </li>
 <li>
 Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols.
 </li>
 <li>
 Knowledgeable to perform all PA functions.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy
 </li>
 <li>
 1+ years pharmacy experience
 </li>
 <li>
 Pharmacy or healthcare-related knowledge
 </li>
 <li>
 Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication
 </li>
 <li>
 Basic math and analytical skills
 </li>
 <li>
 Intermediate typing/keyboard skills
 
 
 </li>
 </ul>
 
 About Our Line Of Business
 
 
 
 Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com . Follow us on Facebook , LinkedIn , and X .
 
 
 
 Additional Job Information
 
 
 
 
 Percentage of Travel:
 
 0-25%
 
 
 
 Salary Range
 
 
 
 USD $21.00 - $26.00 / Hour
</div>

Prior Authorization Specialist / Remote

Blue Cross Blue Shield of Arizona

<div>
 Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
 
 
 At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
 
 
 <ul>
 <li>
 Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
 </li>
 <li>
 Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
 </li>
 <li>
 Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
 </li>
 <li>
 Onsite: daily onsite requirement based on the essential functions of the job
 </li>
 <li>
 Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
 
 
 </li>
 </ul>
 Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
 
 
 
 This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
 
 
 
 
 PURPOSE OF THE JOB
 
 
 
 Ensures accuracy and timeliness in the completion of prior authorization (PA) requests to meet contractual requirements and ensures all reviews utilize nationally recognized and evidence-based standards for the Medicaid Segment which includes Medicaid and Medicare Advantage / Dual Eligible Special Needs Plan (D-SNP), and Affordable Care Act (ACA) members. Ensures the completion, accuracy, and timeliness in the Notice of Action (NOA) process.
 
 
 
 Qualifications
 
 
 
 
 REQUIRED QUALIFICATIONS
 
 
 
 
 Required Work Experience
 
 
 
 <ul>
 <li>
 3 years of clinical experience
 </li>
 <li>
 1 year of Medicaid/Medicare experience
 </li>
 <li>
 1 year prior authorization and member and provider notification (NOA) experience
 </li>
 <li>
 1 year experience with National Committee for Quality Assurance (NCQA) standards
 
 
 </li>
 </ul>
 
 Required Education
 
 
 
 <ul>
 <li>
 Associate degree in Nursing
 
 
 </li>
 </ul>
 
 Required Licenses
 
 
 
 <ul>
 <li>
 Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a health professional, including RN or LPN.
 
 
 </li>
 </ul>
 
 Required Certifications
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 
 Preferred Work Experience
 
 
 
 <ul>
 <li>
 3+ years of experience in managed care
 </li>
 <li>
 3+years of experience in prior authorization/utilization review
 
 
 </li>
 </ul>
 
 Preferred Education
 
 
 
 <ul>
 <li>
 Bachelor of Science in Nursing
 
 
 </li>
 </ul>
 
 Preferred Licenses
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Certifications
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Essential Job Functions And Responsibilities
 
 
 
 
 ALL LEVELS
 
 
 
 <ul>
 <li>
 Ensures the accuracy and timeliness of prior authorization requests to meet contractual requirements.
 </li>
 <li>
 Coordinates and manages the established preauthorization review process for pre-service requests.
 </li>
 <li>
 Ensures the use of nationally recognized and evidence-based standards in the completion of all pre-service reviews.
 </li>
 <li>
 Utilize clinical skills, chart review, physician communication and appropriate criteria for approval of pre-service requests; escalate pre-service request(s) to the medical director for determination when criteria not met.
 </li>
 <li>
 Clearly define and document review rationale to support approval, Medical Director Review and/or Notice of Action document.
 </li>
 <li>
 Initiates interdepartmental coordination to ensure quality and timely care for members.
 </li>
 <li>
 Participates in Quality Improvement Projects as directed.
 </li>
 <li>
 Participate in department audits and other regulatory activities.
 </li>
 <li>
 Engage cross-functionally and participate in special projects as needed.
 </li>
 <li>
 Performs Notice of Action (NOA) process.
 </li>
 <li>
 Participate in annual policy and procedure review and revision.
 </li>
 <li>
 Perform all other duties as assigned.
 </li>
 <li>
 The position requires a full-time work schedule,40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
 
 
 </li>
 </ul>
 
 COMPETENCIES
 
 
 
 
 Required Competencies
 
 
 
 
 Required Job Skills
 
 
 
 <ul>
 <li>
 Computer skills to include Microsoft Office applications, Word, Excel, and Outlook
 </li>
 <li>
 Ability to use electronic medical management systems
 </li>
 <li>
 Analytical problem solving skills
 
 
 </li>
 </ul>
 
 Required Professional Competencies
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Required Leadership Experience And Competencies
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Competencies
 
 
 
 
 Preferred Job Skills
 
 
 
 N/A
 
 
 
 Preferred Professional Competencies
 
 
 
 N/A
 
 
 
 Preferred Leadership Experience And Competencies
 
 
 
 N/A
 
 
 
 Our Commitment
 
 
 
 AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
 
 
 Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
</div>

Prior Authorization Nurse - Remote - AZ

Nebraska Medicine

<div><div><div><div><div><div><div><div>Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.</div></div></div></div></div></div></div>
Shift:
First Shift (United States of America)
Medication Access Coordinator - Full-time - First Shift
Position Highlights:
Nebraska Medicine is now taking applications for a talented individual to join us as a Medication Access Coordinator in our Outpatient Pharmacy department. This position works at our Central Fill location for Nebraska Medicine, and the office is located near 114th and Dodge in Omaha, NE. While this role allows for remote work, employees must be in either Nebraska or Iowa.
The Medication Access Coordinator is an advanced pharmacy technician role focused on helping patients start and stay on therapy by navigating insurance coverage, prior authorizations, and financial assistance programs. This position plays a critical role in removing access barriers and supporting high‑quality patient care. We are seeking experienced pharmacy technicians who are ready to move beyond traditional dispensing roles and develop expertise in medication access, reimbursement, and payer processes. Nebraska Medicine offers flexible scheduling and hybrid remote work options, along with comprehensive, structured training to ensure success. This role is part of a growing and innovative pharmacy technician career ladder, providing meaningful opportunities for advancement. For those seeking a rewarding, career-elevating position that directly impacts patient care, this is a unique opportunity to grow within an industry-leading health system.
Shift:<ul><li>
Full Time - 1.0 FTE (80 hours in a pay period)</li><li>
Working 8-hour days, Monday &ndash; Friday with start times between 7:00 AM to 10:00 AM</li><li>
Hybrid scheduling available after 3 months of in-office training</li><li>
Must reside in either Nebraska or Iowa</li></ul>
For additional information about this position, please contact Breanna Hutchinson, brhutchinson@nebraskamed.com
Why Work at Nebraska Medicine?<ul><li>
Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.</li><li>
Leading Health Network Work with the region&rsquo;s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.</li><li>
Dignity and Respect We value diverse backgrounds and experiences, reflecting the communities we serve.</li><li>
Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.</li></ul>
Be part of something extraordinary at Nebraska Medicine!
Duties: Medication Access Coordinator<div>
Determine, support, and assist patients, provider teams, and the pharmacy department to overcome barriers to medication access, with focused expertise in third party prior authorization and billing processes for pharmacy benefits. Assist patients within enrollment into grants, assistance programs, and communicate any financial responsibilities. Provide a Face-to Face/virtual beside oriented service that delivers comprehensive fiscal options to patients. Gather and effectively communicate medical and medication histories including diagnosis, test results, lab values, and previous medications to third party. Verify eligibility, pharmacy benefit provisions and support the appeals process. 
 
Required Qualifications: Medication Access Coordinator 
 
<ul><li>Minimum of three years healthcare and/or insurance/third party reimbursement experience required.</li><li>High school education or equivalent required.</li></ul></div><ul><li>Demonstrated ability to independently assess clinical situations and make evidence-based medication decisions affecting patient care required.</li><li>Excellent interpersonal skills and the ability to successfully interact with a variety of internal and external customers at all levels required.</li><li>Ability to solve problems independently and must be strongly vested in team management required.</li><li>Ability to multi-task and excel in a dynamic environment required.</li><li>Experience with various computer mainframe, network, web based and payer applications required.</li><li>Must register with the State of NE as a pharmacy technician required.</li><li>Must complete Pharmacy Technician Certification within one year required.</li></ul> 

Preferred Qualifications: Medication Access Coordinator 
 
<ul><li>Knowledge of commercial, Medicare B, Medicare D, and Medicaid pharmacy rules and regulations preferred.</li><li>Associate's degree in business, healthcare or related field preferred.</li><li>Bi-lingual preferred.</li><li>Prior Authorization experience in specialty or retail pharmacy preferred.</li><li>340B knowledge and experience preferred.</li><li>Apexus 340B OnDemand Certificate preferred.</li></ul><div><div><div><div><div><div><div>
Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans&rsquo; status.</div></div></div></div></div></div></div></div>

Medication Access Coordinator

Nelson Dermatology

About the PositionWe are seeking an energetic, hard working Referral Coordinator/Medical Receptionist Specialist needed to join our busy, growing dermatology practice . Excellent Pay and Benefits provided. Work hours Monday through Friday 8AM-5PM. No nights or weekends.The successful candidate will be responsible for coordinating and verifying referrals into our office from PCPs, managing medication prior authorizations, verifying insurance coverage, and providing general administrative support. The ideal candidate should have previous experience with referrals (including online verification) and prior authorization processes, excellent customer service skills, a professional demeanor, and the ability to multi-task in a fast-paced environment. Previous experience as receptionist/front desk specialist in a medical office is required.Responsibilities:<ul><li>Verify patients insurance status and need for referrals from PCPs through online databases</li><li>Request, coordinate and confirm all in-coming referrals from PCP offices</li><li>Complete medication prior authorization forms and coordinate their approval with insurances and patients</li><li>Greet patients and visitors in a professional manner.</li><li>Schedule appointments and answer phone calls.</li><li>Update patient information in the electronic medical record system.</li><li>Assist with administrative tasks such as filing, faxing, and copying documents.</li></ul>About usNelson Dermatology is a private dermatology practice with locations in Saint Petersburg, FL and St. Pete Beach, FL. We are a comprehensive dermatology practice that prides itself on being professional, fast-paced, and focused on providing the best comprehensive care to our patients.Our work environment includes:<ul><li>Modern office settings</li><li>Company perks</li><li>Lively atmosphere</li></ul>We look forward to welcoming the newest member to our team.Job Type: Full-timePay: From $17.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Disability insurance</li><li>Health insurance</li><li>On-the-job training</li><li>Opportunities for advancement</li><li>Paid sick time</li><li>Paid time off</li><li>Uniform allowance</li></ul>Experience:<ul><li>Medical receptionist: 1 year (Preferred)</li><li>EMR systems: 1 year (Preferred)</li></ul>Ability to Commute:<ul><li>Saint Petersburg, FL 33701 (Required)</li></ul>Work Location: In person

Medical Receptionist/Referral Coordinator

Home Family Care

Home Family Care is looking for an experienced Bilingual Human Resource Coordinator to join our growing team! We are looking for candidates who have Homecare Experience and experience with HHA Exchange with at least 2 years of experience.Job Responsibilities:<ul><li>Conduct required on-boarding process for new hires (background checks; pre-employment physical; Home Care Registry Check) prior to start date.</li><li>Ensure that all new hire employee documents are completed and signed dated prior to start date.</li><li>Maintain and administer HHA training and in-service schedules.</li><li>Enter new hires into Home Care Registry; HHA Exchange. Submit W-4 and IT2104 Tax forms to Finance Department</li><li>Create newly hired paraprofessional personnel files/medical files/I9 files/CHRC files.</li><li>Prepare employees ID badges</li><li>Provide daily reports on HHA recruitment.</li><li>Assist with follow-up regarding Employment authorization</li><li>Assist with scheduling employees for disciplinary hearings</li><li>Assist HR Compliance Coordinator to contact HHA&rsquo;s for missing documents; entering data/updates for in-services, medical reports. Annual mandatory evaluations.</li><li>Assist with the completion of employment verification and request for job letters</li><li>Inform supervisor of any issues or concerns.</li><li>Performs other duties as assigned by HR Director or as require</li></ul>Requirements:<ul><li>Experience working with HHA Exchange software</li><li>DHS E-verify Software</li><li>CHRC/ REGISTRY Software</li><li>Strives to maintain a safe working environment</li><li>Maintains a positive and professional demeanor toward residents, visitors, families, and co-workers.</li></ul>Work location: In-personPay range (Based on experience): $24-$28Benefits AFTER 60-90 DAY Probation PERIOD:<ul><li>Paid vacation</li><li>Paid sick day</li><li>Paid Holiday</li><li>Bonus</li></ul>We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information &amp; Testing, Family &amp; Medical Leave, protected veteran status, or any other characteristic protected by law.Pay: $24.00 - $28.00 per hourBenefits:<ul><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Bilingual HR Coordinator in Home Care

Reach for the Top Therapy Services

Are you ready to make a difference in our community and watch your expertise positively impact children and families with complex needs? Do you enjoy being part of a dynamic team in a fast-paced environment? Are you a life-long learner that values opportunities for growth? If so, then being the billing and insurance coordinator for our program might be your next career move. This position is vital to the success and growth of our clinic.Reach for the Top Therapy Services is an outpatient pediatric rehabilitation facility in Dover NH. We are seeking the right candidate to serve as the billing and insurance coordinator for our fast-paced clinic serving children birth through twenty-one.The billing and insurance coordinator must possess excellent critical thinking and interpersonal customer service skills and the ability to demonstrate high-level problem-solving skills to capitalize on maximizing schedule outcomes and family satisfaction.The best candidate will have 3 years of customer service experience, in a clinical health care environment; at least 1 year of hands-on experience with scheduling in a medical setting.Additional Benefits<ul><li>Generous Paid Time Off Package</li><li>6 Paid Holidays (NYD, Memorial Day, 4 of July, Labor Day, Thanksgiving, Christmas)</li><li>Flexible Schedule Options including: Ability to build your own schedule including work from home as outlined within Reach&rsquo;s policy (i.e. due to illness or weather), flex hours within same week to decrease PTO usage</li><li>PTO buy back annually of up to 20 hours</li><li>Mentorship provided immediately upon hire</li><li>Anthem Health Insurance Plan with $4,000 employer contribution</li><li>Dental Insurance with employer contribution</li><li>Company Sponsored Life Insurance Policy</li><li>Short-Term Disability</li><li>401K with 1% match</li><li>Parental leave package</li><li>We are a 501c3; eligible for federal Non-Profit Student Loan Forgiveness</li><li>Weekly mentoring and professional development training provided at all levels</li></ul>MAJOR DUTIES AND RESPONSIBILITIES:1. Obtaining insurance authorization for both Allied Health and Behavioral Health services2. Verifying commercial insurance and Medicaid policies3. Overseeing &amp; following up on all insurance issues4. Addressing all denials in coordination with the Biller5. Obtaining all MD scripts and referrals as needed6. Oversee follow up on all referrals7. Oversee collection of co-pays and patient balances completed weekly for prompt revenue recovery8. Oversee accounts are accurate and send monthly patient payment bills (collaborate with biller as needed)9. Collaborate with Director of Operations, by updating collections spreadsheet weekly to ensure timely collections of past due accounts10. Open and distribute the mail11. Log and secure all incoming checks12. Strong communication within the administrative team in collaboration with the Director of Operations to ensure delegation for the effective and efficient functioning of the clinic13. Maintaining prior authorization spread sheet and sending reminders to clinicians when they are due14. Overseeing and addressing all faxes15. Ensuring all patient demographic, claims, &amp; payment information is accurate and updated as necessary16. &amp; any other responsibilities necessary to ensure the effective and efficient functioning of the clinicMINOR DUTIES AND RESPONSIBILITIES17. Making and receiving phone calls as needed throughout the day18. Assist Scheduling Coordinator in checking phone messages and informing the appropriate party19. Assist administrative team in making patient charts as needed20. Assist Scheduling Coordinator with scheduling patients &amp; coverage as needed21. Assist in monitoring cancellations and rescheduling patients as needed22. Assisting in the cleanliness of the clinic and administrative space23. &amp; any other responsibilities necessary to ensure the effective and efficient functioning of the clinicQualifications and Education RequirementsAssociate degree or equivalent with a minimum of 3 years of experienceExperience&middot; Medical insurance experience&middot; Office administration experience&middot; Rehab office experience preferred&middot; Knowledge of billing and codingKey competencies&middot; Computer skills&middot; EMR experience&middot; Working with insurance companies&middot; Working with families and childrenQualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.All applicants must have reliable transportation to work and have a demonstrated history of reliability in prior employment. Any candidate who is offered a position will be required to submit to a background check.Website: https://reachftt.org/Job Type: Full-timePay: $22.00 - $26.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Parental leave</li><li>Referral program</li><li>Retirement plan</li><li>Vision insurance</li></ul>Ability to Commute:<ul><li>Dover, NH 03820 (Preferred)</li></ul>Work Location: In person

Billing and Insurance Coordinator

ClinLab Solutions Group

<div>
 
 
 Job Description:
 
 
 
 The Surgery Scheduler / Patient Care Coordinator schedules all surgical procedures and assures that all of the appropriate clinical and insurance coding information is collected for the surgery schedule. They will request to schedule procedures from physician offices and schedule the procedure according to established guidelines. They will provide accurate information so that all department may view daily and maintains open communication with hospital department and physician offices regarding schedule changes. They will act as a central key administrative assistant who will rotate and fulfill administrative duties, dependent on the needs and requirements of the clinic. They will provide coordination of care, continuity, follow-up, and support for the patients and their families. Duties are anticipated to change daily.
 
 
 
 
 
 Essential Functions:
 
 
 
 
 The following reflects management&rsquo;s definition of essential functions for this job but does not restrict the tasks that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time with reasonable accommodation.
 
 
 <ul>
 <li>
 Schedules surgery procedures using OncoEMR.
 </li>
 <li>
 Answers the phones in a professional and courteous manner.
 </li>
 <li>
 Completes daily surgical schedule.
 </li>
 <li>
 Assures appropriate coordination with other hospital departments when special surgical needs occur.
 </li>
 <li>
 Publishes an accurate daily call list and forwards to staffing department
 </li>
 </ul>
 
 
 <ul>
 <li>
 
 Surgery
 
 </li>
 <li>
 Sending Orders to NMS to obtain authorization.
 </li>
 <li>
 Calls patient provides surgery/ pre-op /post-op instructions.
 </li>
 <li>
 Once the authorization is obtained NMS notifies coordinator and will coordinate with hospital for surgery date.
 </li>
 <li>
 Coordinate and assist the surgeon.
 </li>
 <li>
 Adds to surgery calendar.
 </li>
 <li>
 Calls patient with the date of surgery and schedule their post-op appointment.
 </li>
 </ul>
 
 
 <ul>
 <li>
 
 Patient Care Coordinator
 
 </li>
 <li>
 Conduct incoming/outgoing calls to patients in response to new patient referrals, in a professional and courteous demeanor.
 </li>
 <li>
 Assist patients with the completion of all necessary intake paperwork.
 </li>
 <li>
 Create new patient charts using the practice management and EMR system.
 </li>
 <li>
 Obtain all necessary demographic and insurance information.
 </li>
 <li>
 Conduct insurance checks prior to scheduling a patient to ensure in-network eligibility.
 </li>
 <li>
 Assign and schedule new patients according to practice referral guidelines.
 </li>
 <li>
 Request and retrieve all records from outside physicians and hospitals that pertain to the first appointment.
 </li>
 <li>
 Maintain accurate daily records of new patient tracking for administrative team.
 </li>
 <li>
 Protect patient privacy by adhering to the HIPAA confidentiality guidelines.
 </li>
 <li>
 Contribute to a team effort by communicating effectively with other departments, as needed.
 </li>
 <li>
 Maintain daily operations of the office by following standard policies and procedures.
 </li>
 <li>
 Assist patients by providing translation services, as required.
 </li>
 </ul>
 
 
 <ul>
 <li>
 
 Radiology
 
 </li>
 <li>
 Receives the orders from the Provider.
 </li>
 <li>
 Sends to NMS for Auth approval.
 </li>
 <li>
 NMS send back when approved or denied.
 </li>
 <li>
 Fax orders and auth to imaging center.
 </li>
 <li>
 Call patients to provide imaging center information.
 </li>
 </ul>
 
 
 
 
 Competencies:
 
 
 <ul>
 <li>
 Knowledge of computer/telephone support, preferably in the healthcare industry.
 </li>
 <li>
 Strong customer service background, preferably in a healthcare setting.
 </li>
 <li>
 Excellent written and verbal communication skills.
 </li>
 <li>
 Competence with computer processing functions and other standard office equipment
 </li>
 <li>
 Ability to collaborate, set priorities, and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations.
 </li>
 <li>
 Ability to manage and prioritize multiple tasks.
 </li>
 <li>
 Ability to resolve customer issues calmly and professionally with diplomacy and tact.
 </li>
 <li>
 Ability to work independently with minimal supervision.
 </li>
 <li>
 Strong organizational skills.
 </li>
 </ul>
 
 
 
 
 Additional Requirements:
 
 
 <ul>
 <li>
 Great Customer Service Skills.
 </li>
 <li>
 Previous Oncology/Hematology experience preferred.
 </li>
 <li>
 Able to travel to satellite clinics when necessary
 </li>
 </ul>
 
 
</div>

Patient Care Coordinator

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