Prior Authorization Coordinator

hace 2 semanas

Xico, México Oneimaging A tiempo completo

**Position Overview**:As a Prior Authorization Coordinator, you will be responsible for managing the submission, tracking, and resolution of prior authorization (PA) requests for advanced imaging services.You will play a crucial role in streamlining the authorization process to expedite patient care, collaborating closely with Patient Care Navigators to address PA-related inquiries, and ensuring clear communication with patients.Additionally, you will review and route new imaging referrals to ensure appropriate processing and workflow.**Key Responsibilities**:- **Prior Authorization Screening**: Review incoming imaging referrals to identify cases requiring prior authorization and route them into the appropriate workflows for processing.- **PA Submission and Tracking**: Submit prior authorization requests for advanced imaging services on behalf of our member patients and monitor their status to ensure timely processing.Work proactively to resolve any issues that may cause delays, helping to expedite patient care.- **Collaboration and Support**: Act as the primary PA contact for Patient Care Navigators and patients, providing updates and addressing inquiries related to prior authorization requirements and status.- **New Referral Review**: Assist in the review and initial processing of new imaging referrals, ensuring each referral is correctly screened for PA needs and directed to the appropriate channels.**Qualifications**:- **Experience in Prior Authorization**: 3-5 years of experience with medical imaging prior authorizations, including both submission and follow-up.- **Provider and Health Plan Coordination**: Minimum of 2 years of experience liaising with medical providers and health plan utilization management (UM) teams to ensure smooth authorization workflows.- **Communication and Problem-Solving Skills**: Exceptional interpersonal skills, with strong abilities in communication, active listening, and issue resolution.- **Performance and Efficiency**: Demonstrated success in managing PA requests in a high-volume, fast-paced environment with a focus on efficiency and patient satisfaction.- **Attention to Detail**: Proven track record for accuracy and thoroughness in processing prior authorization requests and managing documentation.This role is an excellent opportunity for professionals dedicated to enhancing patient experiences within a collaborative and dynamic team.Join OneImaging and make a tangible impact on patient-centered radiology care.Pay: From $20,****** per month**Experience**:- prior auth submission and followup: 2 years (preferred)- liaising with imaging providers and health plan UM teams: 2 years (preferred)

  • Prior Medical Authorization Specialist

    hace 2 semanas

    Xico, México Remote Hive Llc A tiempo completo

    **The Procedure Authorization Specialist manages the prior authorization process for medical procedures, ensuring timely patient access to necessary care.This role involves working closely with providers, patients, and insurers to obtain required approvals.Requires strong communication, organization, and understanding of medical procedures and insurance...

  • Remote Asset Coordinator

    hace 2 semanas

    Xico, México Liquiddevelopment A tiempo completo

    A game production company in Mexico City is seeking an Asset Coordinator to support the VFX team.The role involves managing file systems, tracking updates, and assembling weekly project reports.Ideal candidates are organized, proactive, and have prior experience in a production coordinator role in the gaming or app development industry.Competitive salary and...

  • Global Language Programs Sales Coordinator

    hace 2 semanas

    Xico, México Ef Education First A tiempo completo

    An international education organization located in Mexico is seeking a Sales Coordinator to promote and sell language courses abroad.This role involves building relationships with clients, guiding them through the sales process, and achieving sales targets.The ideal candidate will have a Bachelor's degree, strong communication skills in Spanish and English,...

  • Network Documentation Coordinator

    hace 2 semanas

    Xico, México Transtelco A tiempo completo

    Flo Networks is a leading provider of telecommunications services between the US and Mexico.We provide connectivity and managed services to Fortune **** companies, telecommunications, and cable companies over a fiber optic network that spans over 13,000 miles between both countries.We have an immediate need for an experienced **Network Documentation...

  • Senior Program Coordinator

    hace 2 semanas

    Xico, México Irex Venture A tiempo completo

    Job CategoryCommunities & Governance PracticeThis position is contingent upon the availability of donor funding. Employment is subject to the final approval and receipt of funding. If funding is not secured, any offer of employment may be rescinded prior to the start date, and the organization will not be liable for any costs incurred by the candidate in...

  • Finance Support Coordinator

    hace 2 semanas

    Xico, México Pepsico A tiempo completo

    Overview:PepsiCo Global Business Services (GBS) works hand-in-hand with teams across the company to deliver, simplify and automate processes and solutions, helping everyone to work more efficiently.We provide capability excellence that enables operational excellence to fuel PepsiCo's growth and drive competitive advantage.The GBS team is powered by a skilled...

  • Scheduling Coordinator

    hace 2 semanas

    Xico, México Agilent Technologies A tiempo completo

    Scheduling Coordinator – Agilent TechnologiesJob DescriptionHybrid – 1 day a week in the office mandatory.Provides pre-sales and/or post-sales consulting to benefit Agilent customers in areas such as product/service order fulfillment processes, customer service requests such as end-to-end order status management, repair / calibration requests, product...

  • Scheduling & Operations Coordinator (Construction / Field Service Support)

    hace 2 semanas

    Xico, México Cs Outsource A tiempo completo

    Scheduling & Operations Coordinator (Construction / Field Service Support)We are looking for a detail-oriented and proactive Scheduling & Operations Coordinator to support daily scheduling, communication, and job coordination tasks for a construction/field-service environment.This role requires excellent English communication skills, strong organizational...

  • Smartsheet Coordinator

    hace 2 semanas

    Xico, México Strada A tiempo completo

    Smartsheet Coordinator (Project Coordinator) – StradaStrada is a people, payroll, and technology leader simplifying international workforce management.Operating in 180+ countries, we design and deliver people-first solutions powered by cloud-based technology – helping organizations grow and enabling workforces to perform at their best.Job SummaryAs part...

  • Fleet Coordinator

    hace 2 semanas

    Xico, México Pepsico A tiempo completo

    **Overview****Are you looking for a challenging opportunity in an organization with a dynamic, innovative and diverse environment?if so, your future is at PepsiCo.****We Are PepsiCo**- PepsiCo products are enjoyed by consumers more than one billion times a day in more than 200 countries and territories around the world.PepsiCo generated more than $79 billion...