Prior Authorization Specialist - Healthcare & Compliance
Fallon Health
Fallon Health, Worcester, MA, seeks a Prior Authorization Coordinator to administer the prior authorization process across all products in compliance with CMS and NCQA standards. You will serve as the liaison between members, providers, and Fallon Health, handling research, documentation, and timely adjudication for each case. The role involves direct communication with physicians, maintaining turn-around times, and ensuring accurate data entry in core systems. #J-18808-Ljbffr Fallon Health
Vacancy posted 11 hours ago
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