- University of Rochester (Rochester, NY)
- …hospital services and to ensure that the appropriate referrals are received prior to service . **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500183 Health Insurance Counseling Work Shift: UR - Day (United States of America)… more
- Intermountain Health (Albany, NY)
- …practices and processes. + Promotes mission, vision, and values of Intermountain Health , and abides by service behavior standards. + Delivers detail-oriented, ... and Intermountain Health . + Provides delivery of medications, information, and service in a professional, timely manner and is actively engaged in department and… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
- Molina Healthcare (NY)
- …and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff ... cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to ensure optimum outcomes,… more
- Centene Corporation (New York, NY)
- …all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive… more
- UHS (Walton, NY)
- …Education/Experience Minimum Required: + High School Diploma or GED. + Computer and customer service skills. Preferred: + Prior Health care experience and ... Patient Service Representative, DVH Shift Rotational Hours per week:...CPR. License/Certification Minimum Required: + n/a About United Health Services United Health Services is a… more
- UHS (Walton, NY)
- …Education/Experience Minimum Required: + High School Diploma or GED. + Computer and customer service skills. Preferred: + Prior Health care experience and ... Position OverviewPerforms clerical duties in a very professional and service -oriented manner. Primarily responsible for obtaining accurate demographic and insurance… more
- UHS (Walton, NY)
- …Education/Experience Minimum Required: + High School Diploma or GED. + Computer and customer service skills. Preferred: + Prior Health care experience and ... Position OverviewPerforms clerical duties in a very professional and service -oriented manner. Primarily responsible for obtaining accurate demographic and insurance… more
- Mount Sinai Health System (Greenlawn, NY)
- **Job Description** **Per Diem - Patient Service Representative- Greenlawn, Long Island - OFFS** **Strength Through Diversity** Ground breaking science. Advancing ... medicine. Healing made personal. **Job Title: Patient Service Representative** The Offsite Patient Service Representative I provides front line contact as a… more
- Mount Sinai Health System (New York, NY)
- …through patient and payer-preferred specialty pharmacy and, if not, coordinates service with the correct pharmacy group. 11.Obtains prior authorizations ... but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work done in… more