• Denial Management Specialist , Department…

    BronxCare Health System (Bronx, NY)
    Overview Conduct review of denied claims and audits of registration/ insurance verification activities to improve denial rates and enhance revenue. In-service ... staff on Insurance identification/ verification and reporting. When directed, audit...daily interface rejection report in a timely manner. - Authorization /Correspondence to be scanned into the DMS system. Qualifications… more
    BronxCare Health System (06/21/25)
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  • MOA/ Administrative Specialist

    SUNY Upstate Medical University (Syracuse, NY)
    …authorizations have been obtained and documentation completed via EPIC + Obtains authorization for clinic procedures, insurance verification , maintains ... Message to Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year (3% quarterly/5% annual… more
    SUNY Upstate Medical University (07/10/25)
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  • Senior Administrative Specialist - Breast…

    SUNY Upstate Medical University (Syracuse, NY)
    …authorizations have been obtained and documentation completed via EPIC. + Obtains authorization for clinic procedures, insurance verification , maintains ... 8/7/25 Job Summary/title Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year (3% quarterly/5%… more
    SUNY Upstate Medical University (07/04/25)
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  • Referral & Prior Auth Rep III

    University of Rochester (Rochester, NY)
    …**Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to ... as an active member of the care team. Acquire insurance authorization for the visit and, if...information is captured; adheres to RIM protocols for record verification . May perform complex appointment scheduling, linking referrals and… more
    University of Rochester (08/07/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Albany, NY)
    …professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs. ... plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to the… more
    Evolent (07/18/25)
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  • Patient Access Lead

    Saratoga Hospital (Saratoga Springs, NY)
    … information and scans card(s) into system. Demonstrate increased proficiency with insurance verification and verification tools and online resources. ... Medical Necessity and Diagnosis Coding and abstracting when needed. Complete authorization requests when needed/as appropriate. + Collect patient copays and enters… more
    Saratoga Hospital (07/24/25)
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