- City of New York (New York, NY)
- …manage medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment modifiers ... Billin - Report industry billing trend and changes to Assistant Director of Patient Billing. INSURANCE ADVISOR...changes to Assistant Director of Patient Billing. INSURANCE ADVISOR (HEALTH) - 40236 Qualifications 1. A master's… more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Chief of Medical Services Occupational Category Health Care, Human/Social Services Salary Grade 668 ... OPWDD's clinical services. OPWDD's Statewide Services is currently seeking a Chief of Medical Services to further support these critical functions. The Chief of … more
- SUNY Upstate Medical University (Syracuse, NY)
- …courses and three years of administrative/office management experience. Completion of an approved Medical Assistant or Medical Office Assistant program ... have been obtained and documentation completed via EPIC + Obtains authorization for clinic procedures, insurance verification, maintains referrals work… more
- Apicha Community Health Center (New York, NY)
- …as needed and report outcome to PCP and multidisciplinary care team. + Obtain prior- authorization for pharmacy or medical services that are not covered by ... for underserved and vulnerable populations. We are seeking a Medical Case Manager for our Manhattan location. Position Summary:...Health Insurance Coverage, Flexible Spending Account, Life Insurance , Employee Assistant Program just to name… more
- Mount Sinai Health System (New York, NY)
- …of patient insurance information upon intake + Monitors managed care authorization and tracks follow-up visits + Notifies manager of any problems regarding ... authorization . Notifies clinician of number of visits allowed and...of outpatient treatment reports with clinicians and submits to Insurance company in order to retain timely filing +… more
- Elevance Health (New York, NY)
- …clinical review and determination in the pre-certification system. + Conducts initial medical necessity review of out of network pre- authorization requests for ... **Case Reviewer (NP/PA)** **Carelon Medical Benefit Management** **Orthopedic Surgery** **Virtual:** This role...by law._ The **Case Reviewer** is responsible for conducting pre- authorization , out of network and appropriateness of tests by… more
- Stony Brook University (Stony Brook, NY)
- …adheres to all HIPAA guidelines/regulations. Provides cross coverage/back up for the insurance authorization office, as required. + All other duties as ... authorization for treatment. + Obtain, verify, and review patient demographic and insurance information to obtain authorization for treatment prior to the… more
- Rochester Institute of Technology (Rochester, NY)
- …Prior authorization + Using information from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as ... and appropriate adjustments are made to ensure student access + Insurance information collection and utilization + Responsible for implementation of… more
- CDPHP (Albany, NY)
- …Associates degree preferred. + Pharmacy Technician certification (CPhT), LPN, Medical Assistant /Technologist background strongly preferred. + Basic understanding ... external customers. + Must be conscientious, efficient and accurate in prior authorization , exception and medical /Rx necessity review processing. + Continually… more
- Compass Group, North America (Rochester, NY)
- …Program In addition, full-time positions also offer the following benefits to associates: + Medical + Dental + Vision + Life Insurance /AD + Disability ... ID** **number** **1442812** . _The advertised program is a conversational recruiting assistant that helps you apply to jobs with Compass Group. Message frequency… more