- Cardinal Health (Albany, NY)
- …representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling to ... to provide a detailed outline of clearance criteria as well as prior authorization and advocacy identification for procedures and medications scheduled to be given… 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
- Highmark Health (Westfield, NY)
- …+ Experience operating a PC and using software applications Preferred + Medical terminology and obtaining insurance verifications + Call/Service Center ... more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections)… more
- Bassett Healthcare (Hamilton, NY)
- …." Acquires medical necessity documentation Obtains prior approval or prior authorization as required by the patient's insurance Obtains all information ... appointment instructions to the patient Communicates with clinicians to bring referral/ insurance /prior authorization updates Acts as a liaison with external… more
- Mount Sinai Health System (New York, NY)
- …Management - MSH, Mount Sinai Hospital **Responsibilities** + **Admission: Payer Authorization & Denials Management.** Communicate with payer to obtain request for ... clinical information, payer authorization and determination _(ie frequent communication until case determination...relevant info available to PFS for billing purposes. Contact insurance companies and set up peer to peer telephone… more
- Stony Brook University (Stony Brook, NY)
- …appointments across the cancer continuum, including coordinating care across surgical, medical and other oncology specialties ( Medical Oncology and Hematology, ... instructions for their ordered test(s); advise patients on the need for authorization /pre-certification; copies scripts that are given to patients. + Performs end of… more
- Trinity Health (Syracuse, NY)
- …health care team, will work to ensure cases are scheduled, coded accurately, secure insurance authorization if indicated and confirm that a safe surgical plan is ... role facilitates the scheduling of patients for surgery, tests, referrals, medical clearance including review of pre-op medication and health history. Through… more
- Rochester Regional Health (Rochester, NY)
- …to the appropriate resource to help with payment. + Complete pre-certification/ authorization with the patient's insurance company providing any necessary ... Job Title: Referral SpecialistDepartment: Imaging Location: Rochester General Medical Office Building Hours Per Week: 40Schedule: Monday - Friday 8:30AM - 5:00PM… more
- Rochester Regional Health (Rochester, NY)
- …to the appropriate resource to help with payment. + Complete pre-certification/ authorization with the patient's insurance company providing any necessary ... Days SUMMARY This position is responsible for scheduling and obtaining authorization /pre-certifications for, but not limited to MRI, CT, Neurology, Pain Management… more
- Rochester Regional Health (Rochester, NY)
- …to the appropriate resource to help with payment. + Complete pre-certification/ authorization with the patient's insurance company providing any necessary ... JOB TITLE: Oncology Referral Specialist DEPARTMENT: Medical Oncology Hematology LOCATION: Lipson Cancer Institute Clifton Springs - 2 Coulter Road, Clifton Springs,… more