- Humana (Albany, NY)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... record and documentation programs + Proficient and/or experience with medical terminology and/or ICD-10 codes + Prior ...with medical terminology and/or ICD-10 codes + Prior member service or customer service telephone experience desired… more
- Northwell Health (Lake Success, NY)
- …timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Exhibits exceptional customer service during ... improvement to site and organizational leadership. + Researches and resolves complex prior authorizations including letters of medical necessity, and supervises… more
- Catholic Health Services (Rockville Centre, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... patients, family members, caregivers, or outpatient/community pharmacies. Utilizes the electronic medical record (EPIC) to identify prior to admission or… more
- Catholic Health Services (Roslyn, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... patients, family members, caregivers, or outpatient/community pharmacies. Utilizes the electronic medical record (EPIC) to identify prior to admission or… more
- CDPHP (Latham, NY)
- …professionalism. This position supports timely determination turnaround times on all prior authorization requests and inpatient notifications received via ... decision making to determine the appropriate action to take prior to logging and routing requests for authorization...health plan benefits, and be able to carefully assess medical information. + Perform work in a fast-paced environment… more
- Amentum (Batavia, NY)
- …credentials/ authorization at this work location. **Preferred Qualifications:** + Prior experience of IT support in an Enterprise environment (10,000+ end-users) ... parts + Experience planning and leading technology assignments and projects + Prior hands-on experience with the setup, configuration and administration of servers… more
- Amentum (Syracuse, NY)
- …or Facilities Maintenance Supervisor. Tasking is based on employee's prior work experience and ASC schedule requirements. **Position Responsibilities (not ... and interpret design drawings, specifications, and diagrams + Possess prior computer experience and be able and willing to...to Antarctica for extended periods + Successful completion of Medical and Dental examinations required by the NSF for… more
- Northwell Health (Poughkeepsie, NY)
- …pre- authorization for all procedures and testing. Follow up to insure authorization is obtained prior to scheduled procedure and/or testing appointment. + ... of clinical procedures within the department and with other departments in the Medical Center are accomplished in an efficient manner. + Receives new patient… more
- Rochester Institute of Technology (Rochester, NY)
- …+ Generate special reports/queries from EMR or other sources as requested + Prior authorization + Using information from clinical providers, pursue insurance ... authorization for medications, imaging and specialist referrals as required....with NYS Immunization law + Experience with referrals and prior authorizations + Medical terminology + Excel… more
- Otsuka America Pharmaceutical Inc. (Albany, NY)
- …and external stakeholders + Review and educate offices on payer policies, including prior authorization requirements + Provide feedback to internal teams on ... reimbursement + At least 3 years of experience in benefit verifications, prior - authorization requirements, or equivalent experience in patient access, billing,… more