- Publicis Groupe (New York, NY)
- …are accurate + Creating monthly Budget Summaries for client review and authorization + Evaluating and approving Production Jobs, confirming they meet project ... time required + Exceptional skills in Microsoft Excel + Prior experience with the Media Ocean/ Prisma platform is...person to grow and thrive. Our benefits package includes medical coverage, dental, vision, disability, 401K, as well as… more
- University of Rochester (Rochester, NY)
- …to confirm and schedule pre-op and post-op testing and appointments. + Coordinates Prior Authorization Insurance requests in required timeframes. + Sends patient ... cases for assigned provider(s). + Arranges surgery schedule with preferences for medical necessity, as well as patient and/or equipment conflicts and surgeon… more
- Molina Healthcare (Rochester, NY)
- …financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related duties as needed. + Processes ... requests within required timelines. + Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. + Requests additional… more
- Apicha Community Health Center (Jackson Heights, NY)
- …health education in conjunction with regularly schedules primary care visits. + Obtain prior authorization for pharmacy and/or medical services as required ... and individualized care plan development to ensure access to medical care and other services including communication with Apicha multidisciplinary… more
- Centene Corporation (New York, NY)
- …services to ensure level of care and services are medically appropriate + Performs prior authorization reviews related to mental health and substance abuse to ... 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national...determine medical appropriateness in accordance with regulatory guidelines and criteria… more
- RTX Corporation (Bohemia, NY)
- …for this position. The company will not seek an export authorization for this role. **Security Clearance:** None/Not Required Our Air/Ground International ... and replacement at the component (piece part) and board level. + Prior experience reading and following technical manuals/instructions and have a basic knowledge… more
- Utilities Service, LLC (Yonkers, NY)
- …fuel card to take to and from home & work. + Medical /Health/Dental/Vision/VOYA/Paid Holidays/EAP eligibility on day one of employment (Full-Time Employees). + ... to gain with 6 months of start preferred. + Prior experience with GIS software/technology a plus. + Being...to support our employees' health, well-being, and financial security. Medical , dental, and vision benefits are available to all… more
- CVS Health (Albany, NY)
- …+ Strong knowledge of healthcare payer operations (claims, eligibility, enrollment, prior authorization , provider networks). + Experience working in Agile/Scrum ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Mastercard (Harrison, NY)
- …team of subject matter experts in the domains of cybersecurity, transaction authorization , fraud prevention and chargeback operations. A leader in this role will ... management or leadership roles within security consulting services - prior experience in similar team desirable but not mandatory....or assistance you are requesting. Do not include any medical or health information in this email. The Reasonable… more
- Catholic Health Services (West Islip, NY)
- …patient care. Demonstrates knowledge of securing prior authorizations and authorization for procedures Ensure necessary medical record information is present ... for procedure including medical clearance if needed Work collaboratively with hospital personnel to ensure procedures are booked providing seamless process for patients Be able to multi-task and work in a fast-paced environment Manages/Assists with… more