- University of Rochester (Rochester, NY)
- …and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all ... data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and… more
- General Physicians PC (Buffalo, NY)
- #25-0627 Buffalo, NY, USA Job Description Prior Authorization Specialist Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a ... Prior Authorization Specialist looking to take your career to...a positive patient experience across the organization. + Perform other duties assigned by management. The Education and Experience… more
- CAMBA (Brooklyn, NY)
- …experience or Bachelor's degree (B. A. or BS) and/or equivalent experience Other Requirements: + Prior experience working with foreclosure matters preferred. ... in completing packages and/or applications for loan modifications, fair hearings and other administrative proceedings. + Research and analyze law sources such as… more
- Stony Brook University (Stony Brook, NY)
- …procedure at the time of postmortem examination. Notify the clinical staff and any other involved parties prior to the beginning of the autopsy. Coordinate ... and proper legal authorization for autopsy. Obtain patient medical record and other pertinent data including laboratory data, imaging studies, and surgical pathology… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement for services ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals and… more
- Molina Healthcare (NY)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- University of Rochester (Rochester, NY)
- …and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all ... services and to ensure that the appropriate referrals are received prior to service. **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the supervisors… more
- CUNY (Brooklyn, NY)
- …+ Familiarity with social media platforms: LinkedIn, Facebook, Twitter, Instagram, and other platforms. + Prior experience planning and assisting with special ... Student Orientation, Welcome Week activities, Commencement, student organization events, and other Student Life & Development events. + Assist with financial record… more
- Centene Corporation (New York, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to...improve the authorization review process for members + Performs other duties as assigned + Complies with all policies… more
- Intermountain Health (Albany, NY)
- …to practice site. + Assists the pharmacist in collecting clinical and other patient information and maintaining appropriate records as required by regulation and ... flexible care and completes advanced tasks consistent with scope and performs other duties as assigned by management. **Skills** + Is competent and effective… more
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