- University of Rochester (Rochester, NY)
- …internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Prior Authorization Manager is responsible for the work of the Prior Authorization Coordinators and ensuring the quality of the prior ... tracking productivity towards goals, hiring, training, and managing the Prior Authorization Coordinators, and completing the necessary functions to ensure… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative, with oversight of data and compliance to ... enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff, identifying… more
- General Physicians PC (Buffalo, NY)
- #25-0782 Buffalo, NY, USA Job Description Prior Authorization Specialist (PAS) Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! Are you a ... Prior Authorization Specialist (PAS) looking to take your career...esteemed multi-specialty medical groups, is excited to welcome dedicated Prior Authorization Specialists to our growing organization. With a… more
- Saratoga Hospital (Saratoga Springs, NY)
- Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga Hospital, we've ... with exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, ... activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance patient… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have seamless access ... to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the referral process. This… more
- Centene Corporation (New York, NY)
- …an active New York State nursing license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- Walden Security (Binghamton, NY)
- …Court attendance: Responsible for securing unattended courtrooms, an inspection of courtrooms prior to a proceeding, testing of security devices, and other duties ... concerning security of the court area. Preserve order: Responsible for providing security presence in the courtroom, enforcing federal law and judicial orders within the courtroom, enforcing local court rules regarding prohibited items, and providing… more