- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE 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)
- …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
- 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
- University of Rochester (Brockport, NY)
- …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500330 Amb Medication Prior Auth Work Shift: UR - Day (United States of America) Range: UR URCD ... 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...The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance… 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)
- …services and to ensure that the appropriate referrals are received prior to service. **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the supervisors ... Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely with Transfer… more
- Securitas Security Services USA, Inc. (Queens, NY)
- …enforcement you are a great fit for this role! **Position Requirements:** + Prior Law Enforcement Experience + Valid NYS Armed Officer License/Firearms License + ... populations may have the availability of accessing earned wages on a daily basis, prior to payday. Restrictions and fees may apply. Certain waiting periods may also… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: Reviews, verifies, and processes prior authorizations in the department's work queue. Serves as a resource to patients, staff, and medical providers for ... prior authorizations. PRINCIPAL DUTIES AND RESPONSIBILITIES: Under general supervision,...contact clinics to initiate and receive information to complete prior authorizations for patients. Assists clinics and patients with… more