- General Physicians PC (Buffalo, NY)
- #25-0819 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 to the next level? General Physician, PC, one of Western New York's most esteemed… 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 ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Molina Healthcare (Albany, NY)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional… more
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Coordinate with ... external entities including patients, families, physician offices, third party payers, Department of Social Services, Department of Health, police departments, attorneys, MVA and WC carriers, outside hospitals, governmental agencies, and external review… more
- Glens Falls Hospital (Glens Falls, NY)
- …& coordination of benefit . Prepare and compile necessary documentation to secure prior authorization . . Collect clinical information regarding service to be ... obligations / secure payment arrangements . Contact provider/payer to obtain prior authorization . Gather additional clinical and / or coding information as… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …coordination of benefit * Prepare and compile necessary documentation to secure prior authorization . Collect clinical information regarding service to be ... obligations / secure payment arrangements * Contact provider/payer to obtain prior authorization * Gather additional clinical and / or coding information as… more
- Rochester Regional Health (Rochester, NY)
- …to the front end staff. + Identify and report trends as well as prior authorization and finance issues relating to billing and reimbursement + Proactively ... patient via phone call, email, or MyCare channels + Obtain prior - authorization on both internal and external department orders for procedures/treatments… more
- Catholic Health Services (Melville, NY)
- …whether authorization is required and utilize payer-specific requirements to secure authorization . + Submit prior authorization requests to payers on ... behalf of the hospital or physician. + Ensure the required prior authorization clinical documents are complete and timely to ensure submissions are complete. +… more
- Highland Hospital (Rochester, NY)
- …insurance eligibility and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct level of care, ... **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business...inquires on prior auth denials and works with the Provider's office… more
- Rochester Regional Health (Rochester, NY)
- …communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals, ... Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue, Rochester, NY 14621 Hours Per Week: 40Schedule: Monday -… more
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