- 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, ... 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
- 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 ... gathering and patient data. Meets turnaround expectations for majority of prior authorization approvals. Primary Job Responsibilities: Processes all referrals… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… 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...Prior Authorization Specialist looking to take your career to the...The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries.… more
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + Works closely ... services and to ensure that the appropriate referrals are received prior to service. **ESSENTIAL FUNCTIONS** **_Personnel Management_** + Oversee the supervisors… 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
- 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
- Trinity Health (Syracuse, NY)
- …for hours Suite 1001 MOC Summary This position is responsible for ensuring appropriate prior authorization for designated specialty. The scope of prior ... knowledge of the patient population and types of services patients receiving. Prior authorization experience involving service line drugs and ancillary testing… 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, ... **16923BR** **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: 20Schedule: Monday -… more