- Independent Health (Buffalo, NY)
- …+ ID card requests. + PCP Assignment and provider searches. + Prior - authorization status and management. + Out-of-network redirection and negotiation awareness. ... + Case and disease management referrals. + Repatriation. + Member website, app and portal assistance. + Appointment scheduling. + Contractual and clinical appeals. + COB/Dependent verification. + Subrogation calls. + Interdepartmental call flow response… more
- State University of New York at New Paltz (New Paltz, NY)
- …Here, administrative burdens are minimized: * Minimal insurance and prior authorization responsibilities* User-friendly electronic medical records* No ... performance metrics that interfere with patient care This is a rare opportunity to practice medicine in a way that prioritizes meaningful, uninterrupted patient care and professional satisfaction. Work-Life BalanceThis is a 10-month position, allowing for two… more
- Glens Falls Hospital (Queensbury, NY)
- …nurse provides prescription related medication support to patients, including medication refills, prior authorization requests as directed by a provider order ... via electronic or telephone communication for established primary care patients with Glens Falls Medical Group Primary Care practices.** * * *The Glens Falls Hospital Impact* *Mission* Our Mission is to improve the health of people in our region by providing… more
- KPH Healthcare Services, Inc. (Syracuse, NY)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... TherigySTM + Customer service coverage for incoming calls and directing incoming calls + Provides resolution to customer service issues to ensure member satisfaction + Work with members to provide resolution to payment related issues on accounts/orders +… more
- Independent Health (Buffalo, NY)
- …collecting co-payments. + Coordination of benefits. + Financial assistance coordination. + Prior Authorization assistance with offices. + Billing. + Work as ... a team member within the patient services department and all other departments to promote information sharing and continuous process improvement. + Specialists must function in strict accordance with standard, written procedures and guidelines with deviation… more
- UHS (Johnson City, NY)
- …EHR; Ensure diagnosis codes meet Medical Necessity requirements. Acquires consent forms, prior authorization data and/ or ABN's when applicable. + Demonstrates ... ability to organize and prioritize workload with respect to STAT and routine patient testing as well as the collection of timed draws within established guidelines. + As applicable, rotates as Outpatient department receptionist, tending to outpatients… more
- Catholic Health (Lewiston, NY)
- …duties will include triage management, follow-up phone calls from patient inquiries, prior authorization management, assisting providers with refills and patient ... education. The Care Coordinator Cardiology provides age and specialty (Cardiac) appropriate medical care at the level of training achieved for the inpatient and outpatient populations. Responsibilities: EDUCATION + Graduate of accredited school of professional… more
- Crouse Hospital (Syracuse, NY)
- …the health care system from the initiation of the referral, to obtaining prior authorization , scheduling appointments and tracking and following up on results. ... Required Qualifications: Registered Nurse, Demonstrated experience in a multi-specialty physician office. Excellent customer service skills. Excellent computer skills, Demonstrated competence interpersonal and intra professional relations. Demonstrated… more
- Cardinal Health (Albany, NY)
- …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed + Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance +… more
- Bump Boxes (Rochester, NY)
- …in the following areas, you should Apply Today! + Insurance verification + Prior Authorization + Billing experience - Medicare, Medicaid, or Managed Care ... + Medical Office + Healthcare background + CPAP and Oxygen experience Customer Service Representative Duties: + Welcome patients in person and over the phone, as well as maintain patient charts, process patient orders, create delivery tickets, and coordinate… more
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