- 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
- Oak Orchard Health (Corfu, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... medicine/pediatric ED recalls. + Perform machine/POCT controls in accordance with manufacturer recommendations/industry standards. + Accept deliveries/orders and put supplies away. + Document refrigerator/freezer temps twice a day. + Check expiration dates:… more
- Oak Orchard Health (Steuben County, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... medicine/pediatric ED recalls. + Perform machine/POCT controls in accordance with manufacturer recommendations/industry standards. + Accept deliveries/orders and put supplies away. + Document refrigerator/freezer temps twice a day. + Check expiration dates:… more
- Sumitomo Pharma (Albany, NY)
- …services for SMPA's product portfolio, including hub services (benefits investigation, prior authorization , and appeals support), field reimbursement managers, ... Patient Assistance Program (PAP) and copay assistance programs + Drive **data-driven decision-making** , leveraging patient insights and real-world evidence to refine program effectiveness, + **Vendor Oversight** + Oversee **third-party service providers** ,… more
- City of New York (New York, NY)
- …transparency. - Track and manage medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims ... CPT/ICD-10/HCPCS, payment modifiers in billing software to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. - Review… more
- Albany Medical Center (Albany, NY)
- …and interface with finance, billing, revenue integrity, patient financial services, prior authorization teams, denial specialists, compliance, and other key ... stakeholders. This individual will serve as a subject matter expert in the setting of medication-related compliance billing and charging processes. They are responsible for ensuring the accuracy and compliance of pharmacy billing practices by reviewing patient… more
- Charles B. Wang Community Health Center (Queens, NY)
- …+ Demonstrate curiosity and understanding of patient registration, administrative workflows and prior authorization processes + Collaborate with the care team to ... conduct pre-visit planning and post-visit follow-up + Participate in Quality Improvement (QI) projects and other related activities + Maintain a cooperative relationship among health care teams by communicating information; responding to requests; and… more
- Albany Medical Center (Albany, NY)
- …booking process. + Compile booking sheets, all surgical consents, pre-op orders, prior authorization and pre-admission forms. + Preparing patient disability and ... out of work / school paperwork. + Responsible for updating the system with registration, scheduling and insurance information. + Responsible for discussing financial obligation and explaining regulatory forms and answer any questions with patient. + Works in… more
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