- 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
- University of Rochester (Rochester, NY)
- …when needed. + Performs quality assurance monitoring for activities relating to prior - authorization and other areas that affect it, utilizing specific criteria. ... of daily operations. Provides coaching and training support. Maintains department authorization processes to ensure adaptation to best practice. Monitors and… more
- University of Rochester (Rochester, NY)
- …insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the ... necessary to submit claims to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance programs.… more
- Elderwood (Buffalo, NY)
- …obtain approvals in a timely manner. + Collect documents to support the prior authorization request, for example, evaluations, progress notes, daily notes, ... care. Responsibilities Therapy Managed Care Coordinator: + Coordinate and process prior authorizations and re- authorization requests for therapy services,… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization and helping enroll patients in financial assistance ... levels including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Educates patients and clinic staff regarding requirement for insurance plan to complete prior authorization . Answers inbound inquires related to prior ... daily tasks. + Shows knowledge and understanding of insurance billing and prior authorization requirements demonstrating analytical thinking. + Monitors all… more
- Stony Brook University (Stony Brook, NY)
- …and document all financial clearance information in the patient's EMR including, prior authorization verification number, effective start and end dates, and ... companies through online portal, phone, or fax to initiate authorization , obtain insurance benefits, eligibility, medical necessity, and/or authorization… more
- Mount Sinai Health System (New York, NY)
- …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer plans and… more
- Molina Healthcare (Buffalo, NY)
- …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the prior … more
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