- 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 ... booking sheet, check list, pre-op orders, consent form, pre-admission form, and prior auth.) Some variances on packets per physician preference, patient age and… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist, with oversight of data and compliance ... to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non-clinical staff,… more
- University of Rochester (Brockport, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... time Scheduled Weekly Hours: 40 Department: 500330 Amb Medication Prior Auth Work Shift: UR - Day (United States...active member of the care team. + Acquires insurance authorization for the visit and, if applicable, any testing… more
- Molina Healthcare (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
- Guthrie (Vestal, NY)
- …requested that are not authorized by insurance. Education: High school diploma and prior experience with insurance authorization The pay range for this position ... Confirms insurance coverage via payer portals and determines necessity for pre- authorization . Obtains authorization and processes referrals for services ordered… 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
- WMCHealth (Valhalla, NY)
- …sound judgement in the escalation of clinical questions to the pharmacist on duty + Prior Authorization & Billing Management: + Initiate and manage prior ... + Manage daily billing operations, including submission of claims and coordination with prior authorization technicians as needed + Process patient payments at… 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
- 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