- Northwell Health (New Hyde Park, NY)
- …timeline for dispensing. 6.Resolves insurance related issues and coordinates prior authorization requirements. 7.Exhibits exceptional customer service during ... pharmacy benefits investigation, oversees financial assistance and facilitation of prior authorizations, as required. Job Responsibility 1.Collaborates with inter-professional… more
- Mount Sinai Health System (New York, NY)
- …exclusive and may not be performed by the same employee._ 8. Facilitates prior authorization and appointment scheduling for diagnostic testing requested by ... demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with determining and… more
- Northwell Health (Lake Success, NY)
- …timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Exhibits exceptional customer service during ... pharmacy benefits investigation, oversees financial assistance and facilitation of prior authorizations, as required. Job Responsibility + Collaborates with… more
- Molina Healthcare (Yonkers, 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
- Catholic Health Services (Roslyn, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... counseling, billing, and delivery of prescriptions to the patient's rooms prior to discharge. Responsible for logistically organizing and delivering discharge… more
- Mount Sinai Health System (Brooklyn, NY)
- …or enter payments collected from patients and prepares deposit + Facilitates prior authorization and appointment scheduling for diagnostic testing requested by ... demographic and insurance information, determining insurance/payment source, identifying necessary authorization or referral requirements, and assisting with determining and… more
- Catholic Health Services (Rockville Centre, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... counseling, billing, and delivery of prescriptions to the patient's rooms prior to discharge. Responsible for logistically organizing and delivering discharge… more
- Arnot Health (Elmira, NY)
- …Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues, ... on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/ prior auth) will review and appeal as appropriate for concurrent and retrospective… more
- University of Rochester (Rochester, NY)
- …access drugs in assigned clinics. Collaborates with clinical staff to acquire prior authorization for relevant providers, investigates benefits, enrolls patients ... of the major payers for the relevant clinic-administered drugs that require prior authorization (PA) and is responsible for working with the clinic providers,… more
- Rochester Institute of Technology (Rochester, NY)
- …+ Generate special reports/queries from EMR or other sources as requested + Prior authorization + Using information from clinical providers, pursue insurance ... authorization for medications, imaging and specialist referrals as required....with NYS Immunization law + Experience with referrals and prior authorizations + Medical terminology + Excel Fluency **What… more