- Bassett Healthcare (Little Falls, NY)
- …supervisor or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the facility. Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and directions. Explains rules… more
- Bassett Healthcare (Cooperstown, NY)
- …supervisor or manager Maintains 100% attendance to all divisional or staff meetings unless prior authorization of the Manager or Director What we need from you ... the facility. Refuses to admit persons who cannot show either proper authorization or cause for being admitted. Provides information and directions. Explains rules… more
- Evolent (Albany, NY)
- …with healthcare claims, reimbursement methodologies, and cost/utilization KPIs, including prior authorization data and key performance indicators (eg, ... Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population health… more
- Molina Healthcare (Yonkers, NY)
- …team in providing physician leadership and expertise in the performance of prior authorization , inpatient concurrent review, discharge planning, case management ... and interdisciplinary care team activities. + Ensures that authorization decisions are rendered by qualified medical personnel, without hindrance due to fiscal or… more
- University of Rochester (Rochester, NY)
- …information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. + Completes the referral ... so that patients are always cleared for their appointment prior to their arrival. + Enters progress notes and...explaining to patient, assisting with scheduling and for completeness prior to office visit. + Anticipates, gathers and sends… more
- Bassett Healthcare (Hamilton, NY)
- …back learning to the team and is a go to person for coworkers. Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... reimbursement and regulatory compliance and patient care. When appropriate prior authorizations are obtained and documented appropriately within the referral.… more
- Nuvance Health (Poughkeepsie, NY)
- …cardiac diagnostic imaging and cardiac specific appointments. Works close with the prior authorization team to ensure authorizations are obtained prior ... all clinic patients, obtains all records and confirms completion of the chart prior to the patient's clinic appointment. 3. Coordinates the retrieval of outside… more
- University of Rochester (Rochester, NY)
- …ESSENTIAL FUNCTIONS + Serves as back up support for the Referral Coordinator, Prior Authorization Specialist, and frontend support. + Reviews electronic chart ... queues, coordinates outgoing consult requests in the work queue, obtains prior authorizations when applicable. + Obtains outside medical records. + Manage… more
- Stony Brook University (Commack, NY)
- …credentialing processes. + Working knowledge of Revenue Cycle operations, including prior authorization , denial management, and payer policy interpretation as ... at Stony Brook Medicine, Stony Brook University Hospital and related facilities. ** Prior to start date, the selected candidate must meet the following… more
- University of Rochester (Rochester, NY)
- …contact with families regarding scheduling and pre-procedural testing. + Coordinates obtaining prior authorization from payors for procedures, as required. + ... accordance with established format. Conducts Evaluation Interviews. **Clinical:** + Prepares room prior to patient arrival to include sterile procedural tray set up-… more