- 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
- EAC Network (Hempstead, NY)
- …initial screening for each client. + Contact commercial plans for precertification, prior authorization , and follow-up recertification for new and existing ... + Associate's degree in business administration or related field required. + Prior office/billing experience required. + Must be proficient in computer applications… more
- Northwell Health (New Hyde Park, NY)
- …timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Identifies financial assistance (eg, ... benefits investigation, coordination of financial assistance and facilitation of prior authorizations, as required. Job Responsibility + Collaborates with… more
- Hudson Headwaters Health Network (Saranac Lake, NY)
- …out, including scheduling follow-up appointments and processing referrals not requiring a prior authorization + Reconciles payment batch amounts on a daily ... electronic medical records + Reviews and follows policies and legal requirements prior to releasing copies of medical records Qualifications: The requirements listed… more
- BronxCare Health System (Yonkers, NY)
- …insurance utilization requirements. The Associate accurately coordinates benefits and prior - authorization to each visit pre-registration and documents Financial ... ensure proper approvals and assures coordination of benefits are available prior to patient arrival. Verifies insurance, authorizations and pre-registration data for… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Department, providing independent scheduling of infusion procedures, ensuring required testing, prior authorization , orders, and appointments are finalized ... prior to the applicable infusion appointment date. Will assign patients to specific infusion chairs based on level of acuity and length of treatment. Will monitor of data relative to the utilization of the infusion room and chairs. Acts as a liaison for… more
- Ellis Medicine (Niskayuna, NY)
- …Scan/Preload into EMR. + Screening patients/visitors for COVID symptoms and temperature. + Prior authorization , monitoring and follow up on lab tests and imaging ... genetic information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status, sexual… more
- City of New York (New York, NY)
- …done telephonically, email and through the New York State Workers' Compensation mandated prior authorization medication portal. The portal is time sensitive and ... to medical necessity of treatment as it relates to injured workers' injured sites. The review and prior approval of medications for claimant's work related injuries… more
- Stony Brook University (Stony Brook, NY)
- …with the transferring hospital, Patient Access and physicians and payers for authorization prior to transfer from other hospitals. + Consistent documentation ... of care from initial assess point. Follows cases for authorization for in patient stay. + Staff review short...Brook Medicine, Stony Brook University Hospital and related facilities. ** Prior to start date, the selected candidate must meet… more
- MVP Health Care (Tarrytown, NY)
- …requests additional involvement in adjudicating pharmacy, prospective, concurrent and retrospective prior authorization requests for all lines of business. + ... Integral involvement in building our Post-Acute Care UM team + Assisting and training other medical directors at MVP Healthcare in post-acute care UM This includes guiding them in the proper adjudication of initial admission reviews, continued stay requests,… more