- Ellis Medicine (Schenectady, 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 orientation,… 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 applicable infusion appointment date. Will assign patients to specific infusion chair 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
- 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
- Apicha Community Health Center (Jackson Heights, NY)
- …health education in conjunction with regularly schedules primary care visits. + Obtain prior authorization for pharmacy and/or medical services as required by ... patient's health insurance plan. + Represent Apicha CHC to promote services and recruit patients specifically individual with low income and/or community of color including participate in events + Collaboration and Services - use strong collaborative abilities… more
- Highmark Health (Buffalo, NY)
- …creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered ... at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax, Predictal Availity portal and/or service form inquiry. At times may require follow-up communication with the… more
- Northwell Health (New York, NY)
- …to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow. + ... Complies with Food and Drug Administration (FDA) mandates and self-imposed manufacturer restrictions on particular drugs, as applicable including Risk Evaluation and Mitigation Strategy (REMS) programs and manufacturer limited distribution drug requirements. +… more
- Lakeview Health Services (Geneva, NY)
- …individuals' boundaries and differences. Essential Job Functions: Billing + Assist with prior authorization requests for services + Confirm client insurance ... eligibility, benefits or current account status information from payer websites + Accurately record client information and communicate appropriately to all relevant parties + Maintain all client accounts with the use of automated billing system via codes meant… more
- Oak Orchard Health (Brockport, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... medicine/pediatric ED recalls. + Perform machine/POCT controls in accordance with manufacturer recommendations/industry standards. + Accept deliveries/orders and put supplies away. + Document refrigerator/freezer temps twice a day. + Check expiration dates:… more
- Cardinal Health (Albany, NY)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections, with a strong emphasis ... on oncology practice needs. **_Job Purpose:_** The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims. This role leads development,… more
- Caz Recovery (Buffalo, NY)
- …and coordinates all referrals to include notification of insurance providers for prior authorization and services covered. + Creates, revises, and implements ... the schedule of the intake department. Requirements + Master's or Bachelor's Degree in Social Work or related field. + Three years' paid full time intake or similar clinical experience, including management experience in intake substance use disorder, dual… more