- Cardinal Health (Albany, NY)
- …and commercially insured payer common practices and policies, preferred * Previous prior authorization and appeals experience highly desired * Knowledge of ... ICD coding, preferred * Intermediate Microsoft skills with specific experience with Excel * Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency * Exceptional communication skills both verbally and written… more
- Insight Global (Lake Success, NY)
- Job Description Capability to triage patients, manual vitals, medication prior authorization , return patient messages, send faxes, obtain patient medical ... history. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration… more
- Actalent (New York, NY)
- …with proficiency. + Perform sales-related tasks and administrative support. + Handle prior authorization processes. Essential Skills + Proven experience in ... customer service and hospitality. + Strong communication skills. + Ability to manage schedules for physicians. + Proficiency in discussing plastic surgery terms. + Experience with EMR systems and administrative support. Additional Skills & Qualifications +… more
- Cardinal Health (Albany, NY)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. **Job Purpose:** This ... position is responsible for the management and maintenance of the revenue cycle practice management system, including the accurate loading and mapping of fee schedules, effective CPT code management, the upkeep of the ICD-10 diagnosis directory, and insurance… more
- Molina Healthcare (Rochester, NY)
- …services to Molina members with ASD and other related disorders. * Approves prior authorization requests for BHT treatment by reviewing Behavioral Health Therapy ... (BHT) assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: Psychological Evaluation requests, Comprehensive Diagnostic Evaluations, Functional Behavioral Assessments, and Progress Reports.… more
- Evolent (Albany, NY)
- …development methodologies and lifecycles + Experience with utilization management and/or prior authorization processes is preferred + Experience with the ... Telerik for Blazor UI component library and design system is preferred + Knowledge of health care regulations and compliance standards is preferred **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)), identity verification may be required… more
- State University of New York at New Paltz (New Paltz, NY)
- …Here, administrative burdens are minimized: * Minimal insurance and prior authorization responsibilities* User-friendly electronic medical records* No ... performance metrics that interfere with patient care This is a rare opportunity to practice medicine in a way that prioritizes meaningful, uninterrupted patient care and professional satisfaction. Work-Life BalanceThis is a 10-month position, allowing for two… more
- Adecco US, Inc. (New York, NY)
- …+ **Benefit & Access Education (25%)** - Educate providers on benefit verification, prior authorization , payer trends, and support center services. Document and ... report all interactions as required by the client. + **Reimbursement Support (20%)** - Assist offices with claims, billing and coding, appeals, medical benefit interpretation, and co-pay or patient assistance programs. Coordinate closely with case managers for… more
- University of Rochester (Rochester, NY)
- …Utilization Management, Social Work, Patient Accounts, Medical Records, Surgeon offices, Prior Authorization Teams, Contracting and Finance. + External ... coordination includes patients, families, third party payers, Department of Social Services, Department of Health, attorneys, MVA and WC carriers, outside hospitals, governmental agencies, and external review agencies. + Explain workflow and policies to areas… more
- Charles B. Wang Community Health Center (Queens, NY)
- …+ Demonstrate curiosity and understanding of patient registration, administrative workflows and prior authorization processes + Collaborate with the care team to ... conduct pre-visit planning and post-visit follow-up + Participate in Quality Improvement (QI) projects and other related activities + Maintain a cooperative relationship among health care teams by communicating information; responding to requests; and… more