- Hudson Headwaters Health Network (Plattsburgh, NY)
- …out, including scheduling follow-up appointments and processing referrals not requiring a prior authorization + Reconciles payment batch amounts on a daily ... for electronic medical records + Reviews and follows policies and legal requirements prior to releasing copies of medical records + Other duties as assigned… more
- CVS Health (NY)
- …At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in ... organization (MCO). + Experience in a high-volume clinical call center or prior remote work environment. **Education** + Associate's degree in nursing (RN) required,… 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
- Albany Medical Center (Albany, NY)
- …booking process. + Compile booking sheets, all surgical consents, pre-op orders, prior authorization and pre-admission forms. + Preparing patient disability and ... booking sheet, check list, pre-op orders, consent form, pre-admission form, and prior auth.) Some variances on packets per physician preference, patient age and… more
- J&J Family of Companies (New York, NY)
- …including pharmacy and medical benefit/buy & bill benefit design, coding, billing, prior authorization , and appeals processes + Demonstrated capabilities and ... performance success in prior roles + A valid Driver's License in one of the 50 United States + Reside within the geography or be willing to relocate to it… more
- Cardinal Health (Albany, NY)
- …management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and _collections._ The Financial Counseling ... for financial counseling workflows + Deliver monthly KPI's to manager on time for prior month. + Manage and approve all team member timecards, PTO, etc. + Regular… more
- University of Rochester (Rochester, NY)
- …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + External coordination ... and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are not limited to… more
- WellLife Network (Wyandanch, NY)
- …DAILY REMINDER CALLS FOR INTAKE APPOINTMENTS AND PRESCRIBERS' APPOINTMENTS. + ASSIST WITH PRIOR AUTHORIZATION - MAKE SURE THEY ARE COMPLETE BEFORE SUBMITTING TO ... PAPER IN FAX AND COPY MACHINES. Job Qualifications + HS DIPLOMA OR GED. + PRIOR EXPERIENCE WORKING AT THE FRONT DESK OR IN CUSTOMER SERVICE. + WORK WELL WITH… 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
- Insight Global (New York, NY)
- …experience as a pharmacy technician or similar role within a pharmacy - Prior - authorization experience - General technical aptitude, and experience working with ... the supervision of a pharmacist * Resolve insurance related issues, including prior authorizations (PAs), and assist patients with various forms of financial… more