- Catholic Health Services (Merrick, NY)
- …of insurance issues effecting patient care. + Demonstrates knowledge of securing prior authorizations and authorization for procedures + Ensure necessary medical ... Overview The Surgical Coordinator assist practice managers in daily operations of central scheduling unit. Ensure information is obtained regarding the scheduling of… more
- Catholic Health Services (East Hills, NY)
- …of insurance issues effecting patient care. + Demonstrates knowledge of securing prior authorizations and authorization for procedures + Ensure necessary medical ... Overview The Surgical Coordinator assist practice managers in daily operations of central scheduling unit. Ensure information is obtained regarding the scheduling of… more
- Highmark Health (Buffalo, NY)
- …research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior ... all inbound phone requests from providers or pharmacy for all inbound Prior Authorization requests.Use multiple software systems and various resource sites… more
- Northwell Health (Lake Success, NY)
- …timeline for dispensing. + Resolves insurance related issues and coordinates prior authorization requirements. + Exhibits exceptional customer service during ... pharmacy benefits investigation, oversees financial assistance and facilitation of prior authorizations, as required. Job Responsibility + Collaborates with… more
- Trinity Health (Syracuse, NY)
- …This role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... appropriate health care setting. Ideally, has a background in referrals, denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT & E & M coding… more
- Healthfirst (NY)
- …quality customer service to our members and//or providers relating to authorization updates, questions//issues such as coordinating care, DME outreach, scheduling ... call centers and care management teams regarding initial authorizations, authorization updates and//or corrections** + **Complete member and provider notification… 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
- 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
- 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
- Intermountain Health (Albany, NY)
- …in appropriate language. Develops protocols for the use of drugs requiring prior - authorization . Responds to clinical inquiries in a professional and accurate ... manner. Minimum Qualifications Graduation from an accredited school of pharmacy (will be verified). State license to practice pharmacy and dispense controlled substances. Preferred Qualifications Clinical residency, Pharm D degree, pharmacy experience in a… more