- Saratoga Hospital (Saratoga Springs, NY)
- …Ensures rooms are neat, clean, and stocked. + Rooms patients in preparation for nurse and physician. Breakdown, cleaning and set up of exam rooms to insure ... directed. + Office Clerical Support: Provides clerical support including scheduling, pre- authorization for exams and diagnostic testing, pre- authorization for… more
- Elevance Health (Latham, NY)
- …Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + ... eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. + Refers cases… more
- St. Mary's Healthcare (Johnstown, NY)
- …care. Ensure rooms are neat, clean, and stocked. Rooms patients in preparation for nurse and physician. Breakdown, cleaning and setting up of exam rooms to ensure ... directed. + Office Clerical Support: Provides clerical support including scheduling, pre- authorization for exams and diagnostic testing, pre- authorization 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...: Current NYS RN. A Bachelor's degree or a nurse working on their degree with an RN license… more
- Molina Healthcare (Albany, NY)
- …benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina ... its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional… more
- Oak Orchard Health (Warsaw, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... from patients, pharmacies, etc.in accordance with HIPAA regulations. + Provide nurse visits for patients: eg, blood pressure checks, allergy injections, vaccines… more
- Oak Orchard Health (Steuben County, NY)
- …needed for Providers/patients. + Initiates and completes all parts of medication prior - authorization requests based on insurance requirements. + Perform family ... from patients, pharmacies, etc.in accordance with HIPAA regulations. + Provide nurse visits for patients: eg, blood pressure checks, allergy injections, vaccines… more
- Arnot Health (Elmira, NY)
- …Assists in tracking/trending by payer for denial reason items such as prior authorization , untimely filing, coordination of benefits, services type issues, ... on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/ prior auth) will review and appeal as appropriate for concurrent and retrospective… more
- YMCA of Central New York (Manlius, NY)
- …the primary implementation of the camp's medical plan including proper authorization and distribution of medication, daily health surveillance of campers, recording ... within 24 hours. + Reviewing all campers' medical history prior to arrival at camp and making sure it...Certifications: + Must possess one of the following: Physician, Nurse Practitioner, Physician Assistant, Registered Nurse , Licensed… more
- Saratoga Hospital (Saratoga Springs, NY)
- …our patients and families deserve. In this role, the Telephone Triage Registered Nurse will work within the Patient Engagement Center to assist the Pre-Service ... Specialists and Referral- Authorization Specialists with patient clinical questions and triaging patient...as (and not limited to): + Review medication electronic prior authorizations and other prior authorizations. +… more
Recent Jobs
-
SR AD / Director, Pharmacometrics (Remote)
- Boehringer Ingelheim (Ridgefield, CT)
-
Marketing Writer
- Paycom Online (Oklahoma City, OK)
-
Physician Assistant or Nurse Practitioner
- Pulse MD Urgent Care (Bonita Springs, FL)
-
Carrier Energy Utilities Key Account Manager - West
- Carrier (CA)