- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines....required for testing and services ordered by referred to specialist includes, preparing and providing multiple, complex details to… more
- Glens Falls Hospital (Saratoga Springs, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist * **Location:** *NY-Saratoga Springs*… more
- Glens Falls Hospital (Glens Falls, NY)
- …career at Glens Falls Hospital! Come join our team of insurance experts as the Referral & Authorization Specialist ! This position can further develop your ... at least 30 hours per week, can be found here. **Job:** **Administrative/Clerical* **Title:** * Referral & Authorization Specialist - Cancer Center - Medical… more
- WMCHealth (Port Jervis, NY)
- Authorization Specialist Company: Bon Secours Community Hospital City/State: Port Jervis, NY Category: Clerical/Administrative Support Department: Coordination ... Applicant link Internal Applicant link Job Details: Summary: The Authorization Specialist plays an intricate role in...case is assessed for clinical related concerns and resolved prior to patients presenting to the hospital to ensure… more
- New York State Civil Service (Queens Village, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 / Trainee - EOA #2025-501 - DDRO4-SPS-Waiver & Enrollment ... Description POSITION DESCRIPTION: This position will serve as a Program Operation Specialist 1 (POS1) for a division of the Service Access Program Implementation… more
- Trinity Health (Rensselaer, NY)
- …documentation. - Works in colaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. - Maintains ... up-to-date knowledge of referral /payer prior authorization requirements, eligibility...process. Care Coordination - Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
- ConnectLife (Williamsville, NY)
- …agency referrals while providing exemplary customer service, ensuring data entry accuracy prior to forwarding the referral to the applicable party. Transfer ... Family Support Specialist - Healthcare Call Center 4444 Bryant and Stratton...donation, providing basic support and education. Accurately completes the authorization & Donor Risk Assessment Interview necessary for donation.… more
- Rochester Institute of Technology (Rochester, NY)
- …from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as required. + Clinical referral process + Use the ... **9779BR** **Position Title:** Senior Clinical Staff Specialist **Organization:** Student Health Center **Job Responsibilities:** +...+ Prior authorization + Using information… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... and related health plan functions such as member services, claims, and the referral process. As well as functions related to legislative and federal regulatory… more
- Otsuka America Pharmaceutical Inc. (Queens, NY)
- …product access, such as local market payor coverage, co-pay options, prior authorization requirements, formulary placement, and availability expectations. This ... In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person,...hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where… more