- Independent Health (Buffalo, NY)
- …benefits and a culture that fosters growth, innovation and collaboration. **Overview** The Prior Authorization Coordinator will facilitate the logging in and ... year of experience as a temporary associate in the Prior Authorization Coordinator role or...recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- Cardinal Health (Albany, NY)
- Coordinator , Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations ... for all requested procedures, tests, drugs, etc. The Coordinator , Benefits Eligibility and Authorization may be...happen to not delay patient care. + Complete any pre- service appeals to obtain paying approval based on medical… more
- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals.… more
- Mount Sinai Health System (New York, NY)
- …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... experience or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Services Management Coordinator plays a crucial role in the delivery of healthcare services for patients within the assigned area. The ... Services Management Coordinator serve as liaison for patient care activities in...management team. **Qualifications** + 3 years' experience in healthcare/customer service or relevant experience. + Bachelor's degree or equivalent… more
- Humana (Albany, NY)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM...and/or experience with medical terminology and/or ICD-10 codes + Prior member service or customer service… more
- Stony Brook University (Stony Brook, NY)
- …role within the cancer center. + Communicate daily with Financial Navigation staff, authorization team, Patient Flow Coordinator as well as all cancer center ... Oncology Scheduling Coordinator - Cancer Center - Saturday Availability Required...their ordered test(s); advise patients on the need for authorization /pre-certification; copies scripts that are given to patients. +… more
- Humana (Albany, NY)
- … telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Work-At-Home ... and help us put health first** The UM Administration Coordinator 2 contributes to administration of utilization management. The...and/or experience with medical terminology and/or ICD-10 codes + Prior member service or customer service… more
- Ellis Medicine (Schenectady, NY)
- …Scan/Preload into EMR. + Screening patients/visitors for COVID symptoms and temperature. + Prior authorization , monitoring and follow up on lab tests and imaging ... The Scheduling Coordinator II is responsible for the coordination of...people including hospital administration, staff, and physicians + Customer service -oriented attitude and behavior. PRIMARY RESPONSIBILITIES OF THE POSITION:… more