- University of Rochester (Rochester, NY)
- …data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and ... follow up. Adheres to approved protocols for working referrals and prior authorizations. **ESSENTIAL FUNCTIONS** + Responsible for managing department referrals. +… more
- Saratoga Hospital (Saratoga Springs, NY)
- Summary of Position: The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure reimbursement for services ... Hospital Medical Group (SHMG). Demonstrates excellent communication, strong customer service , critical thinking, and problem solving skills. Completes all… more
- New York State Civil Service (Watertown, NY)
- …qualifications below; Or Eligible for transfer under Section 52.6: Must have current or prior service in a title designated as 52.6 within two salary grades/one ... OR Transfer Eligible - One year of permanent competitive service at Salary Grade 16 or higher and either:...OR Eligible for transfer under Section 70.1: Permanent competitive service as a Senior Attorney or Senior Attorney Realty.… more
- Erie 1 BOCES (West Seneca, NY)
- …balances participation for new year services. 2. Ensures WinCap pricing agrees to service directory pricing prior to initiating participation. 3. Prepares AS-7 ... may be assigned that are relevant to the civil service job description for this title. Job Qualifications Minimum...job description for this title. Job Qualifications Minimum Civil Service Qualifications: Must hold permanent status as a Senior… more
- New York State Civil Service (Albany, NY)
- …qualifications below; Or Eligible for transfer under Section 52.6: Must have current or prior service in a title designated as 52.6 within two salary grades/one ... OR Transfer Eligible - One year of permanent competitive service at Salary Grade 16 or higher and either:...OR Eligible for transfer under Section 70.1: Permanent competitive service as a Senior Attorney or Senior Attorney Realty.… more
- Molina Healthcare (NY)
- …cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Assesses services for members to ensure optimum outcomes, ... with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical guidelines. +… more
- Million Air (White Plains, NY)
- …enable individuals with disabilities to perform the essential functions Qualifications . Prior experience in line service , airport ground operations, air traffic ... Qualifications 1. Customer service experience in the service industry preferred 2. Prior aircraft ground handling experience a plus 3. High School… more
- Centene Corporation (New York, NY)
- …all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- Live Nation (New York, NY)
- …Systems WHAT THIS PERSON WILL BRING Required: + Calm / Professional and customer service oriented + Prior production experience in an entertainment venue + Tour ... and Stage Production experience + Understanding of stage lighting, pro audio systems and video systems + Ability to handle multiple projects simultaneously + Ability to make clear concise decisions, sometimes with limited information + Computer literate in… more
- House of Blues (Brooklyn, NY)
- …Ordering Systems WHAT THIS PERSON WILL BRING + Calm / Professional and customer service oriented + Prior production experience in an entertainment venue + Tour ... and Stage Production experience + Understanding of stage lighting, pro audio systems and video systems + Ability to handle multiple projects simultaneously + Ability to make clear concise decisions, sometimes with limited information + Computer literate in… more
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