- Trinity Health (Albany, NY)
- … authorization and denials within assigned service line ensuring appropriate prior authorization for related services, drugs, treatments, and supplies. ... **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Authorization and Denial Supervisor - Hybrid...patient population and types of services patients receive. + Prior authorization experience involving drugs and ancillary… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …for you, we encourage you to apply! Job Description: Summary: The Pharmacy Prior Authorization Technician performs functions as permitted by law including the ... initial level processing and review of prior authorization requests for both pharmacy reviews...Management Department. + Functions as a backup to the supervisor for testing and implementation of system upgrades. +… more
- 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 out ... of all prior authorization , appeal, reimbursement and grievance requests,...and review of vendor emails/reports as assigned by the Supervisor . + Facilitate follow-up phone calls to members and… more
- Cardinal Health (Albany, NY)
- Coordinator, Benefits Eligibility and Authorization **_What Benefits Eligibility and Authorization contributes to Cardinal Health_** Practice Operations ... insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Coordinator, Benefits… more
- Graham Windham (Bronx, NY)
- Homefinding Supervisor Job Details Job Location 1946 Webster Avenue, Bronx, NY 10457 - Bronx, NY Position Type Full Time Education Level Graduate Degree Salary Range ... $65000.00 Salary/year Home Finding Supervisor About Graham Windham: In full partnership with families...of child behavior + Effectively assesses quality of applicant's prior caregiving and ability to provide safe care in… more
- City of New York (New York, NY)
- …The A&CM CP Field Operations Department is seeking to hire an Administrative Supervisor of Plumbing. Reporting to the Director of A&CM CP Field Operations, with ... wide latitude for independent judgment and decision-making, the Administrative Supervisor of Plumbing will oversee all plumbing work managed by A&CM at NYCHA… more
- Mohawk Valley Health System (Utica, NY)
- RN Supervisor Case Management - Full Time - Days Department: CARE MANAGEMENT SERVICES Job Summary The Supervisor Case Management - SNH is responsible for the ... oversight of the case management staff's authorization /coordination/utilization and provision of member services. Duties include the supervision and mentoring of the… more
- Cardinal Health (Albany, NY)
- …enrollment /reimbursement activities, benefit investigations for product benefit coverage, prior authorization assistance, copay enrollment, and other patient ... patients who need them-faster.** **_Responsibilities_** The Customer Service Operations Supervisor leads program staff performing actions including customer service,… more
- Centene Corporation (New York, NY)
- …State RN license.** **Inpatient Utilization Management** **Position Purpose:** Supervises Prior Authorization , Concurrent Review, and/or Retrospective Review ... communication between utilization management team, members, and providers + Monitors prior authorization , concurrent review, and/or retrospective clinical review… more
- Bassett Healthcare (Norwich, NY)
- …learning to the team and is a go to person for coworkers. + Obtains prior approval or prior authorization as needed. Communicates referral appointment and ... and actions. Will meet patient needs as observed by Supervisor and as reported on patient satisfaction surveys. +...and form processing to meet Medicare regulations. + Obtains prior approval or prior authorization … more
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