- Humana (Albany, NY)
- …service or customer service telephone experience desired. + Experience with LTSS Utilization Review and/or Prior Authorization, preferably within a managed care ... of our caring community and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and procedures ensuring… more
- Catholic Health Services (Melville, NY)
- …Health was named Long Island's Top Workplace! Job Details Position Summary: The Utilization and Appeals Coordinator will perform activities to help facilitate ... timely follow through. + Reviews providers' requests for services and coordinates utilization /appeals management review . + Assist Utilization and Appeals… more
- Ellis Medicine (Schenectady, NY)
- …or send for insurance denials or quality improvement organization appeals. + Assists UM Coordinator with data entry of insurance authorizations and denials. + ... relationships with payers and communicates confidential information per policy. + Assists Utilization Management with initial clinical review requests as needed.… more