• Prior Authorization…

    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
    SUNY Upstate Medical University (02/07/25)
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  • Referral & Prior Auth Lead

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... Assists in problem identification, quantification and resolution. - Provides training to Prior Authorization and Referral Coordinator Associates and… more
    University of Rochester (03/17/25)
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  • Referral & Prior Auth Rep IV

    University of Rochester (Rochester, NY)
    …and internal equity considerations._ **Responsibilities:** Oversees and provides direction to Prior Authorization and Referral Coordinator Associates and ... case management when medical assessment is needed. - Manage and oversee the prior authorization process for procedures, specialty office visits, VA (Veterans… more
    University of Rochester (03/17/25)
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  • Specialty Pharmacy Financial Access…

    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 (04/09/25)
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  • Coordinator , Utilization Management

    Evolent (Albany, NY)
    …years of experience in a Coordinator role either requesting or submitting prior authorization requests and/or relevant health care experience in claims or ... Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management** at Evolent will serve as...will serve as a point of contact for processing prior authorization requests in accordance with departmental… more
    Evolent (05/03/25)
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  • Administrative Coordinator - Bone Marrow…

    Mount Sinai Health System (New York, NY)
    **Job Description** The BMT Administrative Coordinator is responsible for coordinating workup testing and insurance authorization , as well as scheduling of bone ... Cell Transplantation, Cellular Therapy, and Multiple Myeloma programs. The Administrative Coordinator works with a team of colleagues to perform these tasks.… more
    Mount Sinai Health System (03/20/25)
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  • Scheduling Coordinator II

    Ellis Medicine (Schenectady, NY)
    The scheduling coordinator is responsible for the coordination of business office activity. This position involves knowledge of all computer software utilized in ... daily operations. The scheduling coordinator will be called upon to perform registration and...are actively involved in care planning + Obtains necessary pre-certification/ authorization for tests, surgical procedures and other applicable items… more
    Ellis Medicine (04/24/25)
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  • RN - MDS Coordinator

    Elderwood (Waverly, NY)
    …and reimbursement methodology? We want to talk with you! RN - MDS Coordinator Position Overview: + Oversees, reviews and/or completes the MDS/PPS components of the ... individual assessment. + Acts as support/liaison to the business office coordinator and/or designee in determining eligibility for Medicare and tracking Medicare… more
    Elderwood (04/17/25)
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  • Scheduling Coordinator II

    Ellis Medicine (Niskayuna, 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...information, predisposition or carrier status, military or veteran status, prior arrest, or conviction record, marital or familial status,… more
    Ellis Medicine (04/16/25)
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  • UM Care Coordinator

    Centers Plan for Healthy Living (Staten Island, NY)
    …authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests ... plans they need for healthy living. JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of… more
    Centers Plan for Healthy Living (04/15/25)
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