- 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
- 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
- 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
- Humana (Albany, NY)
- …service telephone experience desired + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization **Schedule: ... caring community and help us put health first** The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration … more
- Humana (Albany, NY)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- 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
- 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
- Humana (Albany, NY)
- …medical terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + Previous ... Typically works on routine and patterned assignments. A pharmacy authorization specialist or UM Administration Coordinator 1...download speed of (25) and upload speed of (10) prior to start date that is DSL or Cable… more
- Albany Medical Center (Albany, NY)
- …States of America) Salary Range: $65,102.17 - $100,908.37 Purpose: The Organ Procurement Coordinator performs a variety of duties, all of which are either directly ... + Documents updates and/or outcomes of all vented referrals, prior to change of shift each business day, in...CDT and UNOS policy 3. Import referral outcomes Family Dynamics/ Authorization Process Obtains informed, legal authorization from… more
- BrightSpring Health Services (New Hyde Park, NY)
- …Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we grow to be one of the top home ... infusion providers in the country. The Intake Coordinator will report to the General Manager and work...complete + Enters patient demographic, clinical, and insurance and authorization information into the computer system + Coordinates with… more
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