• Referral & Prior…

    University of Rochester (Rochester, NY)
    …GENERAL PURPOSE Oversees data and ensures compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with ... visits in which they are missing. + Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the electronic… more
    University of Rochester (09/17/25)
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  • Physician Support Rep III

    University of Rochester (Rochester, NY)
    …gathers and sends information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing. + ... be performed on a daily basis. The Physician Support Rep III, PCA Centralized Projects plays a valuable support...practices. + Employs multiple tracking mechanisms to ensure that referral approvals and appointments are obtained in a timely… more
    University of Rochester (09/09/25)
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  • Referral & Prior Auth Rep IV

    University of Rochester (Rochester, NY)
    …identification, quantification, and resolution. + Performs and maintains proficiencies of the duties of Referral & Prior Auth Rep III. + Provides training to ... when needed. + Performs quality assurance monitoring for activities relating to prior - authorization and other areas that affect it, utilizing specific criteria.… more
    University of Rochester (09/10/25)
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  • Pharmacy Access Rep III - Home Infusion

    University of Rochester (Rochester, NY)
    …related duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of ... insurance coverage determination, patient out of pocket determination, determination of prior authorization requirements. The PAR will communicate with the… more
    University of Rochester (08/07/25)
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  • Health Insur & Auth Rep III

    University of Rochester (Rochester, NY)
    …Utilization Management, Social Work, Patient Accounts, Medical Records, Surgeon offices, Prior Authorization Teams, Contracting and Finance. + External ... case management, clinical team and contracting. The Health Insurance & Auth Rep is ultimately responsible for minimizing any delays from admission/arrival until the… more
    University of Rochester (09/15/25)
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  • Health Insur & Auth Rep IV

    University of Rochester (Rochester, NY)
    …Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. + External coordination ... and completeness of insurance and demographic information to ensure case is secure prior to discharge. Identifies problems that include but are not limited to… more
    University of Rochester (09/17/25)
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  • Dental Access Rep III

    University of Rochester (Rochester, NY)
    …or outside services to meet patient's needs. + Ensures patient satisfaction with visit prior to discharge from the area. + Prints After Visit Summary at check-out ... and takes messages. + Initiates insurance preauthorization, verification, and/or service authorization in advance of treatment through review of dental insurance… more
    University of Rochester (10/03/25)
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  • Admitting Rep (PV)

    Northwell Health (Plainview, NY)
    …as needed, for successful billing (benefit coverage/limits, co-pay/deductible amounts, authorization and pre-certification and referral requirements, etc.) + ... Functions Job Qualification + High School Diploma or equivalent, required. + Prior customer service experience, preferred. + Data entry skills (80 keystrokes per… more
    Northwell Health (09/04/25)
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  • Dental Access Rep III

    University of Rochester (Rochester, NY)
    …or outside services to meet patient's needs. Ensures patient satisfaction with visit prior to discharge from the area. Prints After Visit Summary at check-out when ... and takes messages. + Initiates insurance preauthorization, verification, and/or service authorization in advance of treatment through review of dental insurance… more
    University of Rochester (08/07/25)
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  • Dental Access Rep III

    University of Rochester (Rochester, NY)
    …to meet patient's needs (eg, transportation), assures patient satisfaction with visit prior to discharge from the area. Prints After Visit Summary at check-out ... - Insurance Management: Initiates insurance preauthorization, verification, and/or service authorization in advance of treatment through review of dental insurance… more
    University of Rochester (08/07/25)
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