- LaSante Health Center (Brooklyn, NY)
- LaSante Health Center is seeking a Referrals and Prior Authorization Specialist to join our team. The ideal candidate will help ensure patients have ... seamless access to medications, diagnostic imaging, and specialty care by managing prior authorization requests for insurance and guiding patients through the… more
- Saratoga Hospital (Saratoga Springs, NY)
- …fast-paced healthcare environment. The Referral and Prior Authorization Specialist is responsible for obtaining referrals and authorizations to ensure ... Referral & Prior Authorization Specialist Salary...authorization approvals. What You'll Do + Processes all referrals and authorizations received. Completes prior authorizations… more
- Trinity Health (Syracuse, NY)
- …focuses on monitoring expirations of referrals , verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... in an appropriate health care setting. Ideally, has a background in referrals , denials, and/or authorization processes. Working knowledge of ICD-9-CM, CPT… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The primary responsibility of the Finance and Authorization Specialist is to promptly verify patient's insurance, obtain and verify if not provided, ... via phone call, email, or MyCare channels * Obtain prior - authorization on both internal and external department...* Participate in orientation of new staff * Obtain referrals from payers that require it * Obtain insurance… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …retrieval (SIR) queues throughout day for messages, potential care management referrals , authorization requests and clinical documentation + Coordinates with ... Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization… more
- Rochester Institute of Technology (Rochester, NY)
- …from clinical providers, pursue insurance authorization for medications, imaging and specialist referrals as required. + Clinical referral process + Use the ... + Prior authorization + Using information...+ Experience with NYS Immunization law + Experience with referrals and prior authorizations + Medical terminology… more
- City of New York (New York, NY)
- …services, mental health and substance abuse screening and treatment referrals , transportation assistance, referrals to community-based organizations, and ... as a Single Room Occupancy (SRO) Audit and Billing Specialist . Under the direction of the Deputy Director of...retroactive payments and determines the accuracy of the request prior to submission to the Director of SRO Audit… more
- University of Rochester (Rochester, NY)
- …and internal equity considerations._ **Responsibilities:** Serves as the patient referral and prior authorization specialist , with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients,...and follow up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and pertinent medical records. Contacts patients and schedules appointments when authorization obtained. Processes incoming and outgoing clinic referrals and ... Job Summary: The Outpatient Administrative Specialist will obtain routine and non-routine insurance pre-authorizations, providing insurance companies with procedural… more
- ConnextCare (Pulaski, NY)
- …NY (http://maps.google.com/maps?q=61+Delano+St.+Pulaski+NY+USA+13142) Description + Secure required insurance authorization prior to the patients scheduled ... appointment + To make appointments for specialist referrals and provide notification to patient + Provide specialist with appropriate documentation to… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Outpatient Administrative Specialist will provide clinical administrative support to the assigned ambulatory area. May assist in the preparation of ... a resource for providers and staff relative to the referral and authorization processes. Assist with patient check-in and check-out procedures including registration… more
- University of Rochester (Rochester, NY)
- …considerations._ **Responsibilities:** GENERAL PURPOSE Serves as the patient referral and prior authorization representative, with oversight of data and ... compliance to enterprise standards and referral and prior authorization guidelines. Communicates regularly with patients,...and follow up. Adheres to approved protocols for working referrals and prior authorizations. Makes decisions that… more
- SUNY Upstate Medical University (Syracuse, NY)
- …have been obtained and documentation completed via EPIC. + Obtains authorization for clinic procedures, insurance verification, maintains referrals work ... that all pertinent information is available for the provider prior to patient's surgery. (eg requests missing test results...results or clearance notes are sent to our office prior to surgery). + Access to PACS System and… more
- SUNY Upstate Medical University (Syracuse, NY)
- …authorizations have been obtained and documentationcompleted via EPIC. + Obtains authorization for clinic procedures, insurance verification, maintains referrals ... orders and makes sure that all pertinent information isavailable for the provider prior to patient's surgery. (eg requests missing test results or clearance notes… more
- SUNY Upstate Medical University (Syracuse, NY)
- …requirements involving Advanced Beneficiary Requirement (ABN) waivers, pre-authorizations, referrals , correct insurance demographic information and medical necessity ... information is obtained at the time of scheduling or prior to when the exam is ordered. Assist with... to when the exam is ordered. Assist with pre- authorization as needed and coordinate any pre-registration requirements with… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Scheduling Specialist is responsible for coordinating patient appointments in EPIC, ensuring accuracy and efficiency throughout the scheduling and ... referring providers to obtain necessary notes, reports, and diagnostic test results prior to appointments. + Prepare add-on charts and ensure all necessary… more