• Appeals and Authorization

    Catholic Health Services (Melville, NY)
    …discover why Catholic Health was named Long Island's Top Workplace! Job Details The Appeals and Authorization Representative will perform activities to help ... limited to the following: Review providers' requests for services and coordinate appeals management review. Generate an appeal letter to substantiate the medical… more
    Catholic Health Services (09/11/24)
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  • Radiology Intake Rep-FT-Day

    Hackensack Meridian Health (Eatontown, NJ)
    …Flexibility, Tuition Reimbursement, Employee Discounts and much more The Radiology Intake Representative is responsible for the flow of Radiology patient data from ... appointment scheduling, authorization , and registration, to final report. This includes review...needed authorizations. Set up peer to peer and/or handle appeals when authorizations are denied. Prepare and execute FMLA/disability… more
    Hackensack Meridian Health (09/06/24)
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  • Physical Therapy Reviewer

    Centers Plan for Healthy Living (Queens, NY)
    …of life. The Utilization Management Reviewer will assess and process Therapy authorization requests to determine medical necessity to ensure all care services, ... education, and preventative interventions are maintained. PRIMARY RESPONSIBILITIES: + Authorization of medically necessary services in coordination with the care… more
    Centers Plan for Healthy Living (09/09/24)
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