• Referral & Prior Authorization

    Saratoga Hospital (Saratoga Springs, NY)
    Referral & Prior Authorization Specialist Salary Range: $18.22-$28.27/hr, based on experience and qualifications About Saratoga Hospital At Saratoga ... exceptional people. About the Role We're looking for a dedicated Referral & Prior Authorization Specialist to join our team and help us continue delivering… more
    Saratoga Hospital (11/06/25)
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  • Prior Authorization

    General Physicians PC (Buffalo, NY)
    #25-0782 Buffalo, NY, USA Job Description Prior Authorization Specialist (PAS) Join General Physician, PC - Your Gateway to a Fulfilling Healthcare Career! ... Are you a Prior Authorization Specialist (PAS) looking to take your career to the next level? General Physician, PC, one of Western New York's most esteemed… more
    General Physicians PC (09/12/25)
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  • Referrals and Prior Authorization

    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 referral… more
    LaSante Health Center (11/19/25)
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  • Senior Product Owner - Clinical Referral…

    CenterWell (Albany, NY)
    …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is ... or operational solutions. + Strong knowledge of primary care, specialist networks, and prior authorization processes. + Experience working with leading… more
    CenterWell (11/25/25)
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  • Health Insurance & Authorization

    Highland Hospital (Rochester, NY)
    **16795BR** **Title:** Health Insurance & Authorization Specialist I **Department/Cost Center:** 846 - Business Office/Cashiers **Job Description:** The Health ... Insurance and Authorization Specialist is responsible to assess and...and coverage verification using the three patient identifiers, confirming prior authorization is on file for correct… more
    Highland Hospital (09/02/25)
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  • Authorization Specialist

    Catholic Health Services (Roslyn, NY)
    …named Long Island's Top Workplace! Job Details We are seeking an experienced Authorization Specialist to join our cardiology office, where your expertise will ... Diligently assess patient insurance coverage and secure the necessary authorizations prior to the provision of services, ensuring full compliance with payer… more
    Catholic Health Services (09/18/25)
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  • Authorization Specialist Ortho/Spine…

    Trinity Health (Syracuse, NY)
    …This role focuses on monitoring expirations of referrals, verifying insurance updates prior to procedure, and supporting authorization and denial processes. ... **EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:** Certified Coding Specialist , Accredited Record Technician (or eligible), Registered Record Administrator… more
    Trinity Health (10/21/25)
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  • Medication Authorization Specialist

    Rochester Regional Health (Rochester, NY)
    Job Title: Medication Authorization Specialist Location: Greece and Medical Office Building (MOB - Irondequoit) Hours Per Week: 40 SUMMARY: This role helps ... communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals,… more
    Rochester Regional Health (10/28/25)
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  • Authorization Coordinator

    Catholic Health Services (Melville, NY)
    …patient access operational activities for the Catholic Health. The Authorization Specialist role is responsible to submit prior authorizations timely, and ... authorization is required and utilize payer-specific requirements to secure authorization . + Submit prior authorization requests to payers on behalf of… more
    Catholic Health Services (11/24/25)
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  • Prior Auth Specialist - Geneva…

    Finger Lakes Health (Geneva, NY)
    …Key responsibilities include managing the submission and tracking of authorization requests and denials, coordinating and scheduling patient appointments and ... in the performance appraisal) Managing the submission and tracking of authorization requests for medical services, procedures, and medications for all insurance… more
    Finger Lakes Health (11/05/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Queens Village, NY)
    …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Duties Description POSITION DESCRIPTION:This position will serve as a Program Operation Specialist 1 (POS1) for a division of the Service Access Program… more
    New York State Civil Service (11/26/25)
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  • Program Operations Specialist 1

    New York State Civil Service (Schenectady, NY)
    …Agency People With Developmental Disabilities, Office for Title Program Operations Specialist 1 Occupational Category Other Professional Careers Salary Grade 18 ... Description POSITION DESCRIPTION: This position will serve as a Program Operations Specialist 1 (POS1) for the division of Service Access, Program Implementation,… more
    New York State Civil Service (11/14/25)
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  • Workforce Programs Specialist 1/Trainee…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Labor, Department of Title Workforce Programs Specialist 1/Trainee 1/Trainee 2 - Albany (NY-HELPS) Occupational Category Other Professional ... Department of Labor is contingent upon the maintenance of a valid work authorization and necessary documentation to work legally in the United States. Minimum… more
    New York State Civil Service (11/15/25)
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  • Senior Clinical Staff Specialist

    Rochester Institute of Technology (Rochester, NY)
    …+ Generate special reports/queries from EMR or other sources as requested + Prior authorization + Using information from clinical providers, pursue insurance ... authorization for medications, imaging and specialist referrals...with NYS Immunization law + Experience with referrals and prior authorizations + Medical terminology + Excel Fluency **Work… more
    Rochester Institute of Technology (11/01/25)
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  • Medical Services Coordination Specialist

    Excellus BlueCross BlueShield (Rochester, NY)
    …Depending on the specific tasks assigned, the Medical Services Coordination Specialist provides administrative support for any of the programs of Utilization ... division. + Serves as the primary contact for providers regarding authorization , information requests, claim inquiries and benefits. Provides triage assistance to… more
    Excellus BlueCross BlueShield (10/21/25)
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  • Facility Financial Specialist

    Heritage Ministries (Greenhurst, NY)
    Job Description The Facility Financial Specialist is responsible for welcoming and directing new residents and their families on the day of admission. He/she is ... as benefits and coverage for all secondary insurances. (Admissions will obtain pre- authorization for primary insurances other than Medicare). Obtains copies of the… more
    Heritage Ministries (10/27/25)
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  • Admitting Specialist

    Westchester Jewish Community Services (White Plains, NY)
    …of all ages and backgrounds each year. We are currently seeking a full-time Admitting Specialist to join our team. The Admitting Specialist is involved in the ... mental health services at WJCS. WJCS is currently seeking a full-time Admitting Specialist to join our team in Peekskill, NY. Reporting to the Admitting Director,… more
    Westchester Jewish Community Services (11/05/25)
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  • Clinical Support Specialist

    CDPHP (Latham, NY)
    …professionalism. This position supports timely determination turnaround times on all prior authorization requests and inpatient notifications received via ... be a part of that experience. The clinical support specialist (CSS) provides administrative support to clinical staff within...decision making to determine the appropriate action to take prior to logging and routing requests for authorization more
    CDPHP (10/05/25)
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  • Clinical Specialist , Pain Interventions

    Medtronic (Manhattan, NY)
    …valid driver's license is essential for this role. At Medtronic, the Clinical Specialist , supports the Neuromodulation Pain and Target Drug Delivery as well as ... duties may be assigned: + Represents Medtronic as device specialist during surgical procedures by ensuring all necessary equipment...by medical education + Completes all corporate compliance training prior to date due + Travels to cover district… more
    Medtronic (11/22/25)
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  • Neuroscience LTC Specialist

    Otsuka America Pharmaceutical Inc. (Queens County, NY)
    …product access, such as local market payor coverage, co-pay options, prior authorization requirements, formulary placement, and availability expectations. This ... of everyday health. In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of in-person, virtual and digital… more
    Otsuka America Pharmaceutical Inc. (11/18/25)
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