- 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 (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 (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 (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 (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
- Elevance Health (Latham, NY)
- …Representative I** will be responsible for coordinating cases for precertification and prior authorization review. **How you will make an impact:** + Managing ... **Utilization Management Representative I** **Virtual:** This role enables associates to...provides authorization for inpatient admission, outpatient precertification, prior authorization , and post service requests. +… more
- 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 (Rochester, NY)
- …or outside services to meet patient's needs. + Ensures patient satisfaction with visits 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 a review of dental insurance… more
- 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
- Bump Boxes (Rochester, NY)
- …in the following areas, you should Apply Today! + Insurance verification + Prior Authorization + Billing experience - Medicare, Medicaid, or Managed Care ... Medical Office + Healthcare background + CPAP and Oxygen experience Customer Service Representative Duties: + Welcome patients in person and over the phone, as well… more
- Northwell Health (Lake Success, NY)
- …departments (coordination of benefits, benefit coverage/limits, co-pay/deductible amounts, authorization , pre-certification and referral requirements etc.) 7. ... including but not limited to, verification of patients insurance information and prior account balances, preparation of patient's charts, and registration forms and… more
- Knowles Precision Devices (Cazenovia, NY)
- …large orders for accuracy and SOX requirements. + Assist with onboarding of new rep with account set ups, customer maintenance clean-up liaison and the main point of ... + Tuition Reimbursement Program + Security Clearance Incentive Program + Employee Referral Program + Overtime opportunities + Alternate work schedules available +… more
- Medtronic (Manhattan, NY)
- …with Clinical Territory Managers and Diabetes Clinical Educators to educate referral sources about intensive diabetes management and continuous glucose monitoring. + ... returns, and inventory. + Build and maintain relationships with referral sources to establish a solid business base. +...+ Bachelor's degree. + Minimum of three (3) years prior sales experience **Nice to Have** + Field sales… more
- Pfizer (New York, NY)
- …external partners, consulting engagements, industry surveys **PREFERRED QUALIFICATIONS** + Prior experience in AI focus organizations or commercial strategy + ... Hybrid 2.5-3 days a week on site, NYHQ + Eligible for employee referral bonus \#AIStrategy #AICommercial #AIMarketing The annual base salary for this position ranges… more
- Pfizer (New York, NY)
- …technologies, commercial models and go to market strategy **PREFERRED QUALIFICATIONS** + Prior experience in AI focus organizations or commercial strategy + MBA or ... Hybrid 2.5-3 days a week on site, NYHQ + Eligible for employee referral bonus \#AIStrategy #AICommercial #AIMarketing The annual base salary for this position ranges… more
- Hillside Family of Agencies (NY)
- …pre-placements to obtain medical/psychiatric history, establish health care needs, and complete prior authorization for medications or medical necessity based on ... follow-up. + Monitor and respond to patient movement, including referral , admissions, health care and discharge and provide discharge...& Work Environment The physical demands described here are representative of those that must be met by an… more