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 ...home medications to assure the appropriateness and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care companies, insurance companies, and review organizations. Ensure completion... 
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Upstate University Hospital

Syracuse, NY
4 days ago
 ...will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Pharmacy Prior Authorization Technician , working in Insurance industry in Rochester . Conducts an initial level medication prior-authorization,... 
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PSG Global Solutions Careers

Rochester, NY
1 day ago
 ...workplace flexibility. **This is a remote role but must reside within New York state.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards,... 
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Centene Corporation

New York, NY
3 days ago
 ...Job Description Job Description Medium-size Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: - proven experience with insurance verification of commercial and HMO plans and ability... 
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MARIAN DAVID M D P C

Kew Gardens, NY
more than 2 months ago
 ...Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely matter Insurance Verification determine if Participating in net work or out of Network- confirmed Members Benefits for services being rendered Researches, troubleshoots... 
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Vitreous-Retina-Macula Consultants of New York PC

New York, NY
1 day ago
 ...Remote Prior Authorization Pharmacist **Job Description:** We are actively seeking a dedicated Pharmacist to join our remote team with a focus on Prior Authorization. In this role, you will play a crucial part in evaluating medication requests, ensuring adherence to... 
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Pharmacy Careers

Buffalo, NY
more than 2 months ago
 ...Title: Pre-Authorization Representative - The Heart Center in Poughkeepsie, NY - Full Time/40 hours per week, 8 hour shifts 8:00am - 4:30pm. Summary: Serves as the coordinator for all scheduled and pre-authorized procedures. The incumbent will serve as an authoritative... 
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Danbury Health Systems

Poughkeepsie, NY
3 days ago
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Overview: Authorization Specialist - Stony Brook Neurology Associates, UFPC Location...  ...in a medical office setting. Prior pre-authorization or obtaining referrals...  ...The physical demands described here are representative of those that must be met by an employee... 
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SB Clinical Practice Management

Lake Grove, NY
6 hours ago
 ...America) Salary Range: $17.97 - $28.76 The Patient Engagement Authorization Specialist I (IAS II) The IAS II is responsible for...  ...patients, provider and provider staff as well as insurance company representatives via telephone with superior patient experience. + 3 5... 
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Albany Medical Center

Albany, NY
2 days ago
 ...Immediate Opportunity! Authorization Representatives Our medical center is seeking an practiced Authorization Representative to join our team in Poughkeepsie, NY. The prosperous candidate will be responsible for obtaining insurance authorizations for medical procedures... 
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 ...available Job Duties: The successful candidate will be expected to: Communicate with health insurance companies related to authorizations of services. Process, maintain documentation, and ensure the accuracy of incoming program referrals and authorizations.... 
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RCIL

Utica, NY
25 days ago
 ...Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers...  ...individuals as necessary. Preferred Qualifications: Prior experience working with ambulatory patient care administrative... 
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Monday to Friday

Upstate University Hospital

Syracuse, NY
3 days ago
HumanHire is seeking an experienced Authorization Specialist to join our client's team in Middle Island. The Insurance Authorization Specialist...  ...and ICD-10 diagnoses in the procedure order Qualifications: Prior experience in insurance authorization procedures. High school... 
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HumanHire

Middle Island, NY
3 days ago
 ...Job Details: Job Summary: The Authorization Specialist is responsible for performing complex clerical procedures related to verifying insurance information and obtaining authorization for inpatient admissions and specialized clinical procedures and treatments in... 
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WMC Health

Valhalla, NY
3 days ago
 ...experience may be considered in lieu of clinical nursing experience. Knowledge of Utilization management processes is required. Prior managed care experience is required. Working knowledge of Medicare and Medicaid regulations is required. Knowledge of current... 
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Metropolitan Jewish Health System

New York, NY
6 hours ago
 ...Authorization Specialist Ridge, NY New York Cancer and Blood Specialists (NYCBS) , a prominent and respected Oncology/Hematology group...  ...that all aspects of approval have been checked including prior authorization, pre-determination, and pre-certification before... 
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New York Cancer & Blood Specialists

Ridge, NY
4 days ago
 ...Job Description Job Title : CNY Fertility Medical Authorizations and Benefits Representative Work Type : Full-time FSLA Status: Non-Exempt...  ...coverage. Contact patients when referrals are required prior to appointments. Work with our front office, billing... 
Full time

CNY Fertility Center

Syracuse, NY
1 day ago
 ...United States of America) Salary Range: Min. $23.96/hr - Max $38.34/hr The Clinical Pre-Authorization Specialist will assist the Patient Engagement Center Liaison, Representatives and other Authorization Specialists with patient clinical questions, payer escalation and... 
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Albany Medical Center

Albany, NY
1 day ago
 ...Overview This role may be located in Plano, TX or Valhalla, NY. Sanitation Authority mission is to be the authority on definition and governance of PepsiCo sanitation requirements enabling the manufacture of safe, stable and legal products. This is an opportunity... 
Full time

PepsiCo

Valhalla, NY
3 days ago
 ...opportunity to join our team as a Billing Representative I. Under general direction submits...  ..., enters claim information, submits authorization/precertification requests with insurance...  ...or greater on the typing assessment that will be administered prior to onboarding.... 

NYU Langone Medical Center

New York, NY
3 days ago