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PRIOR AUTHORIZATION SPECIALIST

 ...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 to demonstrate... 

MARIAN DAVID M D P C

Kew Gardens, NY
14 days ago

Prior Authorization Specialist

 ...today we are seeking a pre-auth. specialist to join our team! Authorization Specialist Responsibilities: * Ensures patients have been cleared...  ...pre-certification, registration and case-related concerns prior to a patient's appointment. * Gathers pertinent information from... 
Holiday work
Work at office

Ezra Medical Center

New York, NY
more than 2 months ago

Prior Authorization Specialist

 ...The Prior Authorization Specialist is responsible for obtaining prior authorizations for all required procedures and maintaining accurate and timely record-keeping of all related documents and actions. KNOWLEDGE, SKILLS, & ABILITIES: The requirements listed below are... 
Work at office
Travel

PhyNet Dermatology, LLC

Brooklyn, NY
a month ago

Prior Authorization Specialist

 ...communicate denials in a timely manner ~ Document all communications throughout the day   Requirements: Insurance Authorization 1 year High school or equivalent Strong written and verbal communication skills Friendly and good customer service skills... 
Holiday work
Full time
Remote job
Monday friday

Case Management Solutions

Englewood Cliffs, NJ
6 days ago

Pre-Authorization RN - Hybrid to Work From Home

 ...Job Description Pre-Authorization RN Telework after new hire completes 4 - 6 months of in-office and at home training. Salary range: $85,000 - 97,800 based on education and experience $15,000 sign on bonus paid over 3 years Responsibilities: * Process all requests for... 
Remote job
Work at office
Training
Work from home

RCM Health Care Services

New York, NY
9 days ago

Prior Authorization Technician

 ...service is the reason why Capital Rx is among the fastest-growing PBMs in the country. Position Responsibilities: * Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines * Make... 
Remote job
Local area
Shift work

Capital Rx

New York, NY
3 days ago

Provider Relations and Outreach Coordinator (RN/LCSW) - Remote

 ..., corporate wellness, educational assistance, corporate discounts and more. What you’ll do: Assist recipient with prior authorization issues, contact providers to provide form and prior authorization policy, and coordinate with provider to ensure recipient receive... 
Contract work
Remote job
Training
Field
Unit
Travel
Flexible hours

KEPRO (The Keystone Peer Review Organization), Inc.

New York, NY
5 days ago

Senior Pharmacy PA/Appeals Technician

 ...inclusion, career growth opportunities and  your life’s best work. SM The essential functions of a Pharmacy Technician in Prior Authorization are providing expertise and customer service support to members, customers, and/or providers. This position exists to take... 
Hourly pay
Holiday work
Full time
Temporary work
Remote job
Part time
Work experience placement
Work at office
Training
Island
Flexible hours
Shift work
Night shift
Monday friday

UnitedHealth Group

New York, NY
7 hours ago

Insurance Billing Specialist

 ...insurance info to ensure proper and timely claim payment * Review, correct and submit claims/invoices for payment Obtain Prior Authorizations as necessary by product line and payer Interpret denials/correspondence and work with insurance companies to receive payment... 
Full time
Contract work
Work at office
Private
Field
Shift work

WayUp

New York, NY
2 days ago

Clinical Administrator Coordinator

 ...clinical team to manage requests for services from members and/or providers Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles Assist the clinical staff with setting up documents/triage cases for Clinical... 
Holiday work
Temporary work
Remote job
Work at office
Travel
Flexible hours
Afternoon shift
Monday friday

UnitedHealth Group

New York, NY
1 day ago

Clinical Assessment Manager, Onsite Role in Upstate, NY (Saratoga Area)

 ...standards and criteria to ensure medical necessity and appropriateness of service, admissions, and lengths of stay. Performs prior authorization and concurrent reviews to ensure service and covered benefit is medically necessary and being conducted in the right setting.... 
Work experience placement
Work at office
Training
Unit

VNS Health

New York, NY
2 days ago

Certified Medical Assistant CMA Optum TriState

 ...and collect specimens Document patient care using electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork as needed Assist physicians, nurse practitioners... 
Private practice
Work at office
Local area
Flexible hours
Weekend work

UnitedHealth Group

Secaucus, NJ
7 hours ago

Behavioral Health Clinical Program Manager - Remote in Missouri

 ...set up ~ Primary residence in the state of Missouri Preferred Qualifications: Experience working in managed care/prior authorization Dual diagnosis experience to include mental health and substance abuse Experience managing field based/telecommuting employees... 
Remote job
Work at office
Training
Field
Home office

UnitedHealth Group

New York, NY
10 hours ago

Mental Health Director (NP) - New York, NY

 ...necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to...  ...background Experience in Coverage Determinations (prior authorization)  Proven excellent written and verbal communication skills... 
Work experience placement
Online
Local area

UnitedHealth Group

New York, NY
a month ago

Optum Tri State- Medical Assistant

 ...collect specimens Document patient care using electronic medical record software Schedule appointments, complete prior authorizations, process medication refills, handle referrals, answer calls and complete paperwork as needed Assist physicians, nurse practitioners... 
Private practice
Work at office
Local area
Weekend work

UnitedHealth Group

Secaucus, NJ
10 hours ago

Senior Clinical Administrative Coordinator - Remote in Wisconsin

 ...clinical team to manage requests for services Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles Resolve inquiries from members and/or providers Non-clinical role... 
Remote job
Full time
Part time
Work experience placement
Work at office
Field
Work from home
Shift work
Afternoon shift
Monday friday

UnitedHealth Group

New York, NY
3 days ago

Authorization-Referrals Specialist I #Full Time

 ...Job Description Job Summary: The Authorization-Referrals Specialist I is responsible for verifying insurance policy benefit information...  ...accurate and timely pre-authorizations for professional services prior to the patient's visit, scheduled admission, or immediately... 
Hourly pay
Full time
Training
Local area
Immediate start

61st Street Service Corp

New York, NY
8 days ago

Pre-Authorization Coordinator (Sign-On Bonus $750)

 ...Title: Pre-Authorization Coordinator (Sign-On Bonus $750) Location: Lower East Side Org Unit: Clinical Operations  Work Days: Monday...  ...the management of insurance verifications, eligibility and prior authorizations for services requiring referrals, including surgical... 
Work at office
Online
Field
Unit
Flexible hours
Night shift
Early shift
Monday friday

Weill Cornell Medical College

New York, NY
19 hours ago

HSS Clin Coordinator RN - Baton Rouge, La

 ...effectiveness Serve as a resource to members and their families/caregivers Serve as a resource for providers Full management of prior authorization requests for EPSDT PCS, PDN & PDHC Clinical Audits of weekly/monthly/quarterly reports for compliance and reporting... 
Remote job
Online
Local area
Private
Field
Travel

UnitedHealth Group

New York, NY
1 hour agonew