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Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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A Health Care Start-up is seeking a Prior Authorization Specialist based in NYC. 1+ years of experience in a healthcare operations / administration role that includes prior authorization work (e.g. medical assistant, pharmacy technician, nurse.
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Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members. We are looking for a RN Care Review Clinician with Prior Authorization experience.
$51.49 an hourFull-timeRemoteExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Participates in the decision making process for Prior Authorization and grievances and appeals processes related to pharmacy claims. VNS Health is seeking a per diem / prn Clinic Pharmacist for a per diem / prn job in Manhattan, New York. Job Description & Requirements Specialty: Pharmacist Discipline: Allied Health Professional Start Date: ASAP Duration: Ongoing Employment Type: Per Diem Provides technical, analytic and clinical support related to the management of VNS Health Plans's pharmaceutical programs across all business lines.
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To be successful in the Intake Screener and Authorization Specialist position, you should be highly organized, be detail oriented, have a working knowledge of administering various assessments screening tools and have prior experience working with children and families.
$75 an hourFull-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Works in collaboration with Billing Analyst on denied claims for missing prior authorization or referral within the EMR system. Maintains up-to-date knowledge of referral/payer prior authorization requirements, eligibility guidelines and documentation requirements.
$23.33 an hourFull-timeRemoteExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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The Medicare Operations Pharmacy Technician is responsible for auditing and validating internal and external reports to ensure proper benefit configuration as well as processing prior authorization requests related to the Medicare Lines of Businesses.
$53,500Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Partners with administrative and clinical personnel to complete prior authorization, medication refills and referrals related to patient continuity of care. Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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They are set up by workstream to align with key state health program operations: program integrity, Provider network, Clinical and prior authorization, Reporting and analytics. The MALTSS Engagement establishes our client as the vendor to a state health program.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Prior experience in an OBGYN office setting is preferred. Conduct all pre-determination, authorization and pre-certification. This position is also a lead role that supports peers with expertise, organizational knowledge and guidance in support of the day-to-day operations of practice and research patient care in the Department of OBGYN. The Practice Associate III is part of a team that delivers an exceptional patient experience that contributes to positive health outcomes for patients and a work culture of Service-Oriented, Trust, Empathy, Safety, Inclusion, and Communication.
$34.13 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Refers appropriate prior authorization requests to Medical Directors. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC)plan. Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.
$51.49 an hourFull-timeRemoteExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Get prior authorization approval from insurance firms and nurse managers. Appeal insurance companies after prior authorization refusals. Assists patients who need treatment requiring insurance carrier pre-authorization.
$22 an hourFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Obtaining patient authorization for medical records release (HIPAA compliance). Prior experience in an OB/GYN office HIGHLY DESIRABLE. The Medical Receptionist is responsible for answering incoming calls, directing calls to appropriate staff, greeting and checking in all patients for office appointments, including paperwork for patients to fill out, scanning insurance cards, entering all demographic information into the electronic health record, scanning for staff as needed, and working closely with physicians and/or staff.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Contacts Managed Care Companies to obtain pre-authorization; reviews level requirements to obtain appropriate level prior to admissions. The TNJH provides a comprehensive and highly competitive benefits package, with a variety of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, and other benefits to best fit the needs and personal situations of our diverse workforce.
$35 an hourPart-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Obtain prior authorization for specialty visits, when required by the patient’s insurance carrier. Experience with eClinicalWorks electronic health record system. Document the specialty appointment date, time and location in the patient’s Electronic Health Record (EHR.
Part-timeExpandApply NowActive JobUpdated 23 days ago
health prior authorization jobs in Queens, NY
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