Top 7 Prior authorization specialist Jobs in Albany Ny

Referral Coordinator-HYBRID/REMOTE Rensselaer
St. Peter's Health Partners —Rensselaer, NY
- $19.20 - $25.85 an hour
- Full-time
- Remote
- 5 years
- Medical office experience
- HIPAA
4d
Pre-Service Specialist I
Albany Medical Center —Albany, NY
- $46,215 - $60,080 a year
- Full-time
- Hospital
- HIPAA
- High school diploma or GED
Integrated Behavioral Health Support Specialist
Community Care Physicians —Latham, NY
- $18 - $24 an hour
- 8 hour shift
- Computer literacy
- HIPAA
- Microsoft Office
- Paid holidays
- Health insurance
Customer Care Specialist- Latham or Glens Falls
Arrow Bank NA —Latham, NY
- $20 - $23 an hour
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Patient Access Specialist
Perlmutter Eye Center & Perlmutter Dermatology —Albany, NY
- $19 - $21 an hour
- Full-time
- Spanish
- Sanitation
- HIPAA
Quick Apply
Clinical Support Specialist
The Center for Disability Services —Albany, NY
- $17.78 - $20.64 an hour
- Full-time
- 18 years or older
- High school diploma or GED
- Clinic
- Health insurance
- Dental insurance
Quick Apply
5d

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Pre-Service Representative
Albany Medical Center —Albany, NY
1 – 2 years winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
$46,215 - $60,080 a year
Pre-Service Specialist I
Albany Medical Center —Albany, NY
1 – 2 years winning customer service personality with ability to engage patients and customers via telephone with superior patient experience.
$46,215 - $60,080 a year
11d

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Care Coordinator with Prior Authorization Specialty
Perkins Spine and Sports Medicine, LLC —Dublin, OH
Employees are expected to maintain compliance with all practice policies and applicable federal and state regulations, including HIPAA, OSHA, patient…
$20 - $25 an hour
Quick Apply
8d
Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
10d

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Referral Coordinator-HYBRID/REMOTE Rensselaer

St. Peter's Health Partners -
Rensselaer, NY

Apply Now

Job Details

Full-time
$19.20 - $25.85 an hour
4 days ago

Qualifications

Medical office experience
High school diploma or GED
ICD-10
Productivity software
Escalation handling

Full Job Description

Employment Type:
Full time

Shift:
Day Shift

Description:
Referral Coordinator–Rensselaer, NY - Full Time

Hybrid Remote: This position requires a minimum of 2 days on site

This position is located at 295 Valley View Blvd Rensselaer, NY.

If you are looking for a position as a Referral Coordinator to support a rapidly growing team this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places.

Position Highlights:

Quality of Life: Where career opportunities and quality of life converge
Advancement: Strong orientation program, generous tuition allowance and career development
Work/Life: Office Hours Monday-Friday

What you will do:

Properly maintains and tracks referrals from beginning to end. Accountable for the referral loop by tracking all referral orders including but not limited to specialty referrals and diagnostic referrals.
Answers, responds to and documents phone calls, requests and questions from patients, physicians, ancillary services or specialty offices in a timely manner. Calls must be accurately managed
Assembles information concerning patient’s clinical background and referral needs. Per referral guidelines, provides appropriate documented clinical information to specialists.
Reviews details and expectations regarding the referral with patients.
Communicates any prep instructions via documented orders or protocol to patient.
Receives and reviews referral requests; prioritizes orders based on urgency.
Schedules, problem solves, communicates, and coordinates referral appointments with patient, physician(s), specialists and/or central scheduling.
Collaborates with essential care team members including: physicians, mid-level providers, LPN's, MA's, Practice
Maintains patient confidentiality and abides by all HIPPA guidelines.

Authorizations

Obtains necessary authorization for referrals and diagnostic testing in timely fashion with proper documentation.
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.
Communicates insurance decisions to patient.
Conducts follow up calls as necessary to physician offices, patients and payers to complete pre-certification process.

Care Coordination

Confirms payer is in-network with specialist. If not, contacts patient to discuss and make alternate arrangements as necessary per payer guidelines in communication with the care team.
Act as point of contact for anything referral related, be the expert in this area for the office(s) you are assigned

Education Requirements:
Minimum Requirement: High School Diploma or equivalent required. BA preferred.

Experience Requirements:
5 yrs minimum experience in a medical office.
Effective written and verbal communication skills.
Knowledge of insurance payers and processes.
Demonstrates attention to detail, organization and effective time management.
Ability to work independently, with little supervision.
Knowledge of ICD-10, CPT, and CPTII codes.
Solid judgement to escalate issues appropriately.
Advanced knowledge of Microsoft office, related computer programs and general office machines.
Ability to communicate effectively with the patient population while exhibiting exemplary customer service skills.

Pay Range: $19.20 - $25.85
Pay is based on experience. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Apply Now

Refine Your Search

prior authorization specialist jobs in albany ny

Referral Coordinator-HYBRID/REMOTE Rensselaer

Pre-Service Specialist I

Integrated Behavioral Health Support Specialist

Customer Care Specialist- Latham or Glens Falls

Patient Access Specialist

Clinical Support Specialist

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