Top 10 Prior authorization specialist Jobs in Carmel, Ny

Preservice Specialist I - Per Diem
Northwell Health —Danbury, CT
- $19 - $26 an hour
- Monday to Friday
- Hybrid work
- Microsoft Word
- Microsoft Excel
- High school diploma or GED
Quick Apply
Preservice Specialist I - Full Time
Northwell Health —Poughkeepsie, NY
- $19 - $26 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- High school diploma or GED
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Case Management & Data Entry Specialist
WPTT —Jefferson Valley, NY
- $60,000 a year
- Full-time
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
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Medical Coder
OrthoConnecticut —Danbury, CT
- Full-time
- Hybrid work
- Anatomy knowledge
- Microsoft Excel
- Surgery
- Profit sharing
- Wellness program
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Medical Receptionist
Trinity Health Of New England —Southbury, CT
- Full-time
- Windows
- High school diploma or GED
- Typing
- Benefits from day one
Medical Receptionist
Boston Childrens Health Physicians LLP —Hawthorne, NY
- $19 - $21 an hour
- Full-time
- HIPAA
- Children
- Neurology
- Dental insurance
- Paid time off
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8d
Medical Billing & Accounts Receivable Administrator
Vein Institute —Newtown, CT
- $42,000 - $50,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
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10d

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Pharmacy Technician (Min 1 Year Experience Required)
Main Source Pharmacy —Huntington, NY
Must have knowledge on how to handle phone calls (Refills, New Patient Transfers, etc). Pharmacy technician experience: 1 year (Required).
$19 - $24 an hour
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Billing/ Data Entry Pharmacy Techician
LI Script Pharmacy —Woodbury, NY
Complies with all federal, state and local regulatory agencies regarding the operation of the pharmacy. Performs data and prescription entry including insurance…
$21 - $24 an hour
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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.
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2d
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
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3h

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Preservice Specialist I - Per Diem

Northwell Health -
Danbury, CT

Quick Apply

Job Details

Per diem
$19 - $26 an hour

Qualifications

High school diploma or GED

Full Job Description

Description

PER DIEM: Varying shifts between 8:00am-8:00pm. Monday-Friday. Hybrid-Remote.

Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State’s largest private employer with over 104,000 employees — including members of Northwell Health Physician Partners — who are working to change health care for the better.

Summary:

Facilitates patient flow through the referral, scheduling, and financial clearance process. Responsible for obtaining demographic and financial information to ensure accurate patient identification and to secure reimbursement. Performs pre-registration functions and insurance eligibility verification. Provides estimates for services. Requests and secures payments

Responsibilities:

1.May be assigned to schedule patients for hospital or medical group services by incoming phone calls, online requests, or outbound to patients. 2.May be assigned to work within the central referral management system to identify and schedule specialist and primary care referrals to NHMP practices as well as external providers when appropriate, with the goal of promoting in-system retention of patients and continuity of care. 3.Provides excellent customer service both to physician offices and patients. Contributes to reduction of abandoned call rate, length of calls, and average speed answered through use of best practices and workflow improvements as defined by management. Receives incoming faxed physician orders. Verifies orders for compliance and accuracy. 4.Performs insurance eligibility verification and executes payer requirements as needed. Obtains accurate insurance benefit information from payers, such as deductible, copay, and coinsurance amounts. Utilizes patient estimation tool to calculate estimate of patient liabilities. Requires an understanding of coding, procedural protocols and the charge description master. 5.Initiates requests for authorizations, pre-certifications, notices of admission, and referrals from insurance companies. Follows up with payers and providers to ensure that authorizations are in place. Takes appropriate steps to remediate situations in which financial clearance is not completed to ensure that Nuvance Health receives prompt payment for services rendered.6. Contacts patients to perform pre-registration, including demographic verification, conveyance of insurance benefits, and estimates of liabilities. Collects on such liabilities prior to time of service utilizing provided scripting. Refers patients who express financial hardship to Financial Counseling for a financial assessment.7. Safeguards patient confidentiality by adhering to all department, organization, state, and federal compliance guidelines. Fulfills all compliance responsibilities related to the position. 8. Performs other duties as assigned.

Education Skills Experience:

HS Diploma Required. Minimum of 2-year job-related experience National Association of Healthcare Access Management (NAHAM) certification within one year of hire Basic MS Word & MS Excel. Customer service and organizational skills. Associates Degree Preferred with 6 months job-related experience - Preferred.

Company: Nuvance Health
Org Unit: 2071
Department: Corporate Financial Clearance
Exempt: No
Salary Range: $19 - $26 Hourly

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prior authorization specialist jobs in carmel, ny

Preservice Specialist I - Per Diem

Preservice Specialist I - Full Time

Case Management & Data Entry Specialist

Medical Coder

Medical Receptionist

Medical Receptionist

Medical Billing & Accounts Receivable Administrator

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