Top 153 Prior authorization Jobs in West Islip, Ny

Financial Clearance Lead
Catholic Health —Melville, NY
- $30 - $35 an hour
- No high school diploma
- Mid-level
- 3 years
- Health insurance
- Tuition reimbursement
Financial Clearance Center Representative
Catholic Health —Melville, NY
- $21 - $27 an hour
- No high school diploma
- High school diploma or GED
- Analysis skills
- Health insurance
- Tuition reimbursement
Referral Coordinator
SB Clinical Practice Management —Commack, NY
- $25.27 - $31.58 an hour
- Full-time
- Microsoft Word
- Medical office experience
- Mid-level
Prior Authorization Specialist
Medstaff Group —Hempstead, NY
- $22 - $24 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
Quick Apply
9d
Financial Clearance Associate - Full Time, Evenings
NYU Langone Health —Patchogue, NY
- $57,817.50 a year
- Online Application
- Word processing
- Writing skills
- HIPAA
Pain Management Care Coordinator
Groth Pain and Spine —Smithtown, NY
- $24 - $29 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
Associate Financial Services Representative (hybrid)
Northwell Health —Melville, NY
- $32,800 - $48,540 a year
- Full-time
- Hybrid work
- Research
- High school diploma or GED
- Experience equivalent to degree accepted
Patient Care Assistant - Neuroscience - Patchogue
NYU Langone Health —East Patchogue, NY
- $58,542.74 - $58,542.75 a year
- Vital signs
- Hospital
- Computer literacy
- Wellness program
Front Desk Coordinator - Surgery Center
Fresenius Medical Care —Plainview, NY
- $20.34 - $30.48 an hour
- Full-time
- High school diploma or GED
- Perioperative Care
- Data entry
- Health insurance
- Dental insurance
Patient Reg Specialist
Catholic Health —Rockville Centre, NY
- $27.19 an hour
- Hospital
- High school diploma or GED
- Typing
- Tuition reimbursement
4d
FT Infusion Registered Nurse (RN)
IVX Health —West Babylon, NY
- $45.90 - $54.45 an hour
- Full-time
- Nursing
- OSHA
- RN License
- Health savings account
- AD&D insurance
Quick Apply
10h
Billing Supervisor
Total Orthopedics & Sports Medicine —Syosset, NY
- $32 - $35 an hour
- Full-time
- Management
- Urgent Care
- HIPAA
- Health savings account
- AD&D insurance
Quick Apply
14d
Medication Access Specialist
Prior Authorization Team —Hicksville, NY
- $18 - $22 an hour
- Full-time
- HIPAA
- Organizational skills
- In-person
- 401(k)
Quick Apply
Insurance Verification Specialist
Total Orthopedics & Sports Medicine —East Meadow, NY
- $22 - $23 an hour
- Full-time
- HIPAA
- In-person
- 1 year
- Disability insurance
- Health insurance
Quick Apply
2d
Pharmacy Technician
Community Care Rx —Plainview, NY
- $20 - $25 an hour
- 8 hour shift
- Office
- US work authorization
- Data entry
- Free parking
- Health insurance
Quick Apply
Medical Assistant (Epic EMR Required)
NYCMC —Smithtown, NY
- $23 an hour
- Full-time
- Bilingual
- CPR Certification
- Vital signs
- Paid time off
Quick Apply
Pharmacy Prior Authorization Specialist
Onco360 —New Hyde Park, NY
- From $25 an hour
- Full-time
- Customer service
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
10d
Medical Assistant
PRINE Health —Manhasset, NY
- $22 - $25 an hour
- Full-time
- Spanish
- Vital signs
- Primary Care
- Free parking
- Health savings account
Quick Apply
2d
Medical Assistant
PRINE Health —Great Neck, NY
- $22 - $24 an hour
- Part-time
- HIPAA
- Clinic
- In-person
Quick Apply
10d
Senior Medical Secretary - Medical Associates - Patchogue
NYU Langone Health —Patchogue, NY
- $61,692.75 - $63,000.00 a year
- Surgery
- Computer literacy
- Writing skills
- Wellness program

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Financial Clearance Lead

Catholic Health -
Melville, NY

Apply Now

Job Details

$30 - $35 an hour

Benefits

Health insurance
Tuition reimbursement
Pension plan

Qualifications

Revenue cycle management
Customer communication
Health insurance co-pays
Overseeing health insurance pre-certification
Managed care
Employee relationship building
Medicaid health insurance
Mentoring
Computer skills
Patient interaction
Clinical confidentiality policies
Medical terminology

Full Job Description

Overview:

Catholic Health is one of Long Island’s finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home health service, hospice and a network of physician practices across the island.

At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.

We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace!

Job Details:

The Financial Clearance Lead is responsible to ensure completion and accuracy of insurance verification and benefits, authorization, patient financial responsibility, and other patient access operational activities for Catholic Health Services of Long Island (CHSLI). The role will provide the department with enhanced subject matter expertise for all in-scope financial clearance activities. The Lead role will leverage extensive financial clearance experience to support staff through job shadowing, training, and first level account escalations. The role will support management by identifying process improvement opportunities and implementing action plans.

LEAD RESPONSIBILITIES:

The Lead role will provide an additional layer of oversight to daily operations, specifically aimed at supporting account escalations and department subject matter expertise.

Utilize work drivers and reports, as assigned by management, to ensure completion of financial clearance functions for all in-scope patients. The Lead role may be asked to focus on complex service lines and/or account escalations.
Support staff development through daily job shadowing, training, and account escalations. The Lead role will act as the “first line of defense” for staff questions.
Provide management with actionable feedback on process improvement opportunities, and support the implementation of action plans and/or new initiatives aimed at improving department performance.

REPRESENTATIVE RESPONSIBILITIES:

In addition to the above responsibilities, the Lead role will also assume the following responsibilities as it specifically pertains to daily job duties.

Confirm and document the patient’s health insurance(s) effective dates, network status, service coverage requirements, and patient liabilities including deductible, coinsurance and co-payment amounts. This may be completed multiple times before, during, and after a patient’s visit/stay.
For scheduled services, review and analyze patient visit information to determine whether authorization is needed and utilize payer specific procedures to appropriately secure authorization in order to clear the account prior to service where possible.
For non-scheduled services such as inpatient admissions, observation care, maternal care, and emergency surgeries and procedures, notify the patient’s insurance within 24 hours of admission or date of service, coordinate with Case Management and Utilization Management for insurance required documentation
Use financial estimate process to make patients aware of estimated financial responsibility, collect and document receipt of estimated patient responsibility amounts prior to service, and appropriately refer them to financial counseling when necessary.
Utilize problem solving skills to determine the best course of action to resolve any problems created as a result of insurance coverage or prior authorizations.
Foresee and communicate to management team any significant issues/risks.
Propose innovative ideas and solutions to enhance operational efficiencies.
Maintain knowledge of The Joint Commission and state/federal regulations, laws and guidelines that impact Financial Clearance functions and Patient Access Services.
Comply with Medical Necessity protocols and proper use of Compliance Checker and National Coverage Decisions.
Maintain knowledge of Medicare, Medicaid and third-party payer regulations and hospital charging and collection policies.
Responsible for other duties as assigned.

POSITION REQUIREMENTS AND QUALIFICATIONS:

Education:

High School Diploma or equivalent experience required

Skills:

Role-Specific Behaviors: These behaviors are necessary in the role:

Relationship-building – able to develop and maintain relationships with a variety of types of positions and individuals at both the hospital and system level.
Motivation – able to motivate and mentor staff to perform at high levels of expertise and productivity.
Problem Solving – Analyzes interrelated elements of problems and works systematically to solve them, uses sound judgment to develop efficient and feasible resolutions to challenging issues.

Skills, Knowledge or Abilities critical to this role:

Must have a comprehensive understanding of insurance pre-certification requirements, contract benefits, and medical terminology.
Work requires the ability to access online insurance eligibility and pre- certification systems.
Must have expertise in insurance, managed care and federal/ state coverage.
Must be customer focused with strong interpersonal skills and courteous with patients, family members, physicians, and staff members.
Must be able to discuss and complete financial arrangements on the estimated patient liability under stressful conditions while maintaining positive patient relations.
Work requires a high level of problem solving skills
Work requires the ability to interpret and execute policies and procedures.
Work requires the ability to ensure the confidentiality and rights of patients and the confidentiality of hospital and departmental documents.
Must be able to demonstrate a working knowledge of personal computers and other standard office equipment
Must demonstrate a positive demeanor, good verbal and written communication skills, and be professional in appearance and approach.
Must be able to handle potentially stressful situations and multiple tasks simultaneously.
Must be able to successfully complete additional job related training when offered.

Experience:

Minimum experience of 3 years in Revenue Cycle, Patient Access Services. Insurance Verification and Insurance Pre-Certification/Authorization experience required. Must exude a strong understanding of Financial Clearance activities and hospital insurance requirements.

Posted Salary Range: USD $30.00 - USD $35.00 /Hr. :

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

Apply Now

Refine Your Search

prior authorization jobs in west islip, ny

Financial Clearance Lead

Financial Clearance Center Representative

Referral Coordinator

Prior Authorization Specialist

Financial Clearance Associate - Full Time, Evenings

Pain Management Care Coordinator

Associate Financial Services Representative (hybrid)

Patient Care Assistant - Neuroscience - Patchogue

Front Desk Coordinator - Surgery Center

Patient Reg Specialist

FT Infusion Registered Nurse (RN)

Billing Supervisor

Medication Access Specialist

Insurance Verification Specialist

Pharmacy Technician

Medical Assistant (Epic EMR Required)

Pharmacy Prior Authorization Specialist

Medical Assistant

Medical Assistant

Senior Medical Secretary - Medical Associates - Patchogue

I want to receive the latest job alert for prior authorization in west islip, ny

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