- Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely matter
- Insurance Verification determine if Participating in net work or out of Network- confirmed Members Benefits for services being rendered
- Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies
- Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails
- Obtains information from internal and external sources. Processes or triages the request via our medical management information system or external sources
- Coordinates with Providers and Members regarding authorization requests and/or activities
- Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues
- Reviews all authorization requests for accuracy and prioritizing based on urgency
- Documents communication, actions taken and barriers in the Medical Management System as it pertains to the Members Care or request for services
- Utilizes internal and external systems to verify eligibility and Provider Information such as name, address, fax number, NPI and TAX ID.
- Conducts follow-up, as necessary, to ensure member satisfaction and successful delivery of service
- Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
- Performs other duties and special projects, as assigned
- Knowledge of CPT and ICD9/ICD10 coding/ Clinical.
- Understanding of insurance plans, i.e. HMO, POS, PPO
- Knowledge of Excel and Word
- Excellent Organizational Skills; Attention to Detail
- Exceptional Communication Skills
- Working Knowledge of Insurance Company Operations and Procedures
- Excellent customer service skills
- Ability to prioritize work in a fast-paced environment
- Computer skills
- Appeals/Retro active request skills
- Sending Specialty Prescription when needed
- MRI Authorization Utilization Management
- Knowledge of Manufacture Co-Pay Assistance Program/Foundation.
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Insurance Verification Specialist
4 hours ago
Airpay New York, United StatesAirPay is looking for an experienced insurance verification specialist to join our fast-growing company. Our team has built the industry-leading insurance verification software product, growing 5x last year. We're on pace to grow at this rate in 2024, bringing on more clients - i ...
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Insurance Verification Specialist
1 day ago
Kofinas Fertility Group New York, United StatesJob Description · Job DescriptionJOB SUMMARY: · Hours: Monday - Friday 7am-5pm (Flexible) · Location: 65 Broadway, New York, NY 10006. · The Insurance Verification Specialist provides comprehensive advanced billing support to KFG Fertility Billing Service, to enhance the generat ...
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Insurance Verification Specialist
2 days ago
PHYSICAL THERAPY OF THE BRONX P C New York, United StatesJob Description · Job DescriptionPhysical Therapy Office · Mon/Wed/Fri 8-2 · Tues/Thur 8-530 · Sometimes Saturdays · ...
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Insurance Verification Rep
4 days ago
Radnet Management, Inc. New York, United StatesOverview: · Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are _Leading Radiology Forward_. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people w ...
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Insurance Verification
1 day ago
Stone Center of New Jersey LLC Short Hills, United StatesJob Description · Job DescriptionThe Stone Center of NJ currently has an opening for a part time Insurance Verification representative. · The Stone Center is an out-patient urological facility. The insurance verification specialist is responsible for verifying patients medical ou ...
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Insurance Verification
1 day ago
Stone Center of New Jersey LLC Short Hills, United StatesJob Description · Job DescriptionThe Stone Center of NJ currently has an opening for a part time Insurance Verification representative. · The Stone Center is an out-patient urological facility. The insurance verification specialist is responsible for verifying patients' medical o ...
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insurance verification specialist
3 weeks ago
MARIAN DAVID M D P C Kew Gardens, United StatesJob Description · Job DescriptionMedium-size Cardiology Practice located in Kew Gardens, Queens, is seeking an Insurance Verification Specialist that meets the following requirements: · - proven experience with insurance verification of commercial and HMO plans and ability to dem ...
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61st Street Service Corp New York, United States Full timeJob Summary: · The Insurance Verification Specialist III is responsible for verifying health insurance benefits for all new patients or existing patients. This position will contact patient's insurance company to verify coverage levels and works with patients to walk them throug ...
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Insurance Verification Specialist
1 week ago
Girling Health Care of New York Brooklyn, United StatesGirling Home Care of NY is looking for an experienced and reliable Insurance Verification Specialist to fill an open position in our Brooklyn office. The primary function of the Insurance Verification Specialist is to contact carrier groups to obtain eligibility information, ensu ...
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BRIDGEWAY BEHAVIORAL HEALTH SERVICES Hoboken, United States**Make a Difference at Bridgeway Behavioral Health Services** · **Bridgeway offers uniquely rewarding experience in a supportive Team atmosphere. We invest in our employees. We offer excellent salary and benefits packages, and opportunities to advance your career. Become part of ...
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Insurance Verification Representative
3 days ago
SCA Health Parsippany, United StatesOverview · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and he ...
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Insurance Verification Specialist
3 weeks ago
MARIAN DAVID M D P C Kew Gardens, United StatesMedium-size Cardiology Practice located in Kew Gardens, Queens, is seeking an **Insurance Verification Specialist** that meets the following requirements: · - proven experience with insurance verification of commercial and HMO plans and ability to demonstrate understanding of tec ...
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Medical Insurance Verification Specialist
3 weeks ago
Community Pain Medicine Flushing, United StatesMedical Doctors Office seeking a full-time assistant for insurance verification and medical billing duties. · Responsibilities will include: · - checking patients' insurances to verify benefits and eligibility · - corresponding with insurance companies · - inputting patients' dem ...
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Cunning Dental Group Montclair, United States**UNDER NEW MANAGEMENT URGENTLY HIRING** · Looking for a full-time dental insurance verification biller / front desk person with a great work ethic. We need a team player that can do all aspects of dental billing verification / front desk correctly to join our family-owned dental ...
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New Patient Coordinator/ Insurance Verification
2 weeks ago
Evolve Psychiatry Massapequa, United StatesIn search of a New Patient Coordinator to help with our ever-growing patient population. · - Appropriately manage multiple incoming calls. · - Answer and return all new patient incoming calls in a professional manner. · - Collect patient's insurance information prior to their sch ...
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Senior Manager T
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NJ TRANSIT Newark, United States: Manages the operation of the Rail Verification and T&E Compliance. Coordinates with the T&E Verification Manger, Manager of T&E Compliance and the Managers in Crew Management to ensure constant and reliable communication between departments, minimize claims and increase efficie ...
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intake coordinator
6 days ago
BrightSpring Health Services New Jersey, United States Full timeOverview · Amerita, Inc. is a leading provider in Home Infusion therapy. We are looking for an Intake Coordinator to join our Intake team as we grow to be one of the top home infusion providers in the country. As a core member of the Intake team, you will have primary responsib ...
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New York State New York, United States Full timeMinimum Qualifications Qualifications: · •A minimum of three (3) years of post-graduate legal experience, preferably with a focus on appellate practice and/or complex civil litigation; · •Excellent legal analysis, legal writing and editing, and oral advocacy skills; · •Strong ...
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Medical front desk representative
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Nirvana Healthcare Management Services City of Orange, United States Full timeRESPONSIBILITIES · Greets patients, family members, and other visitors in a professional and welcoming manner · Maintains efficient flow throughout the registration process · Answers the telephone, directs calls appropriately, takes accurate messages, and promptly delivers messag ...
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Revenue Cycle Manager
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NYC Health + Hospitals New York, United StatesAbout NYC Health + Hospitals · Carter is a leading, comprehensive specialty care hospital and nursing facility dedicated to providing quality medical, sub-acute, rehabilitative and long-term specialty services. We are committed to serving the New York City and surrounding communi ...
Insurance Verification - New York, United States - Vitreous-Retina-Macula Consultants of New York PC
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Job Description
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Insurance Verification professionals in New York City
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Kerrian Joseph
Dental Office Management
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Eric Nguyen
Pharmacy Intern
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Nathalie Cedeno
Front Desk Administrative
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Antonio Sullivan
Accountant