- Access the referrals and authorizations via the internet.
- Update and inquire as to those insurances that are not on the internet.
- Obtain authorizations for CAT scans and other radiological procedures.
- Validate patient insurance.
- Contact patients concerning referrals or down payment for self pays.
- Inform self pays of UH financial aid applications and Medicaid applications.
- Communicate with physicians, NP/PA, colleagues, patients, and insurance carriers, concerning referrals or issues with obtaining referrals.
- Ensuring the approvals for the authorizations are in the EMR and CERNER systems.
- Ensure all data are accurately documented in the EMR and scanned into CERNER.
- All other duties as assigned.
- High School diploma/GED.
- One (1) year of administrative experience in a medical office setting.
- Prior pre-authorization or obtaining referrals process experience.
- Strong organizational and communication skills (both verbal and written).
- Excellent typing skills and friendly telephone etiquette.
- Microsoft Office proficiency.
- EMR experience.
- Experience with patient scheduling.
- Experience with managed care companies.
- Bilingual speaking.
-
Authorization Specialist
2 weeks ago
SB Clinical Practice Management Lake Grove, United StatesOverview · Authorization Specialist - Stony Brook Neurology Associates, UFPC · Location: Lake Grove, NY · Schedule: Full Time · Days/Hours: M-F 8:30-5:00 or 7:30-4:00, can vary by day · Pay: $ $25.55 · Our compensation philosophy aims to provide marketable compensation program ...
-
Prior Authorization Specialist
1 week ago
MODERN DAY MANAGEMENT Smithtown, United StatesJob Description · Job DescriptionBenefits:401(k) · 401(k) matching · Paid time off · Timothy Groth MD PC is Long Islands number one pain management practice because we value our team, don't micro manage, and treat everyone as valuable individuals. We have high standards and expec ...
-
Prior Authorization Specialist
1 week ago
MODERN DAY MANAGEMENT Smithtown, United StatesJob Description · Job DescriptionTimothy Groth MD PC is Long Islands number one pain management practice because we value our team, don't micro manage, and treat everyone as valuable individuals. We have high standards and expect the great work ethic with patient centered values. ...
-
Authorization Specialist
3 weeks ago
New York Cancer & Blood Specialists Ridge, United StatesAuthorization Specialist · Ridge, NY · New York Cancer and Blood Specialists (NYCBS), a prominent and respected Oncology/Hematology group, is seeking an Authorization Specialist to join a well-established and growing pure sub-specialty practice with academic affiliation. Practi ...
-
Authorization Specialist
1 week ago
New York Cancer & Blood Specialists Ridge, United StatesAuthorization Specialist · Ridge, NY · At New York Cancer & Blood Specialists (NYCBS), we foster an environment where passionate professionals thrive. Our 200+ oncologists, hematologists, and staff across 25 locations are united by a mission: redefining what's possible against ...
-
Orlin & Cohen Medical Specialist Group Garden City, United StatesOrlin & Cohen is one of the largest orthopedics practices in the region, with 20 offices in Nassau and Suffolk Counties, Queens, and Staten Island. We have been in business for more than 25 years and have over 1200 dedicated healthcare employees in our care. Team members enjoy co ...
-
Pre-Authorization Specialist
3 weeks ago
Onet-Systems New Hyde Park, United StatesONET Systems, LLC is a leading Revenue Cycle Management organization dedicated to providing exceptional service to our clients. We are committed to delivering high-quality services and innovative solutions to our provider and facility practices. As we continue to expand our opera ...
-
Pre-Authorization Specialist
3 weeks ago
Onet-Systems New Hyde Park, United StatesJob Description · Job DescriptionONET Systems, LLC is a leading Revenue Cycle Management organization dedicated to providing exceptional service to our clients. We are committed to delivering high-quality services and innovative solutions to our provider and facility practices. A ...
-
Mid-Suffolk Neurology & Sleep Ronkonkoma, United States Full timeJob Description · Job DescriptionFast-paced Neurology practice in Ronkonkoma seeking a FULL-TIME authorization specialist/front desk receptionist. Applicants should be available to work approximately 35-38 hours per week, including a late evening on Monday (until ~6:45pm) and a h ...
-
Psr-patient Services Representative
3 weeks ago
Damian Family Care Centers Inc Lake Ronkonkoma, United States Part time: · DAMIAN FAMILY CARE CENTERS, INC. is a Federally Qualified Health Center with 14 community based health centers located in the metro NYC area, Suffolk County and Upstate, NY, providing primary care, behavioral health and specialized care at all sites. · Primary responsibilitie ...
-
Authorization Specialist-Lake Success, NY
3 weeks ago
Optum Lake Success, United StatesOpportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Je ...
-
Manager, Screening Solutions Specialists
2 weeks ago
Exact Sciences Corporation Long Island, United States**Help us change lives** · At Exact Sciences, we're helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, ...
-
Technical writer
3 weeks ago
Phoenix Innovations Isle, United StatesYour Responsibilities · You will conceptualize and create target group-specific and legally compliant system documentation, user manuals, and operation/maintenance instructions for the European and international market · Researching and preparing product-specific information in c ...
-
Vns Territory Specialist, Epilepsy
1 day ago
LivaNova Long Island, United StatesJoin us today and make a difference in people's lives · LivaNova is a global medical technology company built on nearly five decades of experience and a relentless commitment to improving the lives of patients around the world. Our advanced technologies and breakthrough treatment ...
-
Regulatory Specialist
2 days ago
ACS Holtsville, United States**Title: Regulatory Specialist (Food and Beverage)** · **Location: Holbrook, NY** · **Remote/Hybrid/Onsite: Hybrid** · **Position Type: Contract, possible temp-to-perm** · **Duration: 6+ months** · **Rate: $ $29.00/hr** · **RESPONSIBILITIES**: · **- Previous experience in an offi ...
-
Escrow Services Specialist
2 days ago
Dime Community Bank Hauppauge, United States**Summary**: The Escrow Services Specialist will be responsible for assisting with the support of the Branch and Private Banking teams with Consumer, Commercial and Private Banking needs. The Escrow Services Specialist also acts as a contact for assisting branch staff and Private ...
-
Vault Services Specialist
1 week ago
Dime Community Bank Hauppauge, United States**Summary**: The Vault Services Specialist is responsible for supporting the Branch and Private Banking teams with Consumer, Commercial and Private Banking needs. The Vault Services Specialist also acts as one of the primary contacts for assisting branch staff and Private Banking ...
-
Financial Clearance Specialist
3 days ago
Stony Brook University Hospital Stony Brook, United States**Financial Clearance Specialist - Cancer Center** · **Position Summary** · The **Financial Clearance Specialist** is responsible for ensuring that payers are prepared to reimburse Stony Brook University Hospital Cancer Services for scheduled services in accordance with the payer ...
-
Senior Physician
2 days ago
Infinity Systems Central Islip, United StatesFor an excellent client, a primary and regular supplier in the commuting area of Stuttgart, we are looking for an attending physician (m/f/d) for orthopedics and trauma surgery to start as soon as possible. · The academic teaching hospital has approximately 500 beds. You can expe ...
-
Product Area Manager
2 days ago
Redwood Ventures Oakdale, NY, United States Freelance**The city of Kehl is seeking a Product Area Manager (m/f/d) for Schools and Education for the newly formed department, starting as soon as possible.** · This is a full-time, permanent position. · **WE OFFER** · - Room for new ideas and development of the product area with an int ...
Authorization Specialist - Lake Grove, United States - SB Clinical Practice Management
Description
Overview:
Authorization Specialist - Stony Brook Neurology Associates, UFPC
Location: Lake Grove, NY
Schedule: Full Time
Days/Hours: M-F 8:30-5:00 or 7:30-4:00, can vary by day
Pay: $ $25.55
Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee.
Responsibilities:SUMMARY: To provide general administrative and clinical office support. Acts as a liaison between patients and physicians.
Job Responsibilities:
Required Qualifications:
Preferred Qualifications:
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management.
The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.
StaffCo is a Professional Employer Organization, commonly referred to as a PEO, duly organized and registered under the New York Professional Employer Organization law. StaffCo and SUNY have entered into a professional employer agreement under which StaffCo is the employer of Stony Brook Clinical Practice Management Plan employees and responsible for all aspects of employment, including hirings, promotions, disciplines, terminations, the day-to-day direction and supervision of work, as well as labor relations and collective bargaining. StaffCo is fully responsible for providing all payroll and human resources services, including the payment of wages, collecting and reporting payroll taxes and maintaining any and all employee benefits.? SUNY Stony Brook Hospital is responsible for the operation of the hospital and provision of health care and is the co-employer as is necessary to conduct its responsibilities and for related licensure, regulatory or statutory requirements and obligations.?
Given StaffCos employment responsibilities, it is deemed the employer for employment and labor law purposes.? Thus, the employees are private sector employees of StaffCo, not public sector employees of SUNY.? The private sector nature of the StaffCo employees has been approved by NYS Civil Service and upheld in a decision by the US National Labor Relations Board.
CPMP provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity or expression, or any other legally protected status. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall and transfer, leaves of absence, compensation and training.
CPMP expressly prohibits any form of workplace harassment based on race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, gender identity, or any other legally protected status. Improper interference with the ability of CPMPs employees to perform their job duties may result in discipline up to and including discharge.
