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Job Description Job Description Medix's NYC-based client is looking for Prior Authorization Representative! Apply if qualified and interested! One week of ONSITE traning in Manhattan, remote afterwards! Only candidates within the NYC-metropolitan area will be considered Title: Prior Authorization Representative Duration: Contract to hire - 800 hrs (5-6 months) before converting to full time employee status Location: REMOTE Pay: $21 - 25 Schedule: Hours may range from 9 AM to 8 PM EST (Although the team does not normally work unitl 8 PM); 40 hours guaranteed - Candidates must be flexible Overview Contact insurance companies to verify patient benefits and coverage details Manage submission of prior authorization requests for prescription medications via ePA, fax, and phone Review clinical information and ensure all required documentation is included with submissions Document and escalate any issues related to prior authorization requests (e.g., need for additional information or document

Job Title: Content Author Project Manager Location: Ridgefield Park, New Jersey 07660 Duration: Long term Job Description: This role of Project Manager overseas the launch of products, offers and landing pages on Samsung.com and Shop Samsung App. You will work with stakeholders to establish timelines and manage the ever-changing goal posts. This job requires you to react and adjust quickly to changing conditions and identify risks and come up with solutions. You will lead a team of content authors to create web and app content based on business’ needs. This is a hybrid role, and you will work from the office three times a week. You must be able to communicate technical terms to non-technical stakeholder and vice versa. The ability to effectively manage Jira tickets is required. Attention to detail is a must. Role and Responsibilities: Coordinate with stakeholders and lines of business to launch products and offers on our website. Manage a team to execute the authoring of content. Adapt

Job Description Job Description Timothy Groth MD PC is a leading medical practice specializing in pain management and chiropractic care. We are committed to providing high-quality care to our patients and are looking for an Administrative Assistant Job Summary: An Administrative Assistant will be responsible for answering a large volume of phone calls relating to medications and authorizations. In addition to a myriad of disability documentation. Key Responsibilities: -Answering phone calls and assisting patients with medications at guidance of Clinical staff -Maintain a calm demeanor with patients. -Assisting patients with filling prescriptions. -Outgoing Injection follow up calls. -Workers compensation authorization portals. -Directing phone calls to correct departments. -Assisting with misc. administrative tasks in the medical office. -CoverMyMeds, Medicaid Authorizations The right candidate has experience getting authorizations for medications through CoverMyMeds and the workers co

Position Summary Reporting to the Senior Director, the Academic Authorization Project Coordinator will serve as a project administrator for a long-term NYSED compliance project within the Office of Academic Program Review and Assessment (OAPRA). The incumbent will review NYSED proposals and identify draft feedback and necessary revisions according to established criteria. The incumbent is a proactive, self-motivated member of the OAPRA team, providing oversight and project management support to a long-term project, and partnering on some daily operations. The incumbent is required to gather and analyze the needs of end users, liaise between department Deans and Directors, and assist with the execution of the entire development life cycle (including scope definition, requirements gathering, analysis, and department impact). The incumbent is expected to collaborate productively with stakeholders and academic partners across the University, in order to meet OAPRA objectives according to U

Job Description Job Description We are looking for an Insurance Law Specialist to help spread the word on the soon to launch Law360 Insurance Authority product. Law360 Insurance Authority combines the speed and quality of Law360 with the experience of best-in-class insurance reporters to provide in-depth coverage of property, specialty lines, and general liability developments. This role is designed to work in tandem with the Law360 sales team on these specific products that are targeted to Insurance specialists. It will support the sales motion by providing expertise on Insurance law, presales demos to targeted organizations and will require creativity in outreach and assisting in the securing of sales. Responsibilities: Assisting the Law360 sales team during the sales cycle by conducting standard and custom pre-sales product demonstrations to prospective clients; ensuring that our prospective clients fully understand the value of our product offerings Acting as a product/technical re

Job Description Job Description Position Overview: We are seeking a detail-oriented and experienced Prior Authorization Specialist to join our team. The ideal candidate will have a strong background in pharmacy operations, prior authorization processes, and excellent communication skills. As a Prior Authorization Specialist, you will play a critical role in ensuring that patients receive timely approvals for medications, navigating insurance requirements, and collaborating with healthcare providers to optimize patient care. Responsibilities: Review prior authorization requests for medications to ensure completeness and accuracy. Communicate with healthcare providers, insurance companies, and patients to gather necessary information for prior authorization submissions. Verify insurance coverage and determine prior authorization requirements. Complete and submit prior authorization forms according to insurance guidelines and requirements. Follow up on prior authorization requests to ensu

Job Description Job Description Medium-size Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: - proven experience with insurance verification of commercial and HMO plans and ability to demonstrate understanding of technical medical terminology (e.g. copayment, deductible, coinsurance, primary/ secondary payor, referral), - proven experience with obtaining prior authorizations for various exams through Evicore, AIM, Healthcare Partners websites, as well as directly from insurance companies via phone, - ability to communicate professionally and efficiently on the phone and in person. Health benefits and above market rates are offered for the right candidate(s).

Req #: 2346 Job ID: 13865 Job Location: New York, NY Zip Code: 10041 Category: Managed Care Nursing Agency: Elderplan Status: Regular Full-Time Office: Hybrid Salary: $80,239.90 - $100,299.88 per year The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Even in a non-clinical role, employees have an opportunity to make a positive impact on the quality of our health plan members' lives. Why work for MJHS?: When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You