Authorization Specialist Remote Jobs in New York (US)

This page tracks remote authorization specialist openings that are location-eligible for New York.

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PC Authorization Associate II

Piedmont Healthcare

Piedmont Healthcare delivers compassionate, quality care for the communities surrounding Atlanta, Georgia, and northern Georgia. The independent nonprofit healt

Authorization Specialist4 days ago

Full Time Remote Mid Level

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Role Description Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR). - Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed. - Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information. - Notify payers of admittance if required. Qualifications - H.S. Diploma or General Education Degree (GED) - Required - Bachelor’s Degree from a recognized college or university - Preferred - Completion of medical coder training program - Preferred Requirements - 3 years exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle - Required - 4 years of previous related healthcare Revenue Cycle experience - Preferred - Prior Epic experience - Preferred - Clinical experience (i.e., medical assistant, surgical tech) - Preferred Company Description Business Unit: Company Name - Piedmont Healthcare Corporate

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Job Closed

Procedure Specialist II

Truist Bank

Truist is an Equal Opportunity Employer that does not discriminate on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status, or other classification protected by law. Truist is a Drug Free Workplace.

Authorization Specialist10 days ago

Full Time Remote Mid LevelTeam 10,001

Role Description Create and maintain operating procedures for the Consumer & Small Business Banking that comply with overarching operational policies that support Truist values and protect the relationship of the company within the marketplace and regulatory communities. Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. - Create and maintain teammate operating procedures with a moderate to high technical complexity, focusing on efficiency, accuracy, and reducing ambiguity. Assess the need for end user communication when changes are needed or new procedures are created, assist with that communication, and coordinate publication dates. - Develop and maintain partnerships with Compliance, Legal, Risk, Subject Matter Experts, and End Users through open, timely, and accurate communications. Evaluate and respond to end user feedback by providing answers to teammate questions and scheduling procedure updates as needed. - Maintain an awareness of the intended and unintended consequences of actions. Assess gaps in processes and make recommendations to solve concerns. Use strategic thinking skills to influence change and gain buy-in from partners. - Perform an annual review of operating procedures, partnering with appropriate teammates, to determine if changes are needed to comply with regulatory/process changes. Document the review and coordinate end user communication. - Act as a mentor for other Procedure Specialists, provide training, and assist the Knowledge Delivery Manager with answering daily questions. - Manage competing priorities effectively and stay organized even with highly detailed work. Day-to-day activities include attending project meetings, updating procedures, educating partners on workflow, managing workflow, reviewing/publishing procedures, and escalating risk-based concerns. Qualifications - Bachelor's degree, or equivalent education and/or related training - 5 years' experience in a related field of banking operations or retail/commercial banking - Demonstrated strong interpersonal, leadership, communications, and analytical skills - Intermediate PC skills to include a good working knowledge of Microsoft Office - Demonstrated ability to prioritize, delegate, follow up, and expedite all issues daily - Solid knowledge of financial industry applicable laws such as Patriot Act, AML, and BSA, core deposit products and related activities, and banking systems Requirements - College Degree with a focus on business or technical writing or 3 years' experience in multiple areas of bank operations - At least two years of experience writing procedures for Truist - Experience with quality review, audits, and regulatory reporting - Experience with Truist lending processes and systems Benefits - Medical, dental, vision, life insurance, disability, accidental death and dismemberment - Tax-preferred savings accounts and a 401k plan - No less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during the first year of employment - 10 sick days (also prorated) and paid holidays - Eligibility for Truist’s defined benefit pension plan, restricted stock units, and/or a deferred compensation plan

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Authorization Specialist

AQUA DERMATOLOGY MANAGEMENT LLC

Founded in 1998, AQUA Dermatology is the Southeast’s premier dermatology practice with over 110 locations throughout Florida, Georgia, and Alabama. Our established practices and experienced physicians offer patients the most quality outcomes and exceptional patience. From common rashes to skin cancer treatments, plastic surgery procedures to an array of vein treatments, no case is beyond our experience and expertise!

Authorization Specialist82 days ago

Full Time Remote Mid Level

Role Description The Authorization Specialist will provide support for verifying current and accurate patient insurance information and to work with insurance companies to obtain authorization(s) for services. - Verify patient benefits and calculate out of pocket costs using multiple insurance resources. - Contact patients regarding out-of-pocket costs prior to patient services. - Obtain, review, and input insurance authorization and referrals prior to patient services. - Monitor and track patient authorizations. - Be proficient in the use of ICD-10 and CPT codes. - Verifies status of participating providers and insurance plans. - Support medical office team members. - Works closely with management team in business office to ensure all internal and external customer service issues are addressed. - Participates in educational activities and attends department team meetings. - Conducts oneself in accordance with company policies and procedures. - Performs other duties as required. Qualifications - Medical office experience: dermatology, plastic surgery, varicose vein, and/or radiation oncology preferred. - Knowledge of HIPAA regulations, insurance payers, ICD-10, CPT codes, and fee schedule reimbursement methodology. - Must be detail-oriented and a self-starter with the ability to work independently. - Possess excellent communication and organizational skills with the ability to multi-task, set priorities, and meet deadlines and departmental metrics. - Must be courteous with excellent customer service skills while maintaining strict confidentiality. - Possess high job accuracy, efficiency, and dependability. - Must have consistent, punctual, and reliable attendance. - Ability to establish effective working relationships with providers, staff, and the public. - Must have access to fast access internet. Requirements - High school graduate, GED or equivalent. - One year of medical office insurance and authorization experience. - Excellent computer, multi-tasking, phone, and electronic faxing skills. - Knowledge of Practice Software System/s. - Knowledge of Microsoft products. Benefits - Medical, Dental, and Vision are available after 30 days of hire. - Short-term disability and life insurance, and many ancillary options. - 10 days of PTO with an increase to 15 days upon completing 1st year. - 401 (k) available after 90 days of hire. - Excellent growth and advancement opportunities. - Discounts on services.

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