873 Best prior authorization Jobs in New York, New York (September 2026)

Licensed Practical Nurse (LPN)-10001

26 days ago

New York

Job Description If you are a current YAI employee, please click this link to apply through your Workday account. Job Summary: Premier HealthCare, a member of the YAI Network, currently seeks a Licensed Practical Nurse (LPN) at our multi-specialty clinic. We care for the healthcare needs of individuals of all ages with intellectual and developmental disabilities (IDD), with an integrated and comprehensive approach. We are looking for passionate, enthusiastic people to join our multi-disciplinary team. Key/Essential Functions & Responsibilities: · Report to the nurse manager or nurse supervisor, at Premier HealthCare (PHC). Meet on a weekly basis for supervision to review duties and responsibilities. · Accountable for the day-to-day operations of the PHC nursing station, ensure all workflows and polices are implemented and followed as directed. · Assume duties of the nurse supervisor when needed and provide coverage for and assistance with PCMH and other grants. · Supervise nursing staff; consist of Medical Assistant/s and medical secretary if applicable to site. · Is courteous and uses proper PHC greeting according to policy script 100% of the time. · Ensure that each provider on site have an assigned LPN or Medical assistant to assist each provider with daily workflow. · It is understood that you will document all activities in the electronic medical record system once you are trained and the system is operational. · Function as a Patient Center Medical Home (PCMH) care team member, Coordinate and manage high risk population; lead daily huddle and communicate to other members of the team. Participate in daily huddle with all care team members. Ensure provider schedule are printed out and up to date. Be prepared for daily Huddles 100% of the time- review high risk groups, any pending referrals, need for labs or any testing, any immunization needed and reason for visit. · Participate in monthly care team meetings with all care team members and provide any updates on patients as needed. · Ensure that all exam rooms are checked, and computers are logged on and working prior to patient visit. If any issues report to nurse supervisor or designee. · Escort the patients to and from the exam rooms and prepare them for the clinician’s visit- ensure patients name, Date of birth and demographic are correct. · Check that assigned PCP is correct in EHR, update as needed. · 100% accuracy in obtaining vital signs, height, weight and BMI as assigned and document all information in the patient’s medical record. · 100% accuracy in documentation of all pertinent information in the patients Electronic Health Records, including reason for visit, medical history, medication updates, allergies, all screenings and PCMH related information, etc. · Complete the PCMH Tab in EHR with Nursing questions, ensure education sheets are given out to patient in the high-risk groups, reinforce to the patient all goals set by the provider during the visit. · Obtain updated medication list on every visit, if any changes to medication noted; notify the provider. If no changes, check off medication reconciliation box in EHR. · Collect from patient any forms or documents that needs review and sign off by the provider and inform provider. · Prepare medical records for the clinician, include laboratory and diagnostic reports and stamped progress notes as needed. Obtain any pending imaging or testing that has been done after the last visit from patient or caregiver. · Perform phlebotomy on adult and pediatric patients and obtain other specimens as per clinicians’ order and in compliance with DOH and CLIA protocols 100% of the time. Perform EKGs and other office procedures as per clinician’s orders. · Complete vaccinations, medication standing orders (MSO), and PPD plantings or other task in scope of practice as ordered by the provider. · Meet with patients and complete the required Intake packet/ intake updates and supporting documentation. Enter information in EHR as instructed. · Assist with the examination of the patient, as directed by the clinician/nurse. Assist with therapeutic interventions to ensure patient/staff safety based on techniques learned in pre- service, during orientation and ongoing training. · Assist with the check-out process as needed: print patient plans, referrals, or prescriptions. Refer patient to front desk to schedule return visit and any internal referrals. · Enter prescription requests, form requests, etc., into the designated database and complete associated documentation (e.g., prescription fax forms). Update EHR accordingly. · Obtain Prior Authorization for non-covered medications or feeding supplies for patients as needed. · Notify patients of any lab results as directed by the provider and document in EHR as indicated. · Maintain overall cleanliness and organization of treatment rooms and other areas of the practice site as assigned. Remove filled sharps’ disposal units and other biohazardous waste and prepare for removal by the transporter. Replace units as needed. · Promote continuity of care and serve as a liaison between PHC and the patient, family, caregiver and other agencies involved in the care of the patient. · Participate in the telephone triage process to ensure that requests are appropriately made, prioritized correctly and have the necessary supporting documents prior to the first visit. · Document all Hospital/ Emergency Room follow up in the designated template in the EHR. Ensure Hospital discharge summary is obtained prior to each visit. Once summary is obtained, meet with providers to review whether visit was avoidable and document in patients' chart. Follow workflow as directed. · Participate in Quality Improvement activities as directed by the Practice Administrator or designee. · Resupply and inventory as assigned by the nurse supervisor/manager · Comply with OSHA/CLIA regulations in the exercise of all clinical and related functions. · Report all safety and health hazards to appropriate personnel in a timely manner. · Assist with all emergencies as directed by the charge nurse/ designee or clinician. · Comply with NYSDOH regulations and protocols as stated in the PHC Policy and Procedures Manual in the exercise of all clinical and related activities. · Ensure refrigerator and freezer temperatures are checked daily. · Ensure Daily emergency equipment are checked daily and signed off 100% of the time. Ensure Emergency cart is checked once monthly. Responsible for ensuring crash cart and all emergency medication are up to date. · Check vaccines inventory and expiration date weekly or as directed by supervisor. Ensure all vaccines are labeled correctly and all Vaccine information statements are updated. · Maintain competencies through on-site training, continuing education programs, and review of reference materials. · Endorses and receives information before and after going on lunch or break. · Required to review and respond to all emails within the same day of receipt. · Adhere to assigned task 100% of the time, ensure completion of all task daily. · Any other task as designated by supervisor or designee. · Performs all other duties, as assigned Minimum Qualification Requirements including education, experience, licensure/certification, etc. and essential physicalcapabilities (e.g. lifting, assisting lifting, standing, etc.) · Licensed Practical Nurse License · Current CPR certification · Ability to understand and operate necessary computer equipment and software programs. · Must be able to receive, interpret and follow verbal and written instructions. · Excellent written and verbal communication skills. · Must be self -motivated. · Excellent interpersonal and customer service skills. · Well organized and detail oriented. · Ability to handle a fast-paced environment and prioritize tasks based on importance. Preferred Qualification Requirements (desired requirements beyond MQRs above): · Experience with various Electronic Health Record and scheduling system is preferred · Experience in outpatient medical facility preferred. · Experience with individuals with intellectual and/ or developmental disabilities preferred. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or status as a Vietnam or disabled veteran. YAI is an Equal Opportunity Employer. To ensure fairness, safeguard transparency, and promote an equitable workforce environment, YAI Network prohibits the practice of nepotism in the workforce and hiring process.

Accounts Payable Specialist

2 days ago

Moonachie

This a contract to hire position A well-established manufacturing organization is seeking an experienced and detail-oriented Accounts Payable Specialist to join its Finance and Accounting team. This position is responsible for the accurate and timely processing of vendor invoices and payments while maintaining strong internal controls, complete documentation, and positive vendor relationships. The Accounts Payable Specialist will work closely with Purchasing, Receiving, Operations, Supply Chain, and Accounting to research and resolve invoice discrepancies and ensure transactions are recorded accurately. The ideal candidate is organized, analytical, comfortable working in a high-volume environment, and able to take ownership of issues through resolution. Manufacturing experience is preferred, particularly experience working with purchase orders, three-way matching, receiving discrepancies, freight invoices, and ERP-based Accounts Payable processes. Key Responsibilities • Process a high volume of vendor invoices accurately and within established payment terms., • Review invoices for completeness, accuracy, proper authorization, and appropriate supporting documentation., • Perform two-way and three-way matching between purchase orders, receiving records, and supplier invoices., • Research and resolve discrepancies involving:, • Pricing, • Quantities, • Purchase orders, • Receiving, • Freight charges, • Duplicate invoices, • Credits, • Tax, • Payment terms, • Work closely with Purchasing, Receiving, Supply Chain, Operations, and plant personnel to resolve invoice exceptions., • Code non-purchase-order invoices to the appropriate general ledger accounts, departments, and cost centers., • Review invoices for proper sales and use tax treatment., • Verify that required approvals are obtained before invoices are released for payment., • Monitor invoices placed on hold and follow up with appropriate departments to ensure timely resolution., • Maintain accurate and complete vendor records and supporting documentation., • Review vendor statements and reconcile outstanding invoices, credits, and payments., • Research vendor inquiries regarding payment status, short payments, missing invoices, deductions, and account discrepancies., • Identify and prevent duplicate invoices and duplicate payments., • Assist with scheduled ACH, check, wire, and electronic payment runs., • Verify payment details and supporting documentation prior to payment release., • Research returned or rejected payments and coordinate corrective action., • Maintain accurate records of vendor credits and ensure credits are applied appropriately., • Process freight, utility, service, maintenance, and other operational invoices as assigned., • Assist with employee expense reports and corporate purchasing-card transactions when required., • Maintain organized electronic Accounts Payable records in accordance with company policies and retention requirements., • Support vendor setup and maintenance, including W-9 documentation, tax information, banking details, and payment terms., • Assist with annual 1099 reporting and vendor tax documentation as applicable., • Support internal and external audit requests by providing invoice, payment, and vendor documentation. Manufacturing-Specific Responsibilities • Review invoices associated with raw materials, components, production supplies, maintenance, freight, equipment, and plant services., • Resolve differences between purchase orders, goods received, and supplier invoices., • Work with Receiving and Purchasing teams to identify missing receipts or incorrect receiving quantities., • Research purchase-price and quantity variances when invoice amounts do not agree with the purchase order., • Monitor aged unmatched invoices and purchase-order exceptions., • Assist with resolving received-not-invoiced and invoiced-not-received transactions., • Support accurate recording of manufacturing and operational expenses in the appropriate accounting period., • Assist Accounting with AP-related accruals and outstanding liability analysis during month-end close., • Help ensure costs are assigned to the appropriate department, facility, cost center, or general ledger account., • Communicate professionally with domestic and international suppliers when applicable. Month-End & Accounting Support • Assist with monthly Accounts Payable close activities., • Reconcile AP-related general ledger accounts and investigate differences., • Review open invoices, outstanding credits, and unmatched transactions., • Assist with month-end accruals for goods and services received but not yet invoiced., • Research aged AP items and help resolve long-standing discrepancies., • Prepare AP reports and supporting schedules as requested., • Support financial audits and internal-control testing., • Assist the Accounting team with special projects and process-improvement initiatives. Vendor Management • Respond promptly and professionally to supplier inquiries., • Build productive working relationships with key vendors., • Research vendor statements and identify missing invoices, unapplied credits, or payment discrepancies., • Maintain accurate vendor master information., • Follow established controls for vendor banking changes and payment instructions., • Escalate unusual or potentially fraudulent vendor requests in accordance with company procedures. Qualifications • 3+ years of Accounts Payable or closely related accounting experience preferred., • Experience working in a manufacturing, distribution, industrial, or high-volume purchasing environment strongly preferred., • Experience with purchase orders and three-way matching., • Strong understanding of Accounts Payable processes and internal controls., • Familiarity with general ledger coding and basic accounting principles., • Experience processing ACH, check, wire, and electronic payments., • Strong Microsoft Excel skills., • Experience working with ERP or integrated accounting systems., • Ability to research and resolve complex invoice and vendor discrepancies., • Strong organizational and time-management skills., • Excellent attention to detail and accuracy., • Ability to manage multiple priorities and meet payment and month-end deadlines., • Strong written and verbal communication skills., • Ability to work effectively with employees at all levels of the organization., • Professional and responsive approach to vendor communication., • Ability to handle confidential financial and banking information appropriately. Preferred Qualifications • Manufacturing Accounts Payable experience., • Experience processing high-volume PO-based invoices., • Experience with three-way matching., • Experience resolving receiving and purchase-order discrepancies., • Familiarity with freight and transportation invoices., • Experience with multi-location or multi-plant organizations., • Exposure to inventory-related accounting., • Experience with ERP systems such as SAP, Oracle, JD Edwards, Microsoft Dynamics, Infor, or similar platforms., • Experience supporting month-end close and AP reconciliations., • Associate's or Bachelor's degree in Accounting, Finance, Business, or a related field is a plus. What Success Looks Like A successful Accounts Payable Specialist will: • Process invoices accurately and on schedule., • Catch discrepancies before incorrect payments are issued., • Maintain clean and accurate vendor accounts., • Resolve purchase-order and receiving issues efficiently., • Reduce the number of aged or unmatched invoices., • Respond to vendors and internal partners promptly., • Maintain complete and audit-ready documentation., • Understand and follow Accounts Payable controls., • Take ownership of issues and follow them through resolution., • Build strong relationships with Purchasing, Receiving, Operations, Supply Chain, and Accounting., • Consistently look for ways to improve accuracy, efficiency, and Accounts Payable processes. Why This Opportunity This is a strong opportunity for an experienced Accounts Payable professional who wants to join a stable, established manufacturing organization and become an important part of the Finance team. The role provides exposure to the full Accounts Payable cycle and offers the opportunity to work closely with multiple areas of the organization, including Purchasing, Supply Chain, Receiving, Operations, and Accounting. The successful candidate will join a collaborative environment that values accuracy, accountability, teamwork, continuous improvement, and strong customer service to both internal partners and external suppliers.

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