- City of New York (New York, NY)
- …- Track and manage medical records requests from MCO to obtain prior authorization approvals and claim reimbursement. - Review all claims CPT/ICD-10/HCPCS, payment ... modifiers in billing software to ensure accuracy following CMS and other third-party insurance guidelines.- - Monitor EDI denials in a timely manner. - Prepare and batch claims out to third party payers for reimbursements. - Review clearinghouse acceptance and… more
- New York Health Care (Valley Stream, NY)
- …now in our 34th year of business is seeking an experienced full time Senior Biller for immediate hire. Job Duties to include : + Monitor and ensure payments are ... of EMEDNY, Inovalon and other electronic billing portals. + Prior homecare or hospital experience. + Prior ...+ Prior homecare or hospital experience. + Prior experience with HHA exchange software + Competitive salary… more
- Helen Keller National Center for Deaf Blind Youths… (Sands Point, NY)
- …compliance standards. * Review service documentation to ensure accuracy and completeness prior to claim submission. * Track claims, address denials or rejections, ... with HIPAA regulations required. CERTIFICATES, LICENSES, REGISTRATIONS Certified Professional Biller (CPB) -Certified Medical Reimbursement Specialist (CMRS) Salary Range:… more
- General Motors (Buffalo, NY)
- …working in a Union Environment or Bargaining Unit. + Knowledge of or experience with Bill of Equipment (BOE), Bill of Process (BOP), Bill of Sediment ... applicable, to successfully complete a role-related assessment(s) and/or a pre-employment screening prior to beginning employment. To learn more, visit How we Hire… more
- Sanofi Group (Albany, NY)
- …the field subject matter expert relating to product procurement, buy & bill processes, billing and coding, financial assistance offerings, patient support, access, ... payer medical policy, prior authorization, specialty pharmacy operations, infusion center procedures and...it relates to medical payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication… more
- Amgen (New York, NY)
- …to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms + Review patient-specific ... coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices… more
- Astellas Pharma (Syracuse, NY)
- …payer coverage, healthcare payment models, and utilization management criteria (ie Prior Authorization, Step Edits, other forms of precertification), this individual ... challenges/opportunities. + Provide education on billing/coding and reimbursement (for buy-and- bill products) + Assist offices with patient specific access… more
- J&J Family of Companies (New York, NY)
- …+ Knowledge of reimbursement principles including pharmacy and medical benefit/buy & bill benefit design, coding, billing, prior authorization, and appeals ... fulfillment related patient obstacles including knowledge of Buy & Bill , Medical Benefit and Assignment Of Benefit (AOB), specialty...processes + Demonstrated capabilities and performance success in prior roles + A valid Driver's License in one… more
- Akwesasne Mohawk Casino Resort (Hogansburg, NY)
- …with guests and fellow associates + May performs paper refills and clear jams, bill retrievals, bv jams on machines and/or follows through if more in-depth repair is ... up of game options and test various devices, EG Bill Acceptors. + Tools and experience using tools is...to and pass a drug test for illegal substances prior to employment being confirmed. In case of a… more
- Ryder System (Rock Tavern, NY)
- …to include fuel, DEF and oil.Responsible for the successful execution of the customer bill back process to include identification, review and approval of bill ... on internal equity; internal salary ranges; market data/ranges; applicant's skills; prior relevant experience; certain degrees or certifications, etc._ _Salaries may… more