- Northwell Health (Melville, NY)
- …site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. ... Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay. Ensures compliance with… more
- CARMAX (Amherst, NY)
- …work performed and accuracy of all labor, parts and sublet documentation for billing including opening and closing of repair orders + Collect service payments and ... manage payments received for services. + Use of proprietary and universalsoftware systems including CarMax ElectronicRepair Order and Mitchell. + Provide functional expertise and leadership to other associates. + Provide general support to other associates and… more
- YAI (Queens, NY)
- …coherently and objectively document services provided and summarize progress for billing and tracking purposes and to effectively convey information regarding ... individuals supported across various levels and with external providers or circles of support; and + Ability and willingness to lead, direct and teach others technical skills and/or knowledge, both on-the-job and through formal training in group or individual… more
- YAI (Rockland County, NY)
- …centered plans are implemented. + Completing documentation to ensure compliance and billing . + Using foundational Teaching skills (EMOE, Task analysis, essential ... skills, supports and modifications, etc. Education and Experience: + High School Diploma or GED a plus, not required. + Work or life experience within the intellectual/developmental disabilities field is a plus * Ability to support people with… more
- Molina Healthcare (Albany, NY)
- …and regulations in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for ... claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated timelines * Presents audit findings and makes recommendations to management for improvements based on audit results. **Job Qualifications**… more
- Datavant (Albany, NY)
- …of HIPAA and medical terminology + Familiar with different EHR and Billing Systems + Experience working with subpoenas **We offer:** + Comprehensive onsite/virtual ... training program followed by job shadowing with an assigned mentor + Company equipment will be provided to you (including computer, monitor, virtual phone, etc.) + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition… more
- Mount Sinai Health System (New York, NY)
- …all payor and regulatory requirements. + Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate to minimize ... mis-billings. + Resolves issues that arise from information submitted and revenue cycle issues. + Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue… more
- GoNetspeed (Phelps, NY)
- …all vendors *Process customer credit refunds *Process special cash deposits (non-customer billing related), scan documentation to the journal post *Send weekly cash ... balances to corporate office via email *Assist with the generation of annual 1099's *Assist with documentation gathering for annual audits *Other related duties as assigned. Required Skills: *High school diploma, associate's degree in accounting preferred;… more
- Molina Healthcare (Rochester, NY)
- …Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing , or similar. + Claims processing background including coordination of ... benefits, subrogation, and/or eligibility criteria. **Preferred Education** Bachelor's Degree **Preferred Experience** + 3+ years Provider Claims and/or Provider Network Administration experience + Experience in Medical Terminology, CPT, ICD-9 codes, etc. +… more
- YAI (Queens, NY)
- …Life Plan meetings, psychiatric and therapy anecdotals, Person-Centered Plans, meeting minutes, billing , etc. + Regularly trains all direct care staff and management ... at assigned programs on individual service, staff action plans and behavior management services using the Explain Model Observe Evaluate (EMOE) training system to ensure that all clinical interventions are properly implemented, to communicate clinical… more